Role of Zip Surgical Skin Closure in the surgical treatment of hypertrophic scar

doi:10.3877/cma.j.issn.1673-9450.2020.05.004

Abstract

Abstract:

Objective

To study the effect of Zip Surgical Skin Closure device on scar hyperplasia after surgical resection of hypertrophic scar.

Methods

Medical records of 33 patients with hyperplastic scar resection collected during January 2018 to December 2018 in Department of Burns Surgery, First Affiliated Hospital of Naval Medical University, were retrospectively studied. Combined treatment group inclueded patients with surgery removal of the scar and Zip Surgical Skin Closure device at the same time. Surg-only group inclueded patients who only received surgery removal of the scar therapy.In the combined treatment group, a Zip Surgical Skin Closure device was used to fix the incision around the incision after suturing the skin, so that there was no tension in the incision. In the Surg-only group, the scar was removed and conventional suture was performed. The vancouver scar score(VSS) of scar, the recurrence of scar and the reoperation rate of patients 6 months after treatment were analyzed. The data was analyzed by t test and chi-square test.

Results

The VSS score [ (2.143 ± 0.678) points] after 6 months of combined treatment group was significantly better than that of the Surg-only group[ (6.842 ± 0.668) points], and the difference was statistically significant (t=4.833, P<0.0001); the scar recurrence rate of the combined treatment group (50.00%) was significantly lower than that of the Surg-only group (94.7%), and the difference was statistically significant (χ²=8.784, P=0.003). The rate of reoperation of the combined treatment group (7.14%) was also significantly lower than that of the Surg-only group (52.63%), with a statistically significant difference (χ²=5.687, P=0.0171).

Conclusion

The application of Zip Surgical Skin Closure after scar resection can significantly reduce the scar hyperplasia by reducing the tension around the incision.

Key words: Cicatrix, Hyperplasia, Surgical resection of hypertrophic scar, Zip Surgical Skin Closure device

Bohan Pan, Yang Xiang, Tao Tang, Shihui Zhu, Yu Sun. Role of Zip Surgical Skin Closure in the surgical treatment of hypertrophic scar[J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2020, 15(05): 347-350.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhssyxfzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1673-9450.2020.05.004

https://zhssyxfzz.cma-cmc.com.cn/EN/Y2020/V15/I05/347

Figures/Tables 3

References 24

[1]	庞轲，刘一君，张凯，等. 增生性瘢痕治疗研究进展[J]. 中国烧伤创疡杂志，2019, 31(1): 58-62.
[2]	周玉婵，温炬，袁绍萍，等. 增生性瘢痕的预防与治疗进展[J]. 皮肤性病诊疗学杂志，2019, 26(4): 262-266.
[3]	蔡明达，胡大海，刘佳琪，等. 增生性瘢痕防治的研究进展[J]. 中国医药导报，2015, 12(35): 31-34.
[4]	刘鹏，邓勇志. 防治术后瘢痕形成的研究进展[J/CD]. 中国临床医师杂志(电子版), 2014, 8(24): 4480-4484.
[5]	Berman B, Maderal A, Raphael B. Keloids and hypertrophic scars: pathophysiology, classification, and treatment[J]. Dermatol Surg, 2017, 43(1): S3-S18.
[6]	刘英开，王西樵，宋菲，等. 增生性瘢痕中胶原结节的组织学特征[J]. 中华创伤杂志，2014, 30(4): 302-306.
[7]	何兵. 一次性皮肤缝合器用于外科手术切口77例临床分析[J]. 现代医药卫生，2012, 28(23): 3588-3589.
[8]	刘海兵，唐丹，曹海燕，等. 温哥华瘢痕量表的信度研究[J]. 中国康复医学杂志，2006, 21(3): 240-242.
[9]	Anzarut A, Olson J, Singh P, et al. The effectiveness of pressure garment therapy for the prevention of abnormal scarring after burn injury：a meta-analysis[J]. J Plast Reconstr Aesthet Surg, 2009, 62(1): 77-84.
[10]	Candy LH, Cecilia LT, Ping ZY. Effect of different pressure magnitudes on hypertrophic scar in a Chinese population[J]. Burns, 2010, 36(8): 1234-1241.
[11]	Jia S, Zhao Y, Mustoe TA. The effects of topically applied silicone gel and its silver derivative on the prevention of hypertrophic scarring in two rabbit ear-scarring models[J]. Plast Reconstr Aesthet Surg, 2011, 64(12): e332-e334.
[12]	So K, Umraw N, Scott J, et al. Effects of enhanced patient education on compliance with silicone gel sheeting and burn scar outcome：a randomized prospective study[J]. J Burn Care Rehabil, 2003, 24(6): 411-417.
[13]	Karagoz H, Yuksel F, Ulkur E, et al. Comparison of efficacy of silicone gel，silicone gel sheeting，and topical onion extract including heparin and allantoin for the treatment of postburn hypertrophic scars [J]. Burns, 2009, 35(8): 1097-1103.
[14]	蔡景龙. 激光治疗瘢痕的新变化[J]. 中国美容整形外科杂志，2013, 24(11): 645-647.
[15]	栾迎春. 点阵激光应用于面部年轻化的效果及并发症分析[J]. 中国现代医生，2015, 53(4): 61-63.
[16]	Wirohadidjojo YW, Radiono S, Budiyanto A, et al. Cellular viability，collagen deposition，and transforming growth factor betal production among uhraviolet B—irradiated keloid fibroblasts [J]. Aesthetic Plast Surg, 2011, 35(6): 1050-1055.
[17]	张振，章一新. 增生性瘢痕治疗的研究进展[J]. 组织工程与重建外科杂志，2010, 6(3): 178-180.
[18]	王量，李世荣，陶灵，等. 增生性瘢痕及瘢痕疙瘩的非手术治疗[J]. 中国美容整形外科杂志，2012, 23(7): 437-439.
[19]	韩军涛，谢松涛，陶克，等. 自体瘢痕复合皮修复大面积深度烧伤后期畸形12例[J]. 中华烧伤杂志，2014, 30(5): 457-458.
[20]	盖君，刘文阁. 注射法和手术法治疗瘢痕疙瘩效果比较[J]. 青岛大医学院学报，2002, 38(2): 172-173.
[21]	罗银利，金哲虎，皮龙泉，等. 瘢痕疙瘩的临床治疗与预防最新研究进展[J]. 中国医疗美容，2020, 10(4): 99-103.
[22]	Al-Attar A, Mess S, Thomassen JM, et al. Keloid pathogenesis and treatment[J]. Plast Reconstr Surg, 2006, 117(1): 286-300.
[23]	隋小强，赵新昂，程永涛，等. 一次性皮肤缝合器在急诊头皮裂伤175例中的应用分析[J]. 临床医学研究与实践，2016, 1(19): 29-30.
[24]	韩焱福. 皮肤减张闭合技术修复急慢性创口临床研究进展[J/CD]. 中华损伤与修复杂志(电子版), 2020, 15(4): 332.

组别	例数	平均年龄(岁，±s)	男性占比(%)	术前VSS评分(分，±s)
常规治疗组	19	42.74±3.58	42.11	9.684±0.484
联合治疗组	14	39.64±3.22	42.86	9.571±0.562
t/χ²值		0.6172	0.0018	0.1520
P值		0.5416	0.9655	0.8802

组别	例数	平均年龄(岁，±s)	男性占比(%)	术前VSS评分(分，±s)
常规治疗组	19	42.74±3.58	42.11	9.684±0.484
联合治疗组	14	39.64±3.22	42.86	9.571±0.562
t/χ²值		0.6172	0.0018	0.1520
P值		0.5416	0.9655	0.8802

组别	例数	VSS评分(分，±s)	瘢痕复发率[n(%)]	再次手术率[n(%)]
常规治疗组	19	6.842±0.668	18(94.74)	10(52.63)
联合治疗组	14	2.143±0.678	7(50.00)	1(7.14)
t/χ²值		4.833	8.784	5.687
P值		<0.0001	0.003	0.017

组别	例数	VSS评分(分，±s)	瘢痕复发率[n(%)]	再次手术率[n(%)]
常规治疗组	19	6.842±0.668	18(94.74)	10(52.63)
联合治疗组	14	2.143±0.678	7(50.00)	1(7.14)
t/χ²值		4.833	8.784	5.687
P值		<0.0001	0.003	0.017

Please choose a citation manager

Content to export