The Embedded U-Suture Technique for Better Cosmetic View in Patients Underwent Endoscopic Thoracic Sympathectomy
In endoscopic thoracic sympathectomy (ETS) surgery, a chest drain is inserted into the pleural space after the procedure for lung expansion and is quickly removed after lung hyperinflation. A horizontal mattress suture, also named U-suture, is quickly knotted around the chest drain to prevent air fr...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Publishing House
2025-07-01
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| Series: | Gazi Medical Journal |
| Subjects: | |
| Online Access: | https://gazimedj.com/articles/the-embedded-u-suture-technique-for-better-cosmetic-view-in-patients-underwent-endoscopic-thoracic-sympathectomy/doi/gmj.2025.3890 |
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| Summary: | In endoscopic thoracic sympathectomy (ETS) surgery, a chest drain is inserted into the pleural space after the procedure for lung expansion and is quickly removed after lung hyperinflation. A horizontal mattress suture, also named U-suture, is quickly knotted around the chest drain to prevent air from entering the pleural space. The U-suture may cause poor cosmetic appearance because of excessive scar tissue development. In this study, we aimed to investigate the new embedded U-suture technique using polyglactin suture, which is an absorbable material, and its cosmetic results. In this retrospective study, we collected data on patients who underwent ETS performed with a new technique. A total of 30 patients were included in the study. Neither serious wound complications nor excessive scar formation was observed in the follow-ups of the patients. The embedded U-suture technique in ETS surgery has some advantages such as good cosmetic results, no need for the removal of sutures, and applicability in both genders. |
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| ISSN: | 2147-2092 |