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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| Language: | English |
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Galenos Publishing House
2025-07-01
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| Series: | Gazi Medical Journal |
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| 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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| author | Muhammet Sayan Irmak Akarsu Muhammet Tarık Arslan Ayşegül Kurtoğlu Günel Ahmedova Ali Çelik |
| author_facet | Muhammet Sayan Irmak Akarsu Muhammet Tarık Arslan Ayşegül Kurtoğlu Günel Ahmedova Ali Çelik |
| author_sort | Muhammet Sayan |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-d0ed30b63fd64fa0aecb8eeb2148c76a |
| institution | DOAJ |
| issn | 2147-2092 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Gazi Medical Journal |
| spelling | doaj-art-d0ed30b63fd64fa0aecb8eeb2148c76a2025-08-20T03:13:26ZengGalenos Publishing HouseGazi Medical Journal2147-20922025-07-0136334534810.12996/gmj.2025.3890The Embedded U-Suture Technique for Better Cosmetic View in Patients Underwent Endoscopic Thoracic SympathectomyMuhammet Sayan0https://orcid.org/0000-0002-5402-9031Irmak Akarsu1https://orcid.org/0000-0001-5427-9770Muhammet Tarık Arslan2https://orcid.org/0000-0003-4123-1131Ayşegül Kurtoğlu3https://orcid.org/0000-0002-0494-8128Günel Ahmedova4https://orcid.org/0000-0002-4717-4409Ali Çelik5https://orcid.org/0000-0001-5385-6492Department of Thoracic Surgery Gazi University Faculty of Medicine, Ankara, TürkiyeDepartment of Thoracic Surgery Gazi University Faculty of Medicine, Ankara, TürkiyeDepartment of Thoracic Surgery Gazi University Faculty of Medicine, Ankara, TürkiyeDepartment of Thoracic Surgery Gazi University Faculty of Medicine, Ankara, TürkiyeDepartment of Thoracic Surgery Gazi University Faculty of Medicine, Ankara, TürkiyeDepartment of Thoracic Surgery Gazi University Faculty of Medicine, Ankara, TürkiyeIn 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.https://gazimedj.com/articles/the-embedded-u-suture-technique-for-better-cosmetic-view-in-patients-underwent-endoscopic-thoracic-sympathectomy/doi/gmj.2025.3890endoscopic thoracic sympathectomyhyperhidrosisuniportalvatssympathectomy |
| spellingShingle | Muhammet Sayan Irmak Akarsu Muhammet Tarık Arslan Ayşegül Kurtoğlu Günel Ahmedova Ali Çelik The Embedded U-Suture Technique for Better Cosmetic View in Patients Underwent Endoscopic Thoracic Sympathectomy Gazi Medical Journal endoscopic thoracic sympathectomy hyperhidrosis uniportal vats sympathectomy |
| title | The Embedded U-Suture Technique for Better Cosmetic View in Patients Underwent Endoscopic Thoracic Sympathectomy |
| title_full | The Embedded U-Suture Technique for Better Cosmetic View in Patients Underwent Endoscopic Thoracic Sympathectomy |
| title_fullStr | The Embedded U-Suture Technique for Better Cosmetic View in Patients Underwent Endoscopic Thoracic Sympathectomy |
| title_full_unstemmed | The Embedded U-Suture Technique for Better Cosmetic View in Patients Underwent Endoscopic Thoracic Sympathectomy |
| title_short | The Embedded U-Suture Technique for Better Cosmetic View in Patients Underwent Endoscopic Thoracic Sympathectomy |
| title_sort | embedded u suture technique for better cosmetic view in patients underwent endoscopic thoracic sympathectomy |
| topic | endoscopic thoracic sympathectomy hyperhidrosis uniportal vats sympathectomy |
| url | 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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