Progress in tension-relieving suturing surgery: revolutionary surgical techniques and patient prognosis evaluation methods
During the repair of skin and soft tissue wounds, excessive tension frequently leads to delayed healing, hypertrophic scarring, and tissue inflammation. Consequently, reducing skin or soft tissue tension has emerged as a crucial measure to facilitate wound healing. Tension-relieving suture procedure...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2025-05-01
|
| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1587582/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849432826728939520 |
|---|---|
| author | Maolong Ge Weifeng Zheng Ping Yao Lin Gao Xinyang Ge Xinyang Ge Qixin Zhang Xiaolin Wang Chuangju Guo |
| author_facet | Maolong Ge Weifeng Zheng Ping Yao Lin Gao Xinyang Ge Xinyang Ge Qixin Zhang Xiaolin Wang Chuangju Guo |
| author_sort | Maolong Ge |
| collection | DOAJ |
| description | During the repair of skin and soft tissue wounds, excessive tension frequently leads to delayed healing, hypertrophic scarring, and tissue inflammation. Consequently, reducing skin or soft tissue tension has emerged as a crucial measure to facilitate wound healing. Tension-relieving suture procedures achieve this by adjusting incision design or employing specialized suturing techniques to release or diminish the tension at the wound margins, thereby improving local blood circulation and cellular signaling, promoting wound closure, and reducing scar formation. The super-tension-relieving suture procedure, an innovative advancement in tension-relieving technology, utilizes slowly absorbable barbed sutures to extend the duration of tension relief. This method is particularly advantageous in cases involving large excision areas and high tension, as it offers significant benefits over traditional techniques in terms of suturing approach, tension dispersion, and local stress regulation, thereby more effectively preventing hypertrophic scars. Moreover, preliminary studies suggest that it exerts a positive impact on the management of keloids. This review comprehensively examines the evolution, design principles, and clinical applications—with evidence-based outcomes—of tension-relieving suture techniques across multiple disciplines, including plastic surgery, cardiovascular surgery, neurosurgery, and orthopedics. By integrating a wealth of literature and clinical data, the paper aims to elucidate the significant benefits and future prospects of tension-relieving strategies in enhancing wound repair quality, lowering scar risk, and advancing surgical innovation. |
| format | Article |
| id | doaj-art-d6bed10155d04ed3a42835aeaf2d42aa |
| institution | Kabale University |
| issn | 2296-875X |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj-art-d6bed10155d04ed3a42835aeaf2d42aa2025-08-20T03:27:15ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-05-011210.3389/fsurg.2025.15875821587582Progress in tension-relieving suturing surgery: revolutionary surgical techniques and patient prognosis evaluation methodsMaolong Ge0Weifeng Zheng1Ping Yao2Lin Gao3Xinyang Ge4Xinyang Ge5Qixin Zhang6Xiaolin Wang7Chuangju Guo8College of Mathematical Medicine, Zhejiang Normal University, Jinhua, ChinaDepartment of Cosmetic Dermatology, Hangzhou Plastic Surgery Hospital, Hangzhou, Zhejiang, ChinaDepartment of Plastic Surgery, Hangzhou Plastic Surgery Hospital, Hangzhou, Zhejiang, ChinaDepartment of Plastic Surgery, Hangzhou Plastic Surgery Hospital, Hangzhou, Zhejiang, ChinaCollege of Mathematical Medicine, Zhejiang Normal University, Jinhua, ChinaResearch and Development Department, Zhejiang Demetics Medical Technology Co., Ltd., Hangzhou, ChinaCollege of Mathematical Medicine, Zhejiang Normal University, Jinhua, ChinaCollege of Mathematical Medicine, Zhejiang Normal University, Jinhua, ChinaCollege of Mathematical Medicine, Zhejiang Normal University, Jinhua, ChinaDuring the repair of skin and soft tissue wounds, excessive tension frequently leads to delayed healing, hypertrophic scarring, and tissue inflammation. Consequently, reducing skin or soft tissue tension has emerged as a crucial measure to facilitate wound healing. Tension-relieving suture procedures achieve this by adjusting incision design or employing specialized suturing techniques to release or diminish the tension at the wound margins, thereby improving local blood circulation and cellular signaling, promoting wound closure, and reducing scar formation. The super-tension-relieving suture procedure, an innovative advancement in tension-relieving technology, utilizes slowly absorbable barbed sutures to extend the duration of tension relief. This method is particularly advantageous in cases involving large excision areas and high tension, as it offers significant benefits over traditional techniques in terms of suturing approach, tension dispersion, and local stress regulation, thereby more effectively preventing hypertrophic scars. Moreover, preliminary studies suggest that it exerts a positive impact on the management of keloids. This review comprehensively examines the evolution, design principles, and clinical applications—with evidence-based outcomes—of tension-relieving suture techniques across multiple disciplines, including plastic surgery, cardiovascular surgery, neurosurgery, and orthopedics. By integrating a wealth of literature and clinical data, the paper aims to elucidate the significant benefits and future prospects of tension-relieving strategies in enhancing wound repair quality, lowering scar risk, and advancing surgical innovation.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1587582/fulltension-relieving suture surgerysurgical innovationtension-related complicationswound healingsurgical prognosis |
| spellingShingle | Maolong Ge Weifeng Zheng Ping Yao Lin Gao Xinyang Ge Xinyang Ge Qixin Zhang Xiaolin Wang Chuangju Guo Progress in tension-relieving suturing surgery: revolutionary surgical techniques and patient prognosis evaluation methods Frontiers in Surgery tension-relieving suture surgery surgical innovation tension-related complications wound healing surgical prognosis |
| title | Progress in tension-relieving suturing surgery: revolutionary surgical techniques and patient prognosis evaluation methods |
| title_full | Progress in tension-relieving suturing surgery: revolutionary surgical techniques and patient prognosis evaluation methods |
| title_fullStr | Progress in tension-relieving suturing surgery: revolutionary surgical techniques and patient prognosis evaluation methods |
| title_full_unstemmed | Progress in tension-relieving suturing surgery: revolutionary surgical techniques and patient prognosis evaluation methods |
| title_short | Progress in tension-relieving suturing surgery: revolutionary surgical techniques and patient prognosis evaluation methods |
| title_sort | progress in tension relieving suturing surgery revolutionary surgical techniques and patient prognosis evaluation methods |
| topic | tension-relieving suture surgery surgical innovation tension-related complications wound healing surgical prognosis |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1587582/full |
| work_keys_str_mv | AT maolongge progressintensionrelievingsuturingsurgeryrevolutionarysurgicaltechniquesandpatientprognosisevaluationmethods AT weifengzheng progressintensionrelievingsuturingsurgeryrevolutionarysurgicaltechniquesandpatientprognosisevaluationmethods AT pingyao progressintensionrelievingsuturingsurgeryrevolutionarysurgicaltechniquesandpatientprognosisevaluationmethods AT lingao progressintensionrelievingsuturingsurgeryrevolutionarysurgicaltechniquesandpatientprognosisevaluationmethods AT xinyangge progressintensionrelievingsuturingsurgeryrevolutionarysurgicaltechniquesandpatientprognosisevaluationmethods AT xinyangge progressintensionrelievingsuturingsurgeryrevolutionarysurgicaltechniquesandpatientprognosisevaluationmethods AT qixinzhang progressintensionrelievingsuturingsurgeryrevolutionarysurgicaltechniquesandpatientprognosisevaluationmethods AT xiaolinwang progressintensionrelievingsuturingsurgeryrevolutionarysurgicaltechniquesandpatientprognosisevaluationmethods AT chuangjuguo progressintensionrelievingsuturingsurgeryrevolutionarysurgicaltechniquesandpatientprognosisevaluationmethods |