The Embedded U-Suture Technique for Better Cosmetic View in Patients Underwent Endoscopic Thoracic Sympathectomy

SAYAN M., AKARSU I., Arslan M. T., Kurtoglu A., Ahmedova G., ÇELİK A.

GAZI MEDICAL JOURNAL, cilt.36, sa.3, ss.345-348, 2025 (ESCI) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 36 Sayı: 3
  • Basım Tarihi: 2025
  • Doi Numarası: 10.12996/gmj.2025.3890
  • Dergi Adı: GAZI MEDICAL JOURNAL
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier
  • Sayfa Sayıları: ss.345-348
  • Gazi Üniversitesi Adresli: Evet

Özet

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.