๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
Fascial plication suture
Fascial plication suture
This technique is designed for wounds under marked tension, especially those on the back and shoulders. It can also be used for facial repairs, where grasping the superficial musculoaponeurotic system (SMAS) with this deep suture technique leads to a dramatic reduction in wound size. It is a deep technique, permitting the tension of wound closure to shift from the dermis to the fascia, and concomitantly creating a lower-tension closure. In addition to tension reduction, this approach also leads to an increase in the apparent length-to-width ratio of a fusiform closure and improved dead-space minimization (Fig. 13-10).
Figure 13-10. Overview of the fascial plication suture technique. Note that the fascial bites may also be taken parallel to the incised wound edges.