Retrospective observational cohort study on cosmetic outcome of using Ti-Ni memory alloy wire for intradermal suture following mastectomy in patients with breast cancer

Gang Li, Sida Qin, Xin Sun, Jiansheng Wang, Yunfeng Zhang, Jia Zhang, Jing Zhang, Shou-Ching Tang, Hong Ren

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

The method of suturing for incisions is crucial for the comprehensive treatment of clinical patients with breast cancer. Suturing is considered a major part of post‑surgical recovery and may serve as a marker for evaluation of surgical outcome. The present study aimed to establish an effective means of suturing for patients who received modified radical surgery that helps to improve the cosmetic outcome of the incision. Enrolled patients were divided into an active and a control group. Ti-Ni memory alloy wire for intradermal suture in the active group and silk for interruption suture in the control group were applied to assess the different prognosis-associated factors. The Vancouver Scar Scale (VSS) was used to evaluate the wound size and the recovery time of the scars. The association between diabetes and the number of days of wound healing was also analyzed. The results indicated that the mean VSS score of the active group was decreased compared with that of the control group (P<0.001). The VSS scores of four main features (vascularity, pigmentation, pliability and height) between the two groups also statistically differed (P<0.001). Furthermore, the mean number of days of wound healing was significantly decreased for the active group compared with that for the control group (P=0.0026) in the patients with diabetes. In addition, the usage of Ti-Ni memory alloy wire was able to decrease the mean number of wound healing days between patients with diabetes and their non‑diabetic counterparts (P=0.7009). The present study indicated that intradermal suture offers improved cosmetic outcome for patients undergoing mastectomy with or without axillary surgery. This technique may be useful for preventing scar overgrowth and for facilitating the recovery process in patients with diabetes.

Original languageEnglish (US)
Pages (from-to)2465-2470
Number of pages6
JournalOncology Letters
Volume15
Issue number2
DOIs
StatePublished - Feb 2018

Fingerprint

Mastectomy
Cosmetics
Sutures
Observational Studies
Cohort Studies
Breast Neoplasms
Cicatrix
Wound Healing
Control Groups
Silk
Pigmentation
titanium nickelide
Pliability
Wounds and Injuries

Keywords

  • Cosmetic
  • Intradermal suture
  • Mastectomy
  • Scar
  • Ti-Ni memory alloy wire

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this

Retrospective observational cohort study on cosmetic outcome of using Ti-Ni memory alloy wire for intradermal suture following mastectomy in patients with breast cancer. / Li, Gang; Qin, Sida; Sun, Xin; Wang, Jiansheng; Zhang, Yunfeng; Zhang, Jia; Zhang, Jing; Tang, Shou-Ching; Ren, Hong.

In: Oncology Letters, Vol. 15, No. 2, 02.2018, p. 2465-2470.

Research output: Contribution to journalArticle

Li, Gang ; Qin, Sida ; Sun, Xin ; Wang, Jiansheng ; Zhang, Yunfeng ; Zhang, Jia ; Zhang, Jing ; Tang, Shou-Ching ; Ren, Hong. / Retrospective observational cohort study on cosmetic outcome of using Ti-Ni memory alloy wire for intradermal suture following mastectomy in patients with breast cancer. In: Oncology Letters. 2018 ; Vol. 15, No. 2. pp. 2465-2470.
@article{8a3805572170478eb28adf5b0b2e2337,
title = "Retrospective observational cohort study on cosmetic outcome of using Ti-Ni memory alloy wire for intradermal suture following mastectomy in patients with breast cancer",
abstract = "The method of suturing for incisions is crucial for the comprehensive treatment of clinical patients with breast cancer. Suturing is considered a major part of post‑surgical recovery and may serve as a marker for evaluation of surgical outcome. The present study aimed to establish an effective means of suturing for patients who received modified radical surgery that helps to improve the cosmetic outcome of the incision. Enrolled patients were divided into an active and a control group. Ti-Ni memory alloy wire for intradermal suture in the active group and silk for interruption suture in the control group were applied to assess the different prognosis-associated factors. The Vancouver Scar Scale (VSS) was used to evaluate the wound size and the recovery time of the scars. The association between diabetes and the number of days of wound healing was also analyzed. The results indicated that the mean VSS score of the active group was decreased compared with that of the control group (P<0.001). The VSS scores of four main features (vascularity, pigmentation, pliability and height) between the two groups also statistically differed (P<0.001). Furthermore, the mean number of days of wound healing was significantly decreased for the active group compared with that for the control group (P=0.0026) in the patients with diabetes. In addition, the usage of Ti-Ni memory alloy wire was able to decrease the mean number of wound healing days between patients with diabetes and their non‑diabetic counterparts (P=0.7009). The present study indicated that intradermal suture offers improved cosmetic outcome for patients undergoing mastectomy with or without axillary surgery. This technique may be useful for preventing scar overgrowth and for facilitating the recovery process in patients with diabetes.",
keywords = "Cosmetic, Intradermal suture, Mastectomy, Scar, Ti-Ni memory alloy wire",
author = "Gang Li and Sida Qin and Xin Sun and Jiansheng Wang and Yunfeng Zhang and Jia Zhang and Jing Zhang and Shou-Ching Tang and Hong Ren",
year = "2018",
month = "2",
doi = "10.3892/ol.2017.7603",
language = "English (US)",
volume = "15",
pages = "2465--2470",
journal = "Oncology Letters",
issn = "1792-1074",
publisher = "Spandidos Publications",
number = "2",

}

TY - JOUR

T1 - Retrospective observational cohort study on cosmetic outcome of using Ti-Ni memory alloy wire for intradermal suture following mastectomy in patients with breast cancer

AU - Li, Gang

AU - Qin, Sida

AU - Sun, Xin

AU - Wang, Jiansheng

AU - Zhang, Yunfeng

AU - Zhang, Jia

AU - Zhang, Jing

AU - Tang, Shou-Ching

AU - Ren, Hong

PY - 2018/2

Y1 - 2018/2

N2 - The method of suturing for incisions is crucial for the comprehensive treatment of clinical patients with breast cancer. Suturing is considered a major part of post‑surgical recovery and may serve as a marker for evaluation of surgical outcome. The present study aimed to establish an effective means of suturing for patients who received modified radical surgery that helps to improve the cosmetic outcome of the incision. Enrolled patients were divided into an active and a control group. Ti-Ni memory alloy wire for intradermal suture in the active group and silk for interruption suture in the control group were applied to assess the different prognosis-associated factors. The Vancouver Scar Scale (VSS) was used to evaluate the wound size and the recovery time of the scars. The association between diabetes and the number of days of wound healing was also analyzed. The results indicated that the mean VSS score of the active group was decreased compared with that of the control group (P<0.001). The VSS scores of four main features (vascularity, pigmentation, pliability and height) between the two groups also statistically differed (P<0.001). Furthermore, the mean number of days of wound healing was significantly decreased for the active group compared with that for the control group (P=0.0026) in the patients with diabetes. In addition, the usage of Ti-Ni memory alloy wire was able to decrease the mean number of wound healing days between patients with diabetes and their non‑diabetic counterparts (P=0.7009). The present study indicated that intradermal suture offers improved cosmetic outcome for patients undergoing mastectomy with or without axillary surgery. This technique may be useful for preventing scar overgrowth and for facilitating the recovery process in patients with diabetes.

AB - The method of suturing for incisions is crucial for the comprehensive treatment of clinical patients with breast cancer. Suturing is considered a major part of post‑surgical recovery and may serve as a marker for evaluation of surgical outcome. The present study aimed to establish an effective means of suturing for patients who received modified radical surgery that helps to improve the cosmetic outcome of the incision. Enrolled patients were divided into an active and a control group. Ti-Ni memory alloy wire for intradermal suture in the active group and silk for interruption suture in the control group were applied to assess the different prognosis-associated factors. The Vancouver Scar Scale (VSS) was used to evaluate the wound size and the recovery time of the scars. The association between diabetes and the number of days of wound healing was also analyzed. The results indicated that the mean VSS score of the active group was decreased compared with that of the control group (P<0.001). The VSS scores of four main features (vascularity, pigmentation, pliability and height) between the two groups also statistically differed (P<0.001). Furthermore, the mean number of days of wound healing was significantly decreased for the active group compared with that for the control group (P=0.0026) in the patients with diabetes. In addition, the usage of Ti-Ni memory alloy wire was able to decrease the mean number of wound healing days between patients with diabetes and their non‑diabetic counterparts (P=0.7009). The present study indicated that intradermal suture offers improved cosmetic outcome for patients undergoing mastectomy with or without axillary surgery. This technique may be useful for preventing scar overgrowth and for facilitating the recovery process in patients with diabetes.

KW - Cosmetic

KW - Intradermal suture

KW - Mastectomy

KW - Scar

KW - Ti-Ni memory alloy wire

UR - http://www.scopus.com/inward/record.url?scp=85038423145&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85038423145&partnerID=8YFLogxK

U2 - 10.3892/ol.2017.7603

DO - 10.3892/ol.2017.7603

M3 - Article

AN - SCOPUS:85038423145

VL - 15

SP - 2465

EP - 2470

JO - Oncology Letters

JF - Oncology Letters

SN - 1792-1074

IS - 2

ER -