Super-tension-reduction suture (STRS), also named extra-tension-reduction suture, refers to a suture technique maintaining the skin closed in a state of zero tension or even negative tension for a relatively long time after suture. Compared with traditional suture methods and ordinary tension-reducing suturing, STRS has significant advantages in promoting wounds healing, reducing the incidence of scars and improving the appearance of wounds. In recent years, STRS has received increasing attention, and numerous scholars have also conducted extensive explorations in the modification and clinical application of STRS. However, up to now, there is no consensus or guidelines at home and abroad on STRS to provide recommendations for its application yet. Therefore, the Wound Prevention and Treatment and Damaged Tissue Repair Professional Committee of the Chinese Research Hospital Association organized multiple experts specializing in burn surgery, plastic surgery, hand surgery et.al to conduct a thorough discussion and summary on wound anatomy, the definition and classification of surgical wounds, the terms and definitions of STRS, and the clinical application of STRS, composing the “Chinese Expert Consensus on Super-Tension-reduction suture for Surgical Wounds”. This consensus aims to standardize the clinical application of STRS in surgical wounds, improving the theoretical understanding and practical level of operators regarding STRS, and ensuring the safety and effectiveness of this suture method.
Hu et al. (Sun,) studied this question.