BACKGROUND: Surgical wounds resulting from the extirpation of cutaneous malignancies can be repaired in a number of ways. One alternative, which has been used extensively in our practice, is the purse-string closure. This method of closure offers distinct advantages in the proper setting over traditional methods of closure. OBJECTIVE: Over the years, our approach to this procedure has evolved, and we have integrated a number of new modifications that are presented later here. METHODS: A report of three illustrative cases is given. RESULTS: Three cases are presented that illustrate some new modifications to the purse-string closure. CONCLUSION: The purse-string closure, which uses circumferential tissue advancement, can be used to close a wide range of surgical wounds. This method also frequently offers the advantage of an excellent cosmetic outcome.
BACKGROUND: Surgical wounds resulting from the extirpation of cutaneous malignancies can be repaired in a number of ways. One alternative, which has been used extensively in our practice, is the purse-string closure. This method of closure offers distinct advantages in the proper setting over traditional methods of closure. OBJECTIVE: Over the years, our approach to this procedure has evolved, and we have integrated a number of new modifications that are presented later here. METHODS: A report of three illustrative cases is given. RESULTS: Three cases are presented that illustrate some new modifications to the purse-string closure. CONCLUSION: The purse-string closure, which uses circumferential tissue advancement, can be used to close a wide range of surgical wounds. This method also frequently offers the advantage of an excellent cosmetic outcome.
Authors: Paolo Fioramonti; Valentina Sorvillo; Michele Maruccia; Federico Lo Torto; Marco Marcasciano; Diego Ribuffo; Emanuele Cigna Journal: Int Wound J Date: 2018-06-29 Impact factor: 3.315