Huang Lin1, Wenzhi Li. 1. Plastic Surgery Department, Beijing An Zhen Hospital of The Capital University of Medical Science, Beijng, People's Republic of China. cc.ll.80811@163.com
Abstract
BACKGROUND: The purse-string closure is useful to repair the round or oval defect. However, difficulty may exist in the achievement of complete closure of the relatively large defect. OBJECTIVE: A new technique was proposed which could redistribute the tension around the defect and achieve a complete and simple closure. METHODS AND MATERIALS: For 17 surgical defects following skin tumor, the double purse-string technique was performed. A midline interrupt suture was placed vertical to the skin relax tension line. Then, the original defect was split into halves and both smaller defects were closed with the pure-string suture. RESULTS: All skin defects were closed completely, and there were no complication occurrences for the repair postoperatively. The final cosmetic appearance was excellent. CONCLUSION: The double purse-string suture is a useful technique to achieve complete closure of the defect with a resulting excellent appearance. The authors have indicated no significant interest with commercial supporters.
BACKGROUND: The purse-string closure is useful to repair the round or oval defect. However, difficulty may exist in the achievement of complete closure of the relatively large defect. OBJECTIVE: A new technique was proposed which could redistribute the tension around the defect and achieve a complete and simple closure. METHODS AND MATERIALS: For 17 surgical defects following skin tumor, the double purse-string technique was performed. A midline interrupt suture was placed vertical to the skin relax tension line. Then, the original defect was split into halves and both smaller defects were closed with the pure-string suture. RESULTS: All skin defects were closed completely, and there were no complication occurrences for the repair postoperatively. The final cosmetic appearance was excellent. CONCLUSION: The double purse-string suture is a useful technique to achieve complete closure of the defect with a resulting excellent appearance. The authors have indicated no significant interest with commercial supporters.
Authors: Gi Hyun Seong; Kyujin Yeom; Dea Kwan Yun; Mi Soo Choi; Myung Hwa Kim; Byung Cheol Park Journal: Indian J Dermatol Date: 2021 Nov-Dec Impact factor: 1.494