James M Spencer1, Sarah A Malerich, Summer D Moon. 1. *Department of Dermatology, Mount Sinai School of Medicine, New York, New York; †Lake Erie College of Osteopathic Medicine, Bradenton, Florida; ‡Largo Medical Center, Nova Southeastern University, Largo, Florida.
Abstract
BACKGROUND: The purse-string suture is a method for partial and complete closure of circular surgical defects. OBJECTIVE: Short-term and long-term efficacy and cosmesis were assessed to evaluate the utility of purse-string closure as the sole method of closure of Mohs defects in different locations. MATERIALS AND METHODS: Sixty-six circular wounds from Mohs surgery were closed with a running intradermal suture traversing the circumference of the wound. Preoperative and immediate postoperative wound areas were measured. Long-term cosmetic appearance was also assessed. RESULTS: An immediate decrease in average wound area was observed, most notably in the neck and arm. Long-term cosmetic results were best in the head and neck and were remarkably similar for a given anatomic area. CONCLUSION: The purse-string suture is rapid, simple, and associated with little morbidity. In properly selected cases, it is an excellent alternative for partial and complete closure of circular defects resulting from Mohs surgery.
BACKGROUND: The purse-string suture is a method for partial and complete closure of circular surgical defects. OBJECTIVE: Short-term and long-term efficacy and cosmesis were assessed to evaluate the utility of purse-string closure as the sole method of closure of Mohs defects in different locations. MATERIALS AND METHODS: Sixty-six circular wounds from Mohs surgery were closed with a running intradermal suture traversing the circumference of the wound. Preoperative and immediate postoperative wound areas were measured. Long-term cosmetic appearance was also assessed. RESULTS: An immediate decrease in average wound area was observed, most notably in the neck and arm. Long-term cosmetic results were best in the head and neck and were remarkably similar for a given anatomic area. CONCLUSION: The purse-string suture is rapid, simple, and associated with little morbidity. In properly selected cases, it is an excellent alternative for partial and complete closure of circular defects resulting from Mohs surgery.
Authors: Kathryn T Shahwan; Gabriel J Amon; Laura K Archibald; Caitlin Bakker; Adam R Mattox; Murad Alam; Ian A Maher Journal: Arch Dermatol Res Date: 2022-08-11 Impact factor: 3.033
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