Closure of round cutaneous defects progressively with the purse string suture technique.

Fatih Küçükdurmaz,Ismail Agir,Seyitali Gümüstas,Cihangir Tetik,Hakan Kivilcim

doi:10.11604/pamj.2015.22.16.7378

Fatih Küçükdurmaz, Ismail Agir + Show 3 more

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https://doi.org/10.11604/pamj.2015.22.16.7378

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Abstract

IntroductionThere are many closure techniques available to cutaneous surgeons. One of them is the purse-string suture which is used to provide complete or partial closure of round skin defects. In our animal study; we closed skin defects with using subcuticular purse string suture technique by progressively cinching wound and we aim to more rapidly healing according to secondary healing.MethodsAfter anaesthetize, we created a 4 cm diameter circular full thickness skin defect on dorsal area of rats. In group 1, subcuticular purse string suture was applied by using a nonabsorbable and monofilament suture and a sliding arthroscopic knot was applied to both ends. Arthroscopic suture was shift 1 cm forward every day. In group 2 skin defect was leaved open and daily dressing was made and in both group defect diameters were measured every day and noted.ResultsThe skin defects were closed totally after 15 days in group 1 but in group 2 defects were reduced but still had a mean 1,5-cm diameter sircular defect.ConclusionClosing large circular wound with purse string suture and gradual tightening decreases the healing time and expand the skin tissue without using any tissue expander.

Highlights

There are many closure techniques available to cutaneous surgeons
Immediate reconstruction is favoured except an area which heals likely well by second intention [2]
Shrinking of the skin defects: We applied daily dressing to wounds in both groups by irrigation with 0.9% saline and covering with sterile gauze; the rat was wrapped with elastic tape after the dressing

Summary

Introduction

There are many closure techniques available to cutaneous surgeons. One of them is the purse-string suture which is used to provide complete or partial closure of round skin defects. In our animal study; we closed skin defects with using subcuticular purse string suture technique by progressively cinching wound and we aim to more rapidly healing according to secondary healing. Conclusion: Closing large circular wound with purse string suture and gradual tightening decreases the healing time and expand the skin tissue without using any tissue expander. One of them is the purse-string suture which is used to provide complete or partial closure of round skin defects. Greenbaum and Radonich first introduced the purse-string closure, which was used to repair a cutaneous surgical defect [4]. Viscoelastic property of skin provides skin closure in purse string suturing. In our animal study; we closed skin defect with a simple suture material by using subcuticular purse string suture technique by progressively cinching wound

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Conclusion