Abstract

To report two new suture techniques for best esthetic skin healing. Using the pig skin slices routinely employed for surgical technique training two new types of skin sutures were performed. One defined as inverted or hidden X point suture and other as totally hidden intradermal running suture. The first were performed using 4-0 polypropilene stitch and the intradermal with 4-0 poliglicolic stitch. It was confirmed good skin layers union and contention with best esthetic result than observed with the traditional X and intradermal suture techniques. Macroscopic examination of the hidden X point and totally hidden intra-dermal sutures and centrifuge skin traction confirmed good skin layers union and contention with best esthetic result than observed with the traditional X and intradermal sutures techniques.

Highlights

  • The register of the development of sutures dates since 3.000 bC with the papyruse of Ebers describing use of the line in the Egypt to close wounds, The use of a categute wire for scarring of a wound had as first citation the comments carried through for Galeno (130 a.C.)., in his work “De Medicina” Cornelius, 53 aC – 7dC describes vascular ligatures

  • This study was approved by the Ethics Committee of our institutions and was conducted using the pig skin slices from meat stores routinely employed for surgical technique training

  • It is more harmful to the skin healing living a very impressive X mark visible after the skin healing; while with the proposed inverted or hidden X suture the skin healing will have only two sequential single points suture scars

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Summary

Introduction

The register of the development of sutures dates since 3.000 bC with the papyruse of Ebers describing use of the line in the Egypt to close wounds, The use of a categute wire for scarring of a wound had as first citation the comments carried through for Galeno (130 a.C.)., in his work “De Medicina” Cornelius, 53 aC – 7dC describes vascular ligatures. It was recovered by order of Pope Nicholas and re-edited in 1478 after the invention of printing by Gutemberg[1]. In this particular aspect the results of the surgical skin healing plays a very significant role, being the objective of the present article to report two new sutures technique for best esthetic skin healing

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