A simple technique for the excision of cutaneous carcinoma: the round block purse-string suture

World Journal of Surgical Oncology

Giorgia Caruana²  Michele Antonacci¹  Edoardo Raposio² 

[1] Department of Surgical Sciences, Plastic Surgeon Division, University of Parma, Via Gramsci 14, 43126 Parma, Italy;Cutaneous, Mininvasive, Regenerative and Plastic Surgery Unit, Parma University Hospital, Via Gramsci, 43126 Parma, Italy

关键词: Surgical oncology;    Round block suture;    Reconstructive surgery;    Purse-string suture;    Dermatologic surgery;   

Others  :  1148286
DOI  :  10.1186/1477-7819-12-263

 received in 2014-03-03, accepted in 2014-08-06,  发布年份 2014

【 摘 要 】

Background

Purse-string suture is a simple technique that can be used to reduce the surface area of circular wounds in an effort to obtain minimal scarring. In this report, we provide evidence of the effectiveness of the purse-string suture as a stand-alone procedure that allows a permanent primary complete closure of small to moderate skin defects. The procedure is used primarily for the repair of skin defects due to cutaneous tumor excision in older patients.

Methods

The purse-string suture is executed by using a 1-0 absorbable suture, always by exiting and reentering intradermally and never penetrating the epidermis, in a circumferential fashion.

Results

The immediate postoperative folds flatten in about a 4-week postoperative time span, and the resulting scar is the smallest obtainable.

Conclusions

The round block purse-string suture is a simple technique which allows complete closure of skin defects without importing tissue from a distance, and it can be particularly suitable for older patients because of their skin laxity.

【 授权许可】

   
2014 Raposio et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 3.

Figure 2.

【 参考文献 】

• [1]Peled JI, Zagher U, Wexler MR: Purse-string suture for reduction and closure of skin defects. Ann Plast Surg 1985, 14:465-469.
• [2]Brady JG, Grande DJ, Katz AE: The purse-string suture in facial reconstruction. J Dermatol Surg Oncol 1992, 18:812-816.
• [3]Ciatti S, Greenbaum SS: Modified purse-string closure for reconstruction of moderate/large surgical defects of the face. Dermatol Surg 1999, 25:215-220.
• [4]Lin H, Li W: Complete closure using a double purse-string closure for skin defects. Dermatol Surg 2009, 35:1406-1409.
• [5]Cohen PR, Martinelli PT, Schulze KE, Nelson BR: The purse-string suture revised: a useful technique for the closure of cutaneous surgical wounds. Int J Dermatol 2007, 46:341-347.
• [6]Zhu JW, Wu XJ, Lu ZF, Cai SQ, Zheng M: Purse-string suture for round and oval defects: a useful technique in dermatologic surgery. J Cutan Med Surg 2012, 16:11-17.
• [7]Weisberg NK, Greenbaum SS: Revisiting the purse-string closure: some new methods and modifications. Dermatol Surg 2003, 29:672-676.
• [8]Mulliken JB, Rogers GF, Marler JJ: Circular excision of hemangioma and purse-string closure: the smallest possible scar. Plast Reconstr Surg 2002, 109:1544-1554.