A “round block” purse-string suture in facial reconstruction after operations for skin cancer surgery

Patel, Karishma; Telfer, M.R.; Southee, R.

doi:10.1016/s0266-4356(03)00047-0

Cited by 31 publications

(67 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It allows almost complete or partial closure of the defect by advancing the skin from the entire periphery of the wound. It minimizes scarring and, even in case of dehiscence, the remaining defect is always smaller than the original defect and it can always be later repaired if necessary with local flaps or minimal grafts [9][10][11][12][13]. This has been our experience even in the one case where the resultant wound created by an extensive infected HM broke down.…”

Section: Discussionmentioning

confidence: 85%

Haemostatic squeezing and purse-string sutures: optimising surgical techniques for early excision of critical infantile haemangiomas

Baraldini

Coletti

Cigognetti

et al. 2007

Journal of Pediatric Surgery

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 85%

Haemostatic squeezing and purse-string sutures: optimising surgical techniques for early excision of critical infantile haemangiomas

Baraldini

Coletti

Cigognetti

et al. 2007

Journal of Pediatric Surgery

View full text Add to dashboard Cite

“…Patel et al have used the "round block" modification of purse string method effectively in 75 patients with skin cancer in the head and neck region. 8 Kilic reported that the presuturing and suturing of two different levels in dermal layer can be used in closure of larger defects. 9 Mulliken et al used the purse-string closure technique in 25 patients of hemangioma excision to obtain the smallest possible scar.…”

Section: Discussionmentioning

confidence: 99%

A Good Option For Medial Canthal Region Defects: Purse String Closure

Filinte¹,

Yıldırım²,

Bilgiç³

et al. 2013

Turkiye Klinikleri J Med Sci

View full text Add to dashboard Cite

efects of the medial canthal region frequently appear after tumor excision. In an effort to obtain good functional and aesthetic results considering delicate properties of this area, the characteristics of the skin must be preserved as much as possible. The skin of this region is thinner than the surrounding tissues and thicker than the eyelids. Also lack Turkiye Klinikleri J Med Sci 2013;33(2) 339A Good Option For Medial Canthal Region Defects: Purse String Closure A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Reconstruction of the defects in the medial canthal region are often challenging for the plastic surgeons because of the particular properties of the surrounding skin. Although there are several reconstructive options reported for this region, there is no single procedure that achieves the best result. In this paper we reported the use of the purse string closure method in medial canthal region defects. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Eight patients with lesions in the medial canthal region were operated in our clinic. All of the defects were closed with the purse string method. Sutures were removed after 3 weeks and patients were followed for 6 to 36 months (median:16.5 months). R Re es su ul lt ts s: : All of the lesions were diagnosed as basal cell carcinomas. In the early postoperative period, 4 patients complained about skin tension and restriction of eyelid movements, one patient additionally had a minimal wound dehiscence. Eyelid movements and skin tension improved at the end of 1 st week. The wound dehiscence healed after the 2 nd week without any intervention. Rugae formation and skin distortion disappeared within 6 to 8 weeks. No tumor recurrences were observed. C Co on nc cl lu us si io on n: : The convenience and the facility of the method to deal with complications offers a good choice for reconstruction of the defects in medial canthal region.K Ke ey y W Wo or rd ds s: : Carcinoma, basal cell; skin neoplasms Ö ÖZ ZE ET T A Am ma aç ç: : Medial kantal bölge defektlerinin rekonstrüksiyonu çevre dokunun özelliklerinden dolayı plastik cerrahlar için genellikle zordur. Her ne kadar bu bölge için bildirilmiş birçok rekonstrüksiyon seçeneği olsa da en iyi sonuca ulaştıran tek bir metot yoktur. Bu makalede medial kantal bölge defektlerinde kullandığımız purse-string kapama yöntemini bildirmekteyiz. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Kliniğimizde medial kantal bölgede defekti olan 8 hasta ameliyat edildi. Tüm defektler purse-string yöntemiyle kapatıldı. Dikişler 3 hafta sonra alındı ve hastalar 6-36 (ortalama:16,5 ay) ay boyunca takip edildi. B Bu ul lg gu ul la ar r: : Tüm lezyonlar patolojik olarak bazal hücreli karsinom olarak teşhis edildi. Erken postoperatif dönemde 4 hasta cilt gerginliğinden ve gözkapağı hareketlerinde kısıtlılıktan şikayet etti. Ayrıca bir hastada az miktarda yara ayrışması oldu. Birinci haftanın sonunda göz hareketleri ve cilt gerginliği gerilerken, yara ayrılması 2. haftanın sonunda kendiliğinden iyileşti. Katlantı ol...

show abstract

“…This undermining maximizes tissue mobility and may enhance ultimate cosmesis [69,72,73]. Some surgeons advocate more conservative undermining of 0 to 5 mm to avoid disruption of adjacent vessels and preserve perfusion at the wound edges [74].…”

Section: Purse-string Suturementioning

confidence: 99%

“…In all versions, the adjacent skin will pleat and fold to variable degrees upon tightening of the suture. If a full-thickness graft is planned to cover the remaining defect, the pull sutures can also serve as ties for a bolster [74].…”

Section: Purse-string Suturementioning

confidence: 99%

See 1 more Smart Citation

Minimally Invasive Options for Cutaneous Defects: Secondary Intention Healing, Partial Closure, and Skin Grafts

Cordoro

Russell

2005

Facial Plastic Surgery Clinics of North America

View full text Add to dashboard Cite

A “round block” purse-string suture in facial reconstruction after operations for skin cancer surgery

Cited by 31 publications

References 8 publications

Haemostatic squeezing and purse-string sutures: optimising surgical techniques for early excision of critical infantile haemangiomas

Haemostatic squeezing and purse-string sutures: optimising surgical techniques for early excision of critical infantile haemangiomas

A Good Option For Medial Canthal Region Defects: Purse String Closure

Minimally Invasive Options for Cutaneous Defects: Secondary Intention Healing, Partial Closure, and Skin Grafts

Contact Info

Product

Resources

About