Management of the occipital scalp tension wound in hair transplant surgery with the Quill suture

Pak, Jae P.; Rassman, William R.; Gazoni, Paulo; Zeballos, Á. Chávez

doi:10.33589/18.4.0149

Cited by 6 publications

(3 citation statements)

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“…Hair restoration applications: Bidirectional barbed sutures have also been reported to be of value for the closure of the hair restoration graft donor site at the occipital scalp. 13,14 Using a layered closure technique, first of the occipitalis fascia, followed by the subcuticular layer, surgeons markedly reduced closure times compared with their experience with traditional closures. Donor strips up to 26 cm in length have been successfully closed with this technique.…”

Section: Obstetrical and Gynecologic Open And Laparoscopic Applicationsmentioning

confidence: 99%

Bidirectional Barbed Sutures for Wound Closure: Evolution and Applications

Paul

2009

The Journal of the American College of Certified Wound Speciali

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Traditionally, wound closure sutures have in common the need to tie knots with the inherent risk of extrusion, palpability, microinfarcts, breakage, and slippage. Bidirectional barbed sutures have barbs arrayed in a helical fashion in opposing directions on either side of an unbarbed midsegment. This suture is inserted at the midpoint of a wound and pulled through till resistance is encountered from the opposing barbs; each half of the suture is then advanced to the lateral ends of the wound. This design provides a method of evenly distributing tension along the incision line, a faster suture placement and closure time with no need to tie knots, and the possibility of improved cosmesis. Bidirectional barbed sutures, which are available in both absorbable and nonabsorbable forms, can be used for simple closures, multilayered closures, and closure of high-tension wounds in a variety of surgical settings.

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Section: Obstetrical and Gynecologic Open And Laparoscopic Applicationsmentioning

confidence: 99%

Bidirectional Barbed Sutures for Wound Closure: Evolution and Applications

Paul

2009

The Journal of the American College of Certified Wound Speciali

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“…Tissue adhesive was used for all skin closures. Whereas reports have begun to appear in the literature on the application of bidirectional barbed sutures in urologic, 2 flexor tendon, 3 obstetric, 4 laparoscopic gynecologic, 5 and plastic and reconstructive surgery, [6][7][8][9][10] to our knowledge this is the first report regarding their use in arthroplasty.…”

mentioning

confidence: 99%

Total Knee Arthroplasty Closure with Barbed Sutures

Eickmann¹,

Quane²

2010

J Knee Surg

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Bidirectional barbed sutures, which do not require the tying of knots, have the potential to reduce closure times of total knee arthroplasty (TKA) wounds without adverse effect to wound security, cosmesis, or infection risk. In this retrospective study, data were reviewed from TKAs performed between January 2007 and September 2008. For 88 of these procedures, conventional absorbable sutures were used for interrupted closure of the retinacular and subcutaneous layers and for running closure of the subcuticular layer. For 90 procedures, bidirectional barbed absorbable sutures were used for running closure of the retinacular and subcutaneous layers. Surgeries performed with barbed sutures were significantly faster than those performed with conventional sutures (mean times of 74.3 minutes and 85.8 minutes, respectively, p < 0.001) with no detrimental clinical effects.

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“…To avoid widening a donor wound, many techniques other than trichophytic closure have been described, including pre‐ and postoperative donor massage, restricted donor width of less than 1 cm, cautious estimation of scalp laxity, open and blunt dissecting technique during strip harvesting, geometric incision, undermining, double‐layer closure, and additional reinforced sutures such as retention sutures …”

mentioning

confidence: 99%

Double Trichophytic Closure with Wavy Two-Layered Closure for Optimal Hair Transplantation Scar

Yamamoto¹

2012

Dermatologic Surgery

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Management of the occipital scalp tension wound in hair transplant surgery with the Quill suture

Cited by 6 publications

References 0 publications

Bidirectional Barbed Sutures for Wound Closure: Evolution and Applications

Bidirectional Barbed Sutures for Wound Closure: Evolution and Applications

Total Knee Arthroplasty Closure with Barbed Sutures

Double Trichophytic Closure with Wavy Two-Layered Closure for Optimal Hair Transplantation Scar

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