Surgical Pearl: Purse string suture in the management of poorly delineated melanomas

Mather, Mary K.; Harrington, Allan C.; Montemarano, Andrew D.; Farley, Mary

doi:10.1016/s0190-9622(98)70545-6

Cited by 17 publications

(31 citation statements)

References 5 publications

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“…Most investigators preferred to use thicker sutures (sizes 3‐0 or larger) 1,3,4,6–10,12,18,29,32 . Indeed, Tremolada et al 3 .…”

Section: Discussionmentioning

confidence: 99%

“…noted that they avoided the suture cutting through the dermis when they used sutures with thicker diameters. However, some researchers also used small diameter (ranging from 4‐0 to 6‐0 [thinnest]) sutures 1,5–7,9,11,12 …”

Section: Discussionmentioning

confidence: 99%

“…when performing cuticular purse‐string closures. In addition, absorbable sutures were also occasionally used by investigators who performed deeper‐placed intradermal purse‐string sutures that were not removed 1,2,5,11 . Weisberg and Greenbaum 9 initially advocated the use of absorbable monofilament poliglecaprone 25 (Monocryl) suture.…”

Section: Discussionmentioning

confidence: 99%

“…Most researchers used nonabsorbable sutures such as polypropylene (Prolene) 1,3,7–10,29,32 or nylon 3–5 . Monofilament sutures – either absorbable 2,6, 9 – were preferred to braided sutures.…”

Section: Discussionmentioning

confidence: 99%

“…usually removed the cuticular purse‐string suture after 3 or 4 weeks; healing of the partially closed wound would subsequently result in complete resolution at the surgical site. Other investigators also elected to remove the intradermal purse‐string suture after 3 1,7,29 or 4 6,26 weeks. Alternatively, for some of the patients with melanoma in whom complete closure of the residual postoperative site was planned after pathologic confirmation of tumor removal was received, Cohen et al 12 .…”

Section: Discussionmentioning

confidence: 99%

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The purse‐string suture revisited: a useful technique for the closure of cutaneous surgical wounds

Cohen¹,

Martinelli²,

Schulze³

et al. 2007

Int J Dermatology

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The purse-string suture provides complete or partial closure of round postoperative skin defects. It is a rapid and simple procedure to perform. Tension placed on the suture uniformly advances the skin from the entire periphery of the wound, resulting in a significant reduction of the defect size and enhancement of hemostasis at the wound edge. The history, modifications of the technique, advantages, and potential complications of the purse-string suture are reviewed. It is not only useful following the removal of nonmelanoma skin cancer but also after the local excision of melanoma. In addition, this technique is especially suitable for the repair of round surgical wounds for patients who are unable to modify their active lifestyles during the week following surgery, individuals concurrently being treated with anticoagulants, antiplatelet agents or both, and people with extensive postoperative defects that would otherwise require either a skin graft or a large cutaneous flap. Typically, the site of the surgical wound following partial or complete closure with the purse-string suture demonstrates excellent long-term cosmetic and functional results.

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“…Most investigators preferred to use thicker sutures (sizes 3‐0 or larger) 1,3,4,6–10,12,18,29,32 . Indeed, Tremolada et al 3 .…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%