The Dermal Pursestring Suture: A New Technique for a Short Inframammary Scar in Reduction Mammaplasty and Dermal Mastopexy

Marconi, F

doi:10.1097/00000637-198906000-00004

Cited by 47 publications

(16 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The original use of the purse string suture, in the early 1950s, is credited to Dr Cannon who used the technique “after excision of a malar sebaceous cyst.” Subsequently, closure using the purse string suture was reported to repair surgical defects involving the umbilicus, urethra, and breast . The “purse string” closure as the primary method of repair of a cutaneous surgical defect was first introduced by Greenbaum and Radonich in 1996 …”

Section: Discussionmentioning

confidence: 99%

New application of purse string suture in skin cancer surgery

Fioramonti

Sorvillo

Maruccia

et al. 2018

International Wound Journal

View full text Add to dashboard Cite

Closure of large wounds may require full-thickness skin grafts, but their use is burdened by donor tissue availability and morbidity; the use of the purse string technique is an elegant way to overcome this problem. The study highlights the gain in terms of graft donor site morbidity and oncological radicality. The study included a group of 47 patients who underwent surgical excision for skin cancer and whose wounds were covered using a purse string suture and a skin graft. Radius of the defect left was measured after the lesion's excision and after the purse string suture. Thereafter, the difference between the initial defect area and the area after purse string suture was calculated. Initial defects ranged from 3.85 to 61.5 cm . After skin graft, the purse string suture ranged between 2.2 and 40 cm (mean area = 14 cm ). Gained area before the graft measured from 1.3 to 21.5 cm (mean gained area = 7.1 cm ). Average reduction was 33%. The technique allows a reduction of the size of the area to be grafted and the skin graft donor area, thus increasing the possibility of the feasibility of full-thickness grafts. In addition, it allows an optimal observation both of the area of tumour excision and margins during follow-up controls.

show abstract

Section: Discussionmentioning

confidence: 99%

New application of purse string suture in skin cancer surgery

Fioramonti

Sorvillo

Maruccia

et al. 2018

International Wound Journal

View full text Add to dashboard Cite

show abstract

“…The original use of the purse‐string suture, in the early 1950s, is credited to Dr Bradford Cannon who used the technique “after excision of a malar sebaceous cyst.” 11 He also taught this method to the residents and Harvard medical students who worked on the Massachusetts General Hospital Plastic Service 11,18 . Subsequently, closure using the purse‐string suture was reported for repair of cutaneous surgical defects involving the umbilicus, 19,20 urethra, 21 and breast 22–24 . Eventually, the use of the purse‐string suture for reconstructing postoperative surgical wounds following skin cancer of the head and neck was illustrated by Peled et al 5 .…”

Section: Discussionmentioning

confidence: 99%

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

Cohen¹,

Martinelli²,

Schulze³

et al. 2007

Int J Dermatology

View full text Add to dashboard Cite

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.

show abstract

“…This technique is especially useful for closure of facial skin cancer resections. 2-6 It has also been described for excision of congenital vascular tumors, 7 congenital nevi, 8 resection of gynecomastia, 2,9 umbilicus reconstruction, 10 redraping of skin following breast mastopexies or reductions, 11,12 and closure following skin-sparing mastectomy with or without immediate breast reconstruction. 13 Benefits of the pursestring closure include minimizing the size of the final scar 7 and eliminating or decreasing the need for skin grafting or local flaps.…”

Section: Discussionmentioning

confidence: 99%

Pursestring Thigh Lift

Garcı́a

Driscoll²,

Donelan³

2006

Annals of Plastic Surgery

View full text Add to dashboard Cite

Extreme thigh lipodystrophy localized in a "saddlebag" distribution can be difficult to treat with conventional body-lift approaches. We present a case of extreme thigh lipodystrophy treated with suction lipectomy and direct excision of skin and fat. The circular defects were closed with pursestring sutures and yielded a greatly improved contour and minimal iatrogenic deformity or scarring. In properly selected patients, the pursestring thigh-lift can provide a superior esthetic result.

show abstract

The Dermal Pursestring Suture: A New Technique for a Short Inframammary Scar in Reduction Mammaplasty and Dermal Mastopexy

Cited by 47 publications

References 0 publications

New application of purse string suture in skin cancer surgery

New application of purse string suture in skin cancer surgery

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

Pursestring Thigh Lift

Contact Info

Product

Resources

About