The purse-string suture: our experience in our 4 best case reports

Boggio, Paolo; Miglino, Benedetta; Graziola, Francesca; Veronese, Federica; Tiberio, Rossana; Colombo, Enrico

doi:10.23736/s0392-0488.17.04941-0

Cited by 1 publication

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“…In this context, the PSS closure, a simple technique that is well suited for elderly patients, also in sun‐damaged and inelastic skin areas, can find its place 9‐11 . In our study, patients underwent to PSS as a unique surgical procedure, and the potential residual defect was closed only by second intention, thus allowing to avoid a further central graft.…”

Section: Discussionmentioning

confidence: 96%

“…In this context, the PSS closure, a simple technique that is well suited for elderly patients, also in sun-damaged and inelastic skin areas, can find its place. [9][10][11] In our study, patients underwent to PSS as a unique surgical procedure, and the potential residual defect was closed only by second intention, thus allowing to avoid a further central graft. To the best of our knowledge, this is the first study that compares the efficacy and usefulness of the two different surgical techniques (PSS vs FTSG) in the closure of surgical defects in nondistensible areas, even if numerous previous studies reported PSS as a useful procedure to reduce the residual surgical area, needing a smaller size skin graft.…”

Section: Discussionmentioning

confidence: 99%

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Purse‐string suture versus full‐thickness skin graft : An efficacy and safety comparison study

Cammarata

Zavattaro

Astolfi³

et al. 2021

Dermatologic Therapy

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Purse‐string suture (PSS) and full‐thickness skin graft (FTSG) are two different approaches to the closure of circular skin defects. In this study, we compare the feasibility and the aesthetic outcome of these two techniques in high operatory risk non‐melanoma skin cancer (NMSC) patients. We performed a retrospective study on 65 patients, treated with PSS or FTSG, and evaluated after a minimum follow‐up of 6 months. The post‐surgery assessment was based on the Vancouver scar scale (VSS) and differences in terms of defect areas, operative and healing times were performed both with parametric and nonparametric tests. Operative times in PSS were significantly lower than those needed for FTSG, without perioperative adverse events; PSS required a waiting time before removing the suture greater than FTSG. After surgery, PSS resulted in a median defect area reduction of 73%. No significant differences were found in the median value for VSS in the two groups. Based on our clinical experience, the PSS advantages in terms of feasibility, rapidity of execution, and mean defect area reduction were confirmed. So, this technique seems to be appropriate for fragile patients affected by NMSC, that cannot hold long surgical sessions.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%