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  • Title: Complete closure using a double purse-string closure for skin defects.
    Author: Lin H, Li W.
    Journal: Dermatol Surg; 2009 Sep; 35(9):1406-9. PubMed ID: 19549181.
    Abstract:
    BACKGROUND: The purse-string closure is useful to repair the round or oval defect. However, difficulty may exist in the achievement of complete closure of the relatively large defect. OBJECTIVE: A new technique was proposed which could redistribute the tension around the defect and achieve a complete and simple closure. METHODS AND MATERIALS: For 17 surgical defects following skin tumor, the double purse-string technique was performed. A midline interrupt suture was placed vertical to the skin relax tension line. Then, the original defect was split into halves and both smaller defects were closed with the pure-string suture. RESULTS: All skin defects were closed completely, and there were no complication occurrences for the repair postoperatively. The final cosmetic appearance was excellent. CONCLUSION: The double purse-string suture is a useful technique to achieve complete closure of the defect with a resulting excellent appearance. The authors have indicated no significant interest with commercial supporters.
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