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  • Title: Secondary Intention Healing and Purse-String Closures.
    Author: Lam TK, Lowe C, Johnson R, Marquart JD.
    Journal: Dermatol Surg; 2015 Oct; 41 Suppl 10():S178-86. PubMed ID: 26418684.
    Abstract:
    BACKGROUND: Secondary intention healing and purse-string closures are simple but extremely useful methods for the dermatologic surgeon to master. OBJECTIVE: To review the literature on the use of these two types of closures and offer recommendations based on our collective experiences. METHODS: A literature review was performed using the terms "secondary intention healing" and "purse-string closure." The evidence and recommendations from the resultant references were summarized in our article and synthesized with our own experiences. RESULTS: Twenty-eight sources were cited overall with fifteen related to secondary intention healing, eleven pertaining to purse-string closures, and one randomized, blind clinical trial comparing the two modalities. CONCLUSION: The art of dermatologic surgery often requires a tailored approach to the patient and can involve a spectrum of closures, from the simplest to most complex. This variety not only provides more reconstruction options, but are also necessary to keep dermatologic surgery cost-effective. Certain locations or situations are more amenable for these two types of closures than others. The use of secondary intention healing, either alone or in conjunction with purse-string closures, should be in every dermatologic surgeon's armamentarium.
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