Patient Preferences Comparing Linear Versus Purse String Closures in Dermatologic Surgery Utilizing a Novel Simulator-Based Educational Tool

Abstract

The methods in this survey may represent a venue for educating patients and incorporating their preferences into the choices they will make regarding dermatologic procedures, which they will undergo.

The Purse String Pulley Stitch: Enhancing the Purse String With a Simple Modification

“…The purse string suture (PSS) is a useful technique that provides partial closure of circular wounds frequently created in dermatologic surgery, but reservations regarding the technique and final healed product remain; it can result in unattractive puckering of tissue. 1,2 By directing tension radially inward to the center of a circular defect, the technique fails to optimally orient the closure along the relaxed skin tension lines (RSTLs), which can impact functionality and aesthetics of the final healed scar. 3,4 Furthermore, it rarely allows for complete closure of a circular defect without excessive tension on the suture and the knot.…”