Percutaneous Buried Modification of the Purse-String Closure

Abstract

3. Dayan SH, Arkins JP, Mathison CC. Management of impending necrosis associated with soft tissue filler injections. J Drugs Dermatol 2011;10: 1007-12. 4. Cohen JL. Understanding, avoiding, and managing dermal filler complications. Dermatol Surg 2008;34(Suppl 1):S92-9. 5. Latham E, Hare M, Neumeister M. Hyperbaric oxygen therapy. 2010. Available from

Purse-String–Assisted Full-Thickness Skin Graft

“…There are many described modifications to the classic purse-string suture technique, including but not limited to undermining 9 versus no undermining, 3 use of an absorbable 3,7,10-13 versus nonabsorbable suture, 1,2,4,9,14 braided versus monofilament absorbable suture, 3,7,10,12,13 percutaneous 1,3,10,15 versus dermal 1,2,4,5,6,7,9,11 placement of sutures, partial circumferential purse-string suture, 6 use of one suture versus a stacked row of 2 purse string sutures, 11 using 2 separate purse-string sutures to close 1 wound, 12,14 and use of a lockdown 16 or anchor 13 technique in tying the securing knot. In our technique, we employ no undermining, a single row of an intradermally placed braided large caliber absorbable suture.…”

Secondary Intention Healing and Purse-String Closures

“…There are numerous modifications to the PSC that have been reported. [19][20][21][22][23][24][25] The authors' most used modifications will be presented in more detail.…”