S-shaped wound closure following the excision of 2 adjacent pigmented nevi

Abstract

Background: The main goal of excision of a pigmented nevus is to achieve an esthetically pleasing result. A single nevus can be removed by simple excision, whereas S-shaped suture can be used for the excision of 2 adjacent nevi. However, the choice of suturing method is based on the experience of the dermatologic surgeon, as there is no uniform standard for suture following the excision of 2 adjacent nevi.The aim of the present study was to determine whether S-shaped wound closure is appropriate for the excision of 2 adjacent nevi.Methods: The outcomes of 21 patients who underwent simultaneous resection of 2 adjacent nevi were retrospectively reviewed. Of these patients, 17 chose S-shaped suture and 4 chose direct suture. Patients were followed-up for more than 6 months to review their postoperative scars. Differences between the 2 methods were compared based on the patient and observer scar assessment scale. Diameters and the proportional relationship between the 2 nevi were analyzed.Results: Patients who underwent S-shaped wound closure surgery were more satisfied compared to those who had direct suturing (P<0.05); the nevus diameter-to-spacing diameter ratio was 0.68±0.35:1:0.99±0.56 in the S-shaped wound closure group.Conclusions: S-shaped wound closure following the excision of 2 adjacent nevi resulted in better patient satisfaction than the conventional direct suturing method.

Application of Various Methods to Evaluate the Postoperative Characteristics of Expanded Pedicled Deltopectoral Flap for Large Facial Scars

“…8 Cosmetic outcomes of surgical incisions can be effectively evaluated using the patient and observer scar assessment scale (POSAS). [9][10][11] The flap color was tested using Antera3D, which is based on the Commission Internationale de l'Eclairage L à a à b à color space. 12 Therefore, the sense of touch, static 2-point discrimination (2PD), elasticity, and color were measured using the Semmes-Weinstein monofilament test, Disk-Criminator, CK-MC960, and Antera3D.…”

“…Semmes–Weinstein nylon monofilaments and the Disk-Criminator are useful devices to study sensory function, especially under clinical test conditions in which easy and fast application is advantageous 8 . Cosmetic outcomes of surgical incisions can be effectively evaluated using the patient and observer scar assessment scale (POSAS) 9–11 . The flap color was tested using Antera3D, which is based on the Commission Internationale de l’Eclairage L ∗ a ∗ b ∗ color space 12 .…”