Closure of round cutaneous defects progressively with the purse string suture technique
Autor: | İsmail Ağır, Cihangir Tetik, Hakan Kivilcim, Fatih Küçükdurmaz, Seyit Ali Gümüştaş |
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Přispěvatelé: | KÜÇÜKDURMAZ, FATİH |
Rok vydání: | 2015 |
Předmět: |
Purse string suture
medicine.medical_specialty Time Factors KÜÇÜKDURMAZ F. AĞIR İ. Gumustas S. Kivilcim H. Tetik C. -Closure of round cutaneous defects progressively with the purse string suture technique- PAN AFRICAN MEDICAL JOURNAL cilt.22 2015 Healing time tissue expander round defects Rats Sprague-Dawley Purse string suture technique skin defect tissue expander primary healing secondary healing round defects Arthroscopy Full thickness skin Animals Medicine Secondary healing Skin secondary healing Fibrous joint Tissue expander Wound Healing purse string suture technique lcsh:R5-920 integumentary system medicine.diagnostic_test business.industry Research lcsh:Public aspects of medicine Suture Techniques skin defect lcsh:RA1-1270 General Medicine Anatomy primary healing Rats Surgery Disease Models Animal medicine.anatomical_structure lcsh:Medicine (General) business Wound healing |
Zdroj: | The Pan African Medical Journal, Vol 22, Iss 16 (2015) The Pan African Medical Journal Pan African Medical Journal; Vol 22, No 1 (2015) |
ISSN: | 1937-8688 |
DOI: | 10.11604/pamj.2015.22.16.7378 |
Popis: | Introduction: There are many closure techniques available to cutaneous surgeons. One of them is the purse-string suture which is used to provide complete or partial closure of round skin defects. In our animal study; we closed skin defects with using subcuticular purse string suture technique by progressively cinching wound and we aim to more rapidly healing according to secondary healing.Methods: After anaesthetize, we created a 4 cm diameter circular full thickness skin defect on dorsal area of rats. In group 1, subcuticular purse string suture was applied by using a nonabsorbable and monofilament suture and a sliding arthroscopic knot was applied to both ends. Arthroscopic suture was shift 1 cm forward every day. In group 2 skin defect was leaved open and daily dressing was made and in both group defect diameters were measured every day and noted. Results: The skin defects were closed totally after 15 days in group 1 but in group 2 defects were reduced but still had a mean 1,5-cm diameter sircular defect. Conclusion: Closing large circular wound with purse string suture and gradual tightening decreases the healing time and expand the skin tissue without using any tissue expander.Key words: Purse string suture technique, skin defect, tissue expander, primary healing, secondary healing, round defects |
Databáze: | OpenAIRE |
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