Partial closure with purse string suture and healing by secondary intention: A useful technique in dermatologic surgery
DOI:
https://doi.org/10.29176/2590843X.251Keywords:
Continuous subcuticular suture, snuff bag, purse, healing by second intention, dermatologic surgeryAbstract
Resection of skin lesions usually results in round or oval defects with various options for repair. Partial closure with subcuticular suture is a technique that combined with healing by secondary intention, creates excellent cosmetic and functional results. Integration of these two techniques allows the dermatologist to have an excellent and inexpensive therapeutic tool, easily accessible and with a low complications rate.
Objective: To characterize and promote the use of this surgical technique in dermatological surgery, highlighting its benefits and results.
Materials and methods: A series of cases of skin lesions that required surgical management is presented, whose characteristics did not allow primary closure and features to meet the application of this technique. Patients were evaluated at University of Caldas, between July 2011 and January 2013.
Results: We report 16 cases with surgical defects closed using subcuticular continuous suture and healing by secondary intention. The final appearance of the scar was rated good to excellent, and the size of the scar in all cases was less than the initial surgical defect; there were no significant adverse events.
Conclusion: Although in dermatological surgery there are many reconstructive options in many cases the simplest option can provide the best and most consistent results. The combination of these two techniques becomes an effective tool for dermatologists.
Author Biographies
Germán Montes
Médico, residente de Dermatología, Facultad de Ciencias para la Salud, Universidad de Caldas, Manizales, Colombia
Lucía van den Enden
Médica dermatóloga; docente, posgrado en Dermatología, Universidad de Caldas, Manizales, Colombia
Consuelo Vélez
Enfermera epidemióloga, Ph. D. en Salud Pública; docente asociada, Facultad de Ciencias para la Salud, Universidad de Caldas, Manizales, Colombia
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