140 146

Cited 0 times in

Various Applications of Purse-String Suture and Its Cosmetic Outcome in Cutaneous Surgical Defects

 Sujin Park  ;  Yeongjoo Oh  ;  Jong Won Lee  ;  Sooyie Choi  ;  Kyoung Ae Nam  ;  Mi Ryung Roh  ;  Kee Yang Chung 
 ANNALS OF DERMATOLOGY, Vol.35(2) : 100-106, 2023-04 
Journal Title
Issue Date
Dermatologic surgical procedures ; Mohs surgery ; Wound closure techniques
Background: Purse-string suture is a simple technique to reduce wound size and to achieve complete or partial closure of skin defects.

Objective: To classify situations in which purse-string sutures can be utilized and to assess the long-term size reduction and cosmetic outcome of the final scar.

Methods: Patients (93 from Severance hospital and 12 from Gangnam Severance hospital) in whom purse-string sutures were used between January 2015 and December 2019 were retrospectively reviewed. Wound site, final reconstruction method, repair duration, final wound size, and Vancouver scar scale were assessed.

Results: A total of 105 patients were reviewed. Lesions were located on the trunk (48 [45.7%]), limbs (32 [30.5%]), and face (25 [23.8%]). Mean ratio of wound length/primary defect length was 0.79±0.30. Multilayered purse-string suture showed the shortest duration from excision to final repair (p<0.001) and most effectively minimized the scar size (scar to defect size ratio 0.67±0.23, p=0.002). The average Vancouver scar scale measured at the latest followup visit at least 6 months postoperatively was 1.62, and the risk of hypertrophic scarring was 8.6%. There was no significant difference in the Vancouver scar scale and the risk of hypertrophic scarring between the different surgical method groups.

Conclusion: Purse-string sutures can be utilized in many stages of reconstruction to effectively reduce scar size without compromising the final cosmetic outcome. Copyright © The Korean Dermatological Association and The Korean Society for Investigative Dermatology.
Files in This Item:
T202303106.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실) > 1. Journal Papers
Yonsei Authors
Roh, Mi Ryung(노미령) ORCID logo https://orcid.org/0000-0002-6285-2490
Park, Sujin(박수진)
Oh, Yeongjoo(오영주) ORCID logo https://orcid.org/0000-0003-4973-9335
Chung, Kee Yang(정기양) ORCID logo https://orcid.org/0000-0003-3257-0297
사서에게 알리기


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.