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

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dc.contributor.author노미령-
dc.contributor.author정기양-
dc.contributor.author박수진-
dc.contributor.author오영주-
dc.date.accessioned2023-07-12T02:47:58Z-
dc.date.available2023-07-12T02:47:58Z-
dc.date.issued2023-04-
dc.identifier.issn1013-9087-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/195400-
dc.description.abstractBackground: 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.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherKorean Dermatological Association-
dc.relation.isPartOfANNALS OF DERMATOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleVarious Applications of Purse-String Suture and Its Cosmetic Outcome in Cutaneous Surgical Defects-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Dermatology (피부과학교실)-
dc.contributor.googleauthorSujin Park-
dc.contributor.googleauthorYeongjoo Oh-
dc.contributor.googleauthorJong Won Lee-
dc.contributor.googleauthorSooyie Choi-
dc.contributor.googleauthorKyoung Ae Nam-
dc.contributor.googleauthorMi Ryung Roh-
dc.contributor.googleauthorKee Yang Chung-
dc.identifier.doi10.5021/ad.21.263-
dc.contributor.localIdA01278-
dc.contributor.localIdA03582-
dc.relation.journalcodeJ00158-
dc.identifier.eissn2005-3894-
dc.identifier.pmid37041703-
dc.subject.keywordDermatologic surgical procedures-
dc.subject.keywordMohs surgery-
dc.subject.keywordWound closure techniques-
dc.contributor.alternativeNameRoh, Mi Ryung-
dc.contributor.affiliatedAuthor노미령-
dc.contributor.affiliatedAuthor정기양-
dc.citation.volume35-
dc.citation.number2-
dc.citation.startPage100-
dc.citation.endPage106-
dc.identifier.bibliographicCitationANNALS OF DERMATOLOGY, Vol.35(2) : 100-106, 2023-04-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실) > 1. Journal Papers

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