BASIC DERMATOLOGIC SURGERY: PDF OnlyTissue Sparing Repair: A New Approach to Shorten Excisional LinesSTEWART, JAMES B. Jr MD1 Author Information 1 Department of Dermatology, The Oklahoma City Clinic, Oklahoma City, Oklahoma. Address correspondence and reprint requests to: James B. Stewart, Jr, MD, Department of Dermatology, The Oklahoma City Clinic, 701 Northeast 10th Street, Oklahoma City, OK 73104. The Journal of Dermatologic Surgery and Oncology 18(9):p 822-826, September 1992. | DOI: 10.1111/j.1524-4725.1992.tb03041.x Buy Metrics Abstract Tissue sparing repair uses primary closure to make a circular or irregular defect into a line. The resultant closure ratio is 1.5:1 without a dog-ear defect for circular closures. Irregular defects will have different closure ratios. Two new suture techniques are used: 1) the horizontal oblique dermal suture, which approximates tissue without undermining and with minimal epidermal wound edge tension; and 1) the apex cutaneous suture, which repairs most dog-ear defects with a suture. Tissue sparing repair may be a useful addition to primary wound closure. J Dermatol Surg Oncol 1992;18:822–826. © Lippincott-Raven Publishers.