Tissue Sparing Repair: A New Approach to Shorten Excisional Lines : Dermatologic Surgery

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Tissue Sparing Repair: A New Approach to Shorten Excisional Lines

STEWART, JAMES B. Jr MD1

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The Journal of Dermatologic Surgery and Oncology 18(9):p 822-826, September 1992. | DOI: 10.1111/j.1524-4725.1992.tb03041.x

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.

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