Additional Relaxing Suturing Using Absorbable Symmetric Barbed Sutures to Help Close Scalp Defects

Plastic and Reconstructive Surgery. Global Open
Kento HosomiDaisuke Yanagisawa

Abstract

Closing a scalp wound with skin defects is challenging because the scalp skin lacks extensibility and closing it tends to result in a remarkable, widespread, hairless scar. Absorbable symmetric barbed suture device (Stratafix Symmetric; Ethicon, USA) allows wound closure using a pulling motion alone and provides a strong and secure closure for the high-tension area. We used this device to close wide scalp defects easily without tension and with minimized sequential scalp alopecia. The aim of this study was to show our experiences with using this technique. From January 2017 to March 2019, our relaxing suture technique was performed in 7 pediatric patients with scalp alopecia due to various lesions that ranged 23.0 ± 6.5 mm. After resecting the lesions, the galea was sutured using the 3-0 absorbable symmetric barbed suture via a running subcutaneous suture technique. The widespread wound edges were approximated by pulling the suture device. Wound closure was completed with galeal suturing and a superficial suture. We evaluated the width of the postoperative hairless scar at the final follow-up. In all 7 patients, we could approximate the widespread wound edges by pulling alone. Subsequently, the wounds could be closed without te...Continue Reading

References

Jun 13, 2017·Current Obstetrics and Gynecology Reports·Jesse G NawrockiNiels-Derrek Schmitz
Sep 30, 2017·Operative Neurosurgery·Simon S ButtrickRicardo J Komotar
Dec 22, 2017·Plastic and Reconstructive Surgery. Global Open·Shoko YasudaKo Hosokawa
Jun 8, 2018·Plastic and Reconstructive Surgery. Global Open·Naoya OtaniKo Hosokawa
Jan 8, 2019·The Journal of Dermatology·Naoko WadaMasutaka Furue

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