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Related Experiment Videos

The "modified" winch stitch.

J M Casparian1, E J Rodewald, G D Monheit

  • 1Department of Medicine (Dermatology), Pathology, and Otorhinolaryngology, Kansas University Medical Center, Kansas City, Kansas, USA.

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [Et Al.]
|November 28, 2001
PubMed
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This study introduces a modified winch stitch for intraoperative tissue expansion, offering a simple and cost-effective solution for wound closure under tension.

Area of Science:

  • Surgical Techniques
  • Wound Management
  • Plastic Surgery

Background:

  • Existing methods for intraoperative tissue expansion present significant drawbacks.
  • There is a need for improved techniques to manage tissue tension during surgery.

Purpose of the Study:

  • To describe a novel intraoperative tissue expansion technique.
  • To introduce a "modified" winch stitch utilizing standard surgical supplies.

Main Methods:

  • A continuous running suture is placed with free ends.
  • Hemostats are used to apply and maintain tension for tissue stretching.
  • An alternating pulling and holding maneuver with hemostats facilitates expansion.

Main Results:

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  • The modified winch stitch effectively achieves significant tissue expansion.
  • The technique allows for suture approximation once sufficient tissue is expanded.
  • This method is comparable to the traditional winch stitch for wound closure.

    • Conclusions:

    • The modified winch stitch provides a simple, inexpensive method for surgical wound closure.
    • This technique is particularly useful for wounds requiring significant tension management.
    • It offers a practical solution for facilitating wound approximation in challenging cases.