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The crisscross tie-over tacking suture revisited
1Ochsner Clinic, Department of Dermatology, New Orleans, Louisiana 70121, USA.
Background:
Deep pexing or tacking sutures can be useful in certain situations encountered in dermatologic surgery when surface concavities require recreation.
Objective:
To examine and discuss some pexing suture techniques that have been described in the past and to outline alternatives.
Methods:
Pexing suture techniques are presented in a series of schematic diagrams that follow.
Results:
The crisscross tie-over tacking suture as described by Albertini is shown as well as a modification that theoretically lessens complication risk. The pexing buried vertical mattress suture is then presented.
Conclusion:
The dermatologic surgeon may find pexing or deep tacking sutures helpful in selected cases.