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The crisscross tie-over tacking suture revisited
1Ochsner Clinic, Department of Dermatology, New Orleans, Louisiana 70121, USA.
Summary
Deep tacking sutures, also known as pexing sutures, can help reconstruct surface concavities in dermatologic surgery. This review discusses established and alternative pexing suture techniques for surgeons to consider.
Area of Science:
- Dermatologic Surgery
- Surgical Techniques
Background:
- Deep pexing or tacking sutures are valuable in dermatologic surgery for recreating surface concavities.
- These techniques address specific challenges in reconstructive procedures.
Purpose of the Study:
- To review historical pexing suture techniques.
- To present and discuss alternative methods for deep tacking sutures.
Main Methods:
- Presentation of pexing suture techniques through schematic diagrams.
- Illustrations detail the Albertini crisscross tie-over tacking suture and a modified version.
- The pexing buried vertical mattress suture is also illustrated.
Main Results:
- The Albertini crisscross tie-over tacking suture is demonstrated.
- A modification of the crisscross suture is presented to potentially reduce complications.
- The pexing buried vertical mattress suture is introduced as another option.
Conclusions:
- Pexing or deep tacking sutures offer beneficial options for dermatologic surgeons.
- These techniques are particularly useful in selected cases requiring surface contour restoration.