The Rousso stitch: a new everting skin closure technique
Kyle J Kinmon1, Robert G Rosen, Adam D Perler
1Palmetto General Hospital, Miami, FL; and the Hadasseh Medical Center, Jerusalem, Israel.
Summary
A novel surgical suturing technique, the Rousso stitch, modifies the horizontal mattress suture to evert skin. This method aims for ideal wound coaptation and minimal scarring, offering a time-saving alternative for surgeons.
Area of Science:
- Surgical Innovation
- Wound Closure Techniques
- Dermatologic Surgery
Background:
- Effective skin closure is crucial for optimal surgical outcomes.
- Minimizing scar formation and ensuring proper wound edge coaptation are key goals in surgical incision management.
- Existing techniques like the horizontal mattress suture have limitations in certain applications.
Purpose of the Study:
- To introduce and describe the Rousso stitch, a new skin everting suturing technique.
- To provide a step-by-step guide with visual references for the Rousso stitch.
- To highlight the theoretical basis and practical advantages of the Rousso stitch.
Main Methods:
- Detailed procedural description of the Rousso stitch.
- Illustrative reference pictures demonstrating the technique.
- Explanation of the underlying surgical principles for skin eversion.
Main Results:
- The Rousso stitch effectively everts skin edges during surgical closure.
- The technique is based on established principles for promoting ideal coaptation and reducing scarring.
- It is presented as an easy-to-learn and time-efficient alternative.
Conclusions:
- The Rousso stitch is a valuable modification of the horizontal mattress suture.
- It offers a practical and efficient method for achieving excellent wound closure and aesthetic results.
- This technique holds potential for widespread application in surgical settings requiring skin eversion.


