Defect closure with "8-shaped crisscross tensile suture" technique
Nebil Yeşiloğlu1, Hakan Şirinoğlu1, Kemalettin Yildiz2
1Department of Plastic Reconstructive and Aesthetic Surgery, Dr. Lütfi Kırdar Kartal Training and Research Hospital, İstanbul, Turkey.
The Journal of Surgical Research
|October 4, 2014
Summary
The 8-shaped crisscross tensile suture (8CTS) technique offers a successful method for closing large skin defects, potentially reducing the need for complex surgical procedures and yielding good cosmetic outcomes.
Area of Science:
- Surgical techniques
- Wound closure
- Plastic surgery
Background:
- Suturing is fundamental to surgery, with primary closure sometimes being sufficient for large defects.
- Complex procedures like skin grafts or flaps are often used for large defects.
- A novel technique, the 8-shaped crisscross tensile suture (8CTS), is introduced for large skin defect closure.
Purpose of the Study:
- To present and evaluate the 8-shaped crisscross tensile suture (8CTS) technique.
- To assess the efficacy of 8CTS in closing large skin defects.
- To determine if 8CTS can simplify the treatment of large defects.
Main Methods:
- The 8CTS technique was applied to 149 patients aged 14-65.
- Defects averaged 14.6 cm in width, commonly from free flap donor sites on the anterolateral thigh.
- The technique involves combined skin and subcutaneous tissue suturing, adaptable to defect depth.
Main Results:
- 141 out of 149 patients achieved successful wound treatment.
- Eight complications were noted, including wound dehiscence, pilonidal sinus recurrence, seroma, skin necrosis, and incisional hernia.
- The 8CTS technique demonstrated effectiveness in managing large skin defects.
Conclusions:
- The 8CTS technique is a valuable method for closing large defects.
- It simplifies treatment by potentially avoiding more complex procedures.
- The technique provides acceptable cosmetic results and supports both skin and subcutaneous tissues effectively.
