A technique for fixation of retention sutures using two bolsters

Retention sutures using two bolsters provide inherent mechanical advantages in approximating wound edges. As demonstrated in geometric terms, distribution of tension along a bolster maximizes closing force while at the same time reducing stress at the individual suture site. This technique also eliminates circumferential compression of the interceding tissues as well as providing easy access to the wound for daily care. These features make this technique ideal for patients at high risk of wound disruption.