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Related Concept Videos

Sutures of the Skull01:22

Sutures of the Skull

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The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
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Dermatological surgery: an update on suture materials and techniques. Part 1.

I Ashraf1, E Butt2, D Veitch3

  • 1Department of Dermatology, Solihull Hospital, Solihull, UK.

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|May 31, 2021
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Summary
This summary is machine-generated.

This review highlights that absorbable sutures and subcuticular suturing may improve patient outcomes in dermatologic surgery. However, more high-quality research is needed to confirm optimal suture materials and techniques.

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Area of Science:

  • Dermatologic Surgery
  • Wound Closure Techniques

Background:

  • Surgical suture materials and techniques for dermatologic surgery show significant variation.
  • Current wound closure methods include sutures, staples, and topical adhesives.

Purpose of the Study:

  • To review the latest evidence on suture materials and wound closure techniques in dermatologic surgery.
  • To evaluate outcomes such as scarring, pain, patient satisfaction, cost, infection, and wound complications.

Main Methods:

  • A systematic literature search was conducted in Medline, PubMed, and Embase.
  • Keywords included 'skin surgery', 'dermatologic surgery', 'sutures', 'suture techniques', 'suturing techniques', and 'surgical techniques'.
  • Relevant English-language articles were identified for review.

Main Results:

  • Absorbable superficial sutures may be preferred over nonabsorbable sutures by patients and surgeons.
  • Subcuticular sutures may be superior to simple interrupted sutures for superficial wound closure.
  • Skin staples may have a role in dermatologic surgery, especially on the scalp.

Conclusions:

  • Limited evidence currently supports specific suture materials and techniques in dermatologic surgery.
  • Further high-quality research, including multicenter randomized trials, is required.
  • Investigating patient preference and objective outcomes is crucial for advancing wound closure practices.