A retrospective study to evaluate the efficacy and safety of staged purse-string sutures for the reconstruction of
Gi Hyun Seong1, Kyujin Yeom2, Dea Kwan Yun2
1Human Dermatologic Clinic, Pyeongtaek, Republic of Korea.
Background:
Staged purse-string suturing has been recently introduced for the reconstruction of round or oval defects following tumor excision.
Objective:
The aim of this study was to evaluate the clinical advantage of staged purse-string suturing for the reconstruction of relatively large skin defects.
Materials And Methods:
Twenty-one patients who received staged purse-string sutures were included in the study. To evaluate the defects and scar sizes objectively, computer-based image analysis was used. A modified observer scar assessment scale (OSAS) was applied for evaluating the clinical efficacy.
Results:
The mean primary postsurgical defect size in the total 21 cases was 1446.2 ± 1187.2 mm2, and the mean final scar size was about 268.1 ± 252.3 mm2. The defect area decreased gradually as staged purse-string suturing was performed. The mean total modified OSAS was 7.96 ± 1.69.
Conclusion:
Staged purse-string sutures might be an alternative reconstructive method for relatively large round or oval skin defects.
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