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Gillies' corner stitch revisited.

S A McQuown, T A Cook, R E Brummett

Archives of Otolaryngology (Chicago, Ill. : 1960)

|July 1, 1984

Summary

This summary is machine-generated.

The Gillies' corner stitch (GCS) is commonly thought to improve skin flap survival, but this study found no evidence to support this. The vertical loop stitch (VLS) performed equally well in preserving flap tip viability.

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Area of Science:

Plastic Surgery
Surgical Techniques
Wound Healing

Background:

The Gillies' corner stitch (GCS) is widely used for skin flap tip closure.
It is believed to enhance survival in compromised flap tips.
Experimental data supporting GCS superiority is lacking.

Purpose of the Study:

To compare the efficacy of GCS versus vertical loop stitch (VLS) for skin flap tip closure.
To test the hypothesis that GCS is superior for flap tip survival.

Main Methods:

Evaluated flap tip survival using two suture techniques: GCS and VLS.
Assessed flap tip viability via laser Doppler measurement of RBC movement.
Quantified flap tip necrosis length.

Main Results:

Gillies' corner stitch (GCS) demonstrated no superiority over the vertical loop stitch (VLS).
Both techniques showed comparable outcomes in flap tip survival in the experimental model.
No significant difference in RBC movement or necrosis length was observed between GCS and VLS.

Conclusions:

The assumption that GCS offers superior flap tip survival is not supported by experimental data.
VLS is an equally efficacious alternative for skin flap tip closure.
Further research may explore other suture techniques and their impact on flap viability.