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A retrospective study to evaluate the efficacy and safety of staged purse-string sutures for the reconstruction of surgical defects on skin using computer image analysis program. | LitMetric

AI Article Synopsis

  • Staged purse-string suturing is a new technique for repairing large round or oval skin defects after tumor removal.
  • A study of 21 patients showed that this method significantly reduces defect size over time, with initial defects averaging around 1446 mm but shrinking to about 268 mm at final assessment.
  • The clinical effectiveness was evaluated using a modified observer scar assessment scale, resulting in a favorable average score of 7.96, suggesting a promising alternative for skin reconstruction.

Article Abstract

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 mm, and the mean final scar size was about 268.1 ± 252.3 mm. 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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8906307PMC
http://dx.doi.org/10.4103/ijd.IJD_402_21DOI Listing

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