Weber P J, Weber R G
Institute for Human Appearance and Skin Cancer Surgery, Fort Lauderdale, FL 33306.
J Dermatol Surg Oncol. 1992 May;18(5):436-9. doi: 10.1111/j.1524-4725.1992.tb03698.x.
During the course of Mohs surgery, the surgeon may be able to predict that the final closure may require tissue expansion or some other extraordinary measure to close a defect on a particular location. Presuturing, the use of stitches to preoperatively stretch donor tissue peripheral to the wound, has been previously advocated to aid in the primary closure of nonMohs tumor removal defects and scalp reduction defects. We describe the anticipatory need for and the use of button bolstered nonabsorbable sutures to stretch or expand the perioperative tissues for final closure. Previously unreported in the literature, we also employ this technique prior to flap closure. This quick and easy manouever following the intermediate and final stages of Mohs surgery has seen great use in the care of some relatively large tumors.
在莫氏手术过程中，外科医生可能能够预测最终的伤口闭合可能需要组织扩张或其他特殊措施来闭合特定部位的缺损。预缝合，即在术前使用缝线拉伸伤口周围的供体组织，此前已被提倡用于辅助非莫氏肿瘤切除缺损和头皮缩减缺损的一期闭合。我们描述了对纽扣支撑的不可吸收缝线的预期需求及其在拉伸或扩张围手术期组织以进行最终闭合方面的应用。此前文献中未报道过，我们还在皮瓣闭合前采用了这种技术。这种在莫氏手术的中间和最后阶段之后快速简便的操作，在一些相对较大肿瘤的治疗中得到了广泛应用。
