*Department of Dermatology, Mount Sinai School of Medicine, New York, New York; †Lake Erie College of Osteopathic Medicine, Bradenton, Florida; ‡Largo Medical Center, Nova Southeastern University, Largo, Florida.
Dermatol Surg. 2014 Jun;40(6):679-85. doi: 10.1111/dsu.0000000000000011.
The purse-string suture is a method for partial and complete closure of circular surgical defects.
Short-term and long-term efficacy and cosmesis were assessed to evaluate the utility of purse-string closure as the sole method of closure of Mohs defects in different locations.
Sixty-six circular wounds from Mohs surgery were closed with a running intradermal suture traversing the circumference of the wound. Preoperative and immediate postoperative wound areas were measured. Long-term cosmetic appearance was also assessed.
An immediate decrease in average wound area was observed, most notably in the neck and arm. Long-term cosmetic results were best in the head and neck and were remarkably similar for a given anatomic area.
The purse-string suture is rapid, simple, and associated with little morbidity. In properly selected cases, it is an excellent alternative for partial and complete closure of circular defects resulting from Mohs surgery.
荷包缝合是一种用于部分和完全闭合圆形手术缺损的方法。
评估短期和长期疗效及美容效果，以评估荷包缝合作为Mohs 缺陷唯一闭合方法在不同部位的应用价值。
对 66 例Mohs 手术的圆形伤口采用贯穿伤口周长的连续皮内缝线进行缝合。测量术前和术后即刻的伤口面积。还评估了长期美容外观。
观察到平均伤口面积立即减小，颈部和手臂最为明显。头颈部的长期美容效果最好，对于特定的解剖区域，结果非常相似。
荷包缝合快速、简单，且发病率低。在适当选择的病例中，它是Mohs 手术后圆形缺损部分和完全闭合的极好替代方法。
