Modified Technique for Lengthy, Curved, Zigzag Running Subcuticular with Nonabsorbable Suture

Samer Makki Mohamed Al-Hakkak

doi:doi:10.11648/j.js.20180601.12

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Modified Technique for Lengthy, Curved, Zigzag Running Subcuticular with Nonabsorbable Suture

Samer Makki Mohamed Al-Hakkak

Published in Journal of Surgery (Volume 6, Issue 1)

Received: 27 November 2017 Accepted: 8 December 2017 Published: 5 January 2018

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Abstract

The use of non-absorbable sutures rather than embedded absorbable sutures in running subcuticular technique is preferable. The reasoning is that buried knot placement and embedded suture material under the skin increases the risk of granuloma formation, ugly scarring, and infection. Removal of the suture material reduces these risks. The new modified technique adopted for easily removed of non-absorbable monofilament using in long, curved and zigzag running subcuticular suturing by put interrupted rubber or plastic tube in the special technique that helps to get easily removed sutures with wonderful, scarless, best cosmetic suture line. Technical considerations go into placing these multiple pieces of tubes along the sutures line in an easy-to-remove manner.

Published in	Journal of Surgery (Volume 6, Issue 1)
DOI	10.11648/j.js.20180601.12
Page(s)	8-12
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Lengthy Running Subcuticular Suture, Nonabsorbable Sutures, Removal, Suture Techniques

References

[1]	Alam M, Posten W, Martini MC, Wrone DA, et al. Aesthetic and functional efficacy of subcuticular running epidermal closures of the trunk and extremity: a rater-blinded randomized control trial. Arch Dermatol 2006; 142: 1272–8.
[2]	Thirumaran M, Jackson A. Suture granuloma. Postgrad Med J 2004; 80: 18.
[3]	Adams B, Levy R, Rademaker AE, Goldberg LH, Alam M. Frequency of use of suturing and repair techniques preferred by dermatologic surgeons. Dermatol Surg. 2006; 32: 682–9. [PubMed].
[4]	Tantawy, HS New technique for subcuticular suture in lengthy wounds. Br J Surg 1996; 83: 66–7.
[5]	Skaria AM. The Buried running dermal subcutaneous suture technique with a tacking knot. Dermatol Surg 2002; 28: 739–41.
[6]	Figueroa D, Jauk VC, Szychowski JM, et al. Surgical staples compared with subcuticular suture or skin closure a ter cesarean delivery: a randomized controlled trial. Obstet Gynecol. 2013; 121 (1): 33-38. Genders RE, Hamminga EA, Kukutsch NA. Securing the subcuticular running suture. Dermatol Surg. 2012; 38 (10): 1722-1724.
[7]	Ahmed AM, Orengo I. Surgical pearl: alternate method of loading needle to facilitate subcuticular suturing. J Am Acad Dermatol. 2007; 56 (5 suppl): S105-106.
[8]	Bickel KD, Gibbs NF, Cunningham BB. The subcuticular “spider” stitch: a simple solution to suture breakage and patient discom ort in long incisions. Pediatr Dermatol. 1998; 15 (6): 480-481.
[9]	Clay FS, Walsh CA, Walsh SR. Staples vs subcuticular sutures or skin closure at cesarean delivery: a metaanalysis o randomized controlled trials. Am J Obstet Gynecol. 2011; 204 (5): 378-383.
[10]	McKinley LH, Dorton DW. Modif ed intermediate running subcuticular technique with nonabsorbable suture. Dermatol Surg. 2012; 38 (6): 924-925.
[11]	Genders RE, Hamminga EA, Kukutsch NA. Securing the subcuticular running suture. Dermatol Surg. 2012; 38 (10): 1722-1724.
[12]	Lazar HL, McCann J, Fitzgerald CA, Cabral HJ. Adhesive strips versus subcuticular suture or mediansternotomy wound closure. J Card Surg. 2011; 26 (4): 344-347.
[13]	Mashhadi SA, Loh CY. A knotless method o securing the subcuticular suture. Aesthet Surg J. 2011; 31 (5): 594-595.

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APA Style

Samer Makki Mohamed Al-Hakkak. (2018). Modified Technique for Lengthy, Curved, Zigzag Running Subcuticular with Nonabsorbable Suture. Journal of Surgery, 6(1), 8-12. https://doi.org/10.11648/j.js.20180601.12

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ACS Style

Samer Makki Mohamed Al-Hakkak. Modified Technique for Lengthy, Curved, Zigzag Running Subcuticular with Nonabsorbable Suture. J. Surg. 2018, 6(1), 8-12. doi: 10.11648/j.js.20180601.12

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AMA Style

Samer Makki Mohamed Al-Hakkak. Modified Technique for Lengthy, Curved, Zigzag Running Subcuticular with Nonabsorbable Suture. J Surg. 2018;6(1):8-12. doi: 10.11648/j.js.20180601.12

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@article{10.11648/j.js.20180601.12,
  author = {Samer Makki Mohamed Al-Hakkak},
  title = {Modified Technique for Lengthy, Curved, Zigzag Running Subcuticular with Nonabsorbable Suture},
  journal = {Journal of Surgery},
  volume = {6},
  number = {1},
  pages = {8-12},
  doi = {10.11648/j.js.20180601.12},
  url = {https://doi.org/10.11648/j.js.20180601.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20180601.12},
  abstract = {The use of non-absorbable sutures rather than embedded absorbable sutures in running subcuticular technique is preferable. The reasoning is that buried knot placement and embedded suture material under the skin increases the risk of granuloma formation, ugly scarring, and infection. Removal of the suture material reduces these risks. The new modified technique adopted for easily removed of non-absorbable monofilament using in long, curved and zigzag running subcuticular suturing by put interrupted rubber or plastic tube in the special technique that helps to get easily removed sutures with wonderful, scarless, best cosmetic suture line. Technical considerations go into placing these multiple pieces of tubes along the sutures line in an easy-to-remove manner.},
 year = {2018}
}

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TY  - JOUR
T1  - Modified Technique for Lengthy, Curved, Zigzag Running Subcuticular with Nonabsorbable Suture
AU  - Samer Makki Mohamed Al-Hakkak
Y1  - 2018/01/05
PY  - 2018
N1  - https://doi.org/10.11648/j.js.20180601.12
DO  - 10.11648/j.js.20180601.12
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 8
EP  - 12
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20180601.12
AB  - The use of non-absorbable sutures rather than embedded absorbable sutures in running subcuticular technique is preferable. The reasoning is that buried knot placement and embedded suture material under the skin increases the risk of granuloma formation, ugly scarring, and infection. Removal of the suture material reduces these risks. The new modified technique adopted for easily removed of non-absorbable monofilament using in long, curved and zigzag running subcuticular suturing by put interrupted rubber or plastic tube in the special technique that helps to get easily removed sutures with wonderful, scarless, best cosmetic suture line. Technical considerations go into placing these multiple pieces of tubes along the sutures line in an easy-to-remove manner.
VL  - 6
IS  - 1
ER  -

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Author Information

Samer Makki Mohamed Al-Hakkak

Department of Surgery, Faculty of Medicine, Jabir Ibn Hayyan Medical University, Najaf City, Iraq

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Plain Text BibTeX RIS

APA Style

Samer Makki Mohamed Al-Hakkak. (2018). Modified Technique for Lengthy, Curved, Zigzag Running Subcuticular with Nonabsorbable Suture. Journal of Surgery, 6(1), 8-12. https://doi.org/10.11648/j.js.20180601.12

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ACS Style

Samer Makki Mohamed Al-Hakkak. Modified Technique for Lengthy, Curved, Zigzag Running Subcuticular with Nonabsorbable Suture. J. Surg. 2018, 6(1), 8-12. doi: 10.11648/j.js.20180601.12

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AMA Style

Samer Makki Mohamed Al-Hakkak. Modified Technique for Lengthy, Curved, Zigzag Running Subcuticular with Nonabsorbable Suture. J Surg. 2018;6(1):8-12. doi: 10.11648/j.js.20180601.12

Copy | Download

@article{10.11648/j.js.20180601.12,
  author = {Samer Makki Mohamed Al-Hakkak},
  title = {Modified Technique for Lengthy, Curved, Zigzag Running Subcuticular with Nonabsorbable Suture},
  journal = {Journal of Surgery},
  volume = {6},
  number = {1},
  pages = {8-12},
  doi = {10.11648/j.js.20180601.12},
  url = {https://doi.org/10.11648/j.js.20180601.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20180601.12},
  abstract = {The use of non-absorbable sutures rather than embedded absorbable sutures in running subcuticular technique is preferable. The reasoning is that buried knot placement and embedded suture material under the skin increases the risk of granuloma formation, ugly scarring, and infection. Removal of the suture material reduces these risks. The new modified technique adopted for easily removed of non-absorbable monofilament using in long, curved and zigzag running subcuticular suturing by put interrupted rubber or plastic tube in the special technique that helps to get easily removed sutures with wonderful, scarless, best cosmetic suture line. Technical considerations go into placing these multiple pieces of tubes along the sutures line in an easy-to-remove manner.},
 year = {2018}
}

Copy | Download

TY  - JOUR
T1  - Modified Technique for Lengthy, Curved, Zigzag Running Subcuticular with Nonabsorbable Suture
AU  - Samer Makki Mohamed Al-Hakkak
Y1  - 2018/01/05
PY  - 2018
N1  - https://doi.org/10.11648/j.js.20180601.12
DO  - 10.11648/j.js.20180601.12
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 8
EP  - 12
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20180601.12
AB  - The use of non-absorbable sutures rather than embedded absorbable sutures in running subcuticular technique is preferable. The reasoning is that buried knot placement and embedded suture material under the skin increases the risk of granuloma formation, ugly scarring, and infection. Removal of the suture material reduces these risks. The new modified technique adopted for easily removed of non-absorbable monofilament using in long, curved and zigzag running subcuticular suturing by put interrupted rubber or plastic tube in the special technique that helps to get easily removed sutures with wonderful, scarless, best cosmetic suture line. Technical considerations go into placing these multiple pieces of tubes along the sutures line in an easy-to-remove manner.
VL  - 6
IS  - 1
ER  -

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