Surgical pearl: the hybrid mattress suture.
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Biomedical subjects
Publications and source records attributed to K B Bielinski.
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Various types of running sutures have been described for use in dermatologic surgery. The running vertical mattress suture is a time-saving technique that can be used alone or in combination with any running-suture technique. It is useful for wound eversion, providing hemostasis, and closing wounds under mild tension.
Tissue expansion in dermatologic surgery has gained wide acceptance. We report the case of a patient with basal cell carcinoma in whom a Foley catheter was used for immediate intraoperative tissue expansion. Wound tension was decreased significantly and primary closure obtained. This technique is appropriate for office surgical procedures and provides an alternative approach to wound closure with flaps and grafts. The Foley catheter is an inexpensive and disposable tissue expander.