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The suspension suture.

Abstract

The suspension suture is a tension-reducing stitch that anchors the undersurface of a flap or elliptical wound edge to the underlying periosteum. The technique of placing the stitch is described and the indications for and the benefits derived from its use are discussed.

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BibTeXRIS

S J Salasche, R Jarchow, B D Feldman, M J Devine-Rust, J Adnot. 1987. The suspension suture.. https://doi.org/10.1111/j.1524-4725.1987.tb00573.x

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Perforator flaps.

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Dermatologic Surgical Procedures↗

Successful separation of pygopagus conjoined twins and primary skin closure using V-shaped flaps.

Pygopagus conjoined twins were born by caesarean section at 34 weeks of gestation. Initial evaluation revealed no other abnormalities apart from their attachment at lower back, buttocks and perineum. They had two separate anal and urogenital openings. Their investigations included roentgenograms, ultrasound, barium enema, cystourethrogram, CT scan and MRI. There were two separate spinal columns fused distally at the lower sacral level. Lower gastrointestinal studies showed two separate rectums and cystourethrogram showed normal and separate urinary tracts. MRI showed a single dural sac between two fused sacral bones with no other vertebral anomalies. They were successfully separated with primary skin closure using V-shaped flaps.

Dermatologic Surgical Procedures↗