Abstract
There are various ways to secure a buried subcuticular suture, but most techniques present problems with excess knot material buried within the wound, a steep learning curve in mastering the technique or limited resistance to pull-through. A novel technique to secure a buried subcuticular suture is described in this report. This technique is simple to master and can secure excellent approximation of the wound with good eversion. Resistance to pull through is observed in clinical applications in repairs of surgical wounds on trunks and limbs. We present the experience of one author (GSR) on about 1,000 patients.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Van den Ende ED, Vriensa PWHE, Allemaa JH, Breslaua PJ (2004) Adhesive bonds or percutaneous absorbable suture for closure of surgical wounds in children. J Pediatr Surg 39(8):1249–1251
Sanders RJ (1975) Subcuticular skin closure: description of technique. J Dermatol Surg 1:61–64
Moy RL, Waldman B, Hein DW (1992) A review of sutures and suturing techniques. J Dermatol Surg Oncol 18:785–795
La Padula A (1995) A new technique to secure an entirely buried subcuticular suture. Plast Reconstr Surg 95:423
Hassan HM (1992) Half-hitch knots for securing the end of continuous sutures. Obs Gyne 80(4):724–726
Mahabir RC, Blair CB, GK FDG (2003) Avoiding stitch abscesses in subcuticular skin closure: The L-stitch. Can J Surg 46(3):223–224
Smoot EC (1998) Method for securing a subcuticular suture with minimal buried knot. Plast Reconstr Surg 102(7):2447–2449
St. John PHM (1997) Knot-free subcuticular suture. Br J Surg 84:872
Du Bois JJ (1992) A technique for subcutaneous knot inversion following running subcuticular closures. Mil Med 157(5):255
Stiff MA, Snow SN (1992) Running vertical mattress suturing technique. J Dermatol Surg Oncol 18(10):916–917
Ranaboldo C (1992) Simplified method of subcuticular skin closure. Br J Surg 79:1288
Mehta PH, Dunn KA, Bradfield JF, Austin PE (1996) Contaminated wounds: infection rates with subcutaneous sutures. Ann Emerg Med 27(1):43–48
Hyakusoku H (2004) A new skin closure technique with running sutures and tissue adhesive. Plast Reconstr Surg 113(5):1526–1527
Van Rijssel EJC, Brand R, Admiraal C et al (1989) Tissue reaction and surgical knots: the effect of suture size, knot configuration and knot volume. Obst Gynecol 74:64
Ftaiha Z, Snow SN (1989) The buried running dermal subcutaneous suture technique. J Dermatol Surg Oncol 15:264–266
Wong NL (1993) The running locked intradermal suture. A cosmetically elegant continous suture for wounds under light tension. J Dermatol Surg Oncol 19:30–36
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Rao, G.S., Serra, M.P. & Longhi, P. A novel technique in securing the subcuticular suture—“Loop & Lock” technique. Eur J Plast Surg 33, 83–86 (2010). https://doi.org/10.1007/s00238-009-0390-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00238-009-0390-z