PMID- 33209073
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220418
IS  - 1308-8734 (Print)
IS  - 1308-8742 (Electronic)
IS  - 1308-8734 (Linking)
VI  - 52
IP  - 3
DP  - 2020 Oct
TI  - Four Quadrant-Embedded Purse-String Closure for Defects of Benign Skin Tumors 
      Post Circular Excision.
PG  - 232-236
LID - 10.5152/eurasianjmed.2020.19203 [doi]
AB  - OBJECTIVE: Skin wounds after elliptical removal of benign tumors, are 
      conventially sutured linearly for closure and often result in longer and 
      undesirable scars. We aimed to evaluate the efficiency of four quadrant embedded 
      intradermal purse-string suture closure technique for round defects in order to 
      obtain satisfactory cosmetic outcomes and limited scar. MATERIALS AND METHODS: We 
      analysed the features of 143 patients for whom a total of 208 four quadrant 
      embedded purse string sutures were used to completely close their postoperative 
      surgical defects. The location and histopathological types of the tumors removed 
      were noted. Tumors were located in the cervicofacial region, thoracic region, 
      back, lower and upper extremities. The patient and observer scar assessment scale 
      (POSAS) questionairre was utilized to evaluate objective results of the ultimate 
      scar. RESULTS: The defects of the lesions after excision were closed using 
      intradermal four quadrant buried purse-string suture. The wounds showed good 
      final healing without obvious adverse events postoperatively. Infection occurred 
      only in three patients. The final cosmetic appearance of the healed wounds was 
      satisfying as POSAS scores were 17.74 for patient scar assesment scale (PSAS) and 
      15.3 for observer scar assessment scale (OSAS). CONCLUSION: Four quadrant 
      embedded purse string technique is a simple and useful method to close skin 
      defects after circular resection of lesions. It provides minimal scarring and 
      remarkable patient satisfaction.
CI  - (c)Copyright 2020 by the Ataturk University School of Medicine - Available online 
      at www.eurasianjmed.com.
FAU - Ural, Alper
AU  - Ural A
AUID- ORCID: 0000-0001-8135-6444
AD  - Department of Plastic, Reconstructive and Aesthetic Surgery, Kahramanmaras Sutcu 
      Imam University School of Medicine, Kahramanmaras, Turkey.
FAU - Bilgen, Fatma
AU  - Bilgen F
AUID- ORCID: 0000-0002-2127-3441
AD  - Department of Plastic, Reconstructive and Aesthetic Surgery, Kahramanmaras Sutcu 
      Imam University School of Medicine, Kahramanmaras, Turkey.
FAU - Bekerecioglu, Mehmet
AU  - Bekerecioglu M
AUID- ORCID: 0000-0002-2422-7272
AD  - Department of Plastic, Reconstructive and Aesthetic Surgery, Kahramanmaras Sutcu 
      Imam University School of Medicine, Kahramanmaras, Turkey.
LA  - eng
PT  - Journal Article
DEP - 20200604
PL  - Turkey
TA  - Eurasian J Med
JT  - The Eurasian journal of medicine
JID - 101557701
PMC - PMC7651757
OTO - NOTNLM
OT  - Benign skin tumors
OT  - dermatologic surgery
OT  - skin lesions
COIS- Conflict of Interest: Authors have no conflicts of interest to declare.
EDAT- 2020/11/20 06:00
MHDA- 2020/11/20 06:01
PMCR- 2020/10/01
CRDT- 2020/11/19 05:41
PHST- 2019/07/22 00:00 [received]
PHST- 2019/12/15 00:00 [accepted]
PHST- 2020/11/19 05:41 [entrez]
PHST- 2020/11/20 06:00 [pubmed]
PHST- 2020/11/20 06:01 [medline]
PHST- 2020/10/01 00:00 [pmc-release]
AID - eajm-52-3-232 [pii]
AID - 10.5152/eurasianjmed.2020.19203 [doi]
PST - ppublish
SO  - Eurasian J Med. 2020 Oct;52(3):232-236. doi: 10.5152/eurasianjmed.2020.19203. 
      Epub 2020 Jun 4.