A novel suture retention device for intraoperative tissue support

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Presentation transcript:

A novel suture retention device for intraoperative tissue support Allison Stoecker, DO, Stephanie Howerter, DO, Whitney Fancher, MD, William Lear, MD JAAD Case Reports Volume 5, Issue 5, Pages 454-457 (May 2019) DOI: 10.1016/j.jdcr.2019.03.018 Copyright © 2019 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 The SUTUREGARD is placed at the center of the wound using a simple interrupted suture and secured with a surgical clamp. Layered closure is continued normally, with deep and percutaneous sutures on each side of the SRD under minimal tension. Next, the device and temporary suture can be removed and final central suture placed. JAAD Case Reports 2019 5, 454-457DOI: (10.1016/j.jdcr.2019.03.018) Copyright © 2019 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 Large surgical wound of the left lower leg. A USP 2-0 nylon retention suture was placed with large bite sizes on either side of the wound. JAAD Case Reports 2019 5, 454-457DOI: (10.1016/j.jdcr.2019.03.018) Copyright © 2019 American Academy of Dermatology, Inc. Terms and Conditions

Fig 3 The ends of the retention suture were placed through the SUTUREGARD suture retention device and then secured using a surgical clamp. JAAD Case Reports 2019 5, 454-457DOI: (10.1016/j.jdcr.2019.03.018) Copyright © 2019 American Academy of Dermatology, Inc. Terms and Conditions

Fig 4 By acting as a temporary support, the SUTUREGARD allowed the surgeon to continue layered linear closure under minimal tension with buried simple interrupted sutures followed by percutaneous simple interrupted sutures. JAAD Case Reports 2019 5, 454-457DOI: (10.1016/j.jdcr.2019.03.018) Copyright © 2019 American Academy of Dermatology, Inc. Terms and Conditions

Fig 5 After removal of the suture retention device, the final top sutures were placed under minimal tension. JAAD Case Reports 2019 5, 454-457DOI: (10.1016/j.jdcr.2019.03.018) Copyright © 2019 American Academy of Dermatology, Inc. Terms and Conditions

Fig 6 Large surgical wound of the lower extremity that was closed using the SUTUREGARD as a temporary bridge device. JAAD Case Reports 2019 5, 454-457DOI: (10.1016/j.jdcr.2019.03.018) Copyright © 2019 American Academy of Dermatology, Inc. Terms and Conditions

Fig 7 Follow-up 11 weeks postoperative. Overall, the wound is well healed. JAAD Case Reports 2019 5, 454-457DOI: (10.1016/j.jdcr.2019.03.018) Copyright © 2019 American Academy of Dermatology, Inc. Terms and Conditions

Fig 8 Placement of a USP 2-0 nylon retention suture using the SUTUREGARD as a temporary support structure for closure of a large scalp wound. The surgeon was able to perform direct linear closure by placing buried 2-0 Polysorb sutures under reduced tension. JAAD Case Reports 2019 5, 454-457DOI: (10.1016/j.jdcr.2019.03.018) Copyright © 2019 American Academy of Dermatology, Inc. Terms and Conditions

Fig 9 Final closure with staples after removal of the retention suture. JAAD Case Reports 2019 5, 454-457DOI: (10.1016/j.jdcr.2019.03.018) Copyright © 2019 American Academy of Dermatology, Inc. Terms and Conditions