Complex Linear Wound Closure | Optimal Wound Closure

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The official collaboration between Operation Smile & SUTUREGARD® Medical Inc. Operation Smile is the most prestigious and charitable global plastic surgery organization worldwide, dedicated to improving surgical care of underprivileged peoples, with an emphasis on cleft lip and palate repair.
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13Dec

Elliptical Wound Tension

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Usually, excisional wounds are created with an ellipse. This allows the wound to be closed without “bunching” of the ends. When closing these elliptical wounds, the initial suture is usually placed in the middle, the widest & most difficult portion of the wound to close, known as the rule of halves.
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Mohs surgery relies on processing tissue. The tumor is removed but then it is studied & laid down to map out the tissue. This tissue is then frozen & thin sections are created to be viewed in a machine where cells can be seen. If you want to learn more about Mohs Surgery & how it works read more.
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Patrick Dillon is a very active man who is often in the beautiful San Juan Mountains near his SW Colorado home as a master nature photographer (as shown above). One unfortunate side effect of being outdoors at elevation with sun exposure is skin cancer risk, and one day this happened.
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SUTUREGARD® Medical, Inc is pleased to announce that it will be presenting at the MEDICA International Trade Fair. The fair, which runs from 18 to 21 November in Düsseldorf, Germany, will present a platform for more than 5,000 exhibitors to display innovative products and ideas. It is a vital opportunity for the company to showcase the SUTUREGARD® ISR Retention Suture Device, a patented technology that aids in surgical closure of high-tension wounds through rapid tissue expansion.
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By: Dan Ladizinsky, MD, CEO, SUTUREGARD Medical, Retired Board Certification in General Surgery, Plastic Surgery, with Certificate of Added Qualifications in Surgery of the Hand, Former Fellow of the American College of Surgeons. Undermining is a surgical technique that mechanically separates the skin & superficial subcutaneous fat as one layer, away from its underlying soft tissues. Undermining can be done in a superficial or deep subcutaneous plane if you want to learn more about why not to us...
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A basal cell carcinoma (BCC) is one of the most common skin cancers. Every year, there are over 4 million BCC diagnosed in the United States. While BCC is very common, it rarely spreads to internal organs or lymph nodes. However, it can be locally destructive and invade the tissue around it.
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A surgical wound can be managed in many ways. The choice of management varies depending on body location, size, & depth of wound, underlying structures, & patient health. The most simple & effective method of primary wound closure is linear closure. To learn more about wound closure, read more.
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Squamous cell carcinoma (SCC) is the second most common skin cancer. While basal cell carcinoma (BCC) rarely spreads to internal organs, SCC can spread to lymph nodes & internal organs. Much like BCC, SCC is associated with ultraviolet light damage & is more common in fair-skinned individuals.
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How many times have you done an elliptical excision, and the postoperative scar result is widened at the center, despite your excellent technique? We accept this as the status quo. Of course, the scar result was wide at the center. That was the point of highest tension at the time of the closure. Let’s take a step back though. While this may be an “acceptable result”, can’t we do better?
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