Surgical gems in dermatologic surgery I

Sang Hyuk Woo, Eul Sang Hwang, Sang Baik Kim, Dong Soo Yu, Il Hwan Kim

Research output: Contribution to journalArticlepeer-review

Abstract

A bolster, simply defined, is any device used to support or cushion. In surgery, bolsters have been used under sutures to reduce skin and subcutaneous tension. Bolsters function to reduce the potential for necrosis and laceration by distributing the wound closure tension over a broader surface area. Pexing stitch is placed between the mobilized tissue and the deep fascia and periosteum to prevent the secondary motion of closure from disrupting anatomic landmarks and moveable structures. The technique aids in obtaining linear closures, prevents distortion of free margins, prevents tenting across concavities, and fixes the closure line at the junction of cosmetic units. Standard treatment of lipoma commonly includes incision with extrication or elliptical excision. Unfortunately, these treatments often elicit a large scar. Using pressure technique, risk of hemorrhage and infection may be minimized secondary to the decreased degree of invasion. In cosmetically sensitive areas, this technique is an effective and aesthetically pleasing method for removal of lipoma.

Original languageEnglish
Pages (from-to)360-363
Number of pages4
JournalKorean Journal of Dermatology
Volume41
Issue number3
Publication statusPublished - 2003 Mar 1

Keywords

  • Bolster
  • Lipoma
  • Pexing stitch

ASJC Scopus subject areas

  • Dermatology

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