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


    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
    Issue number3
    Publication statusPublished - 2003 Mar 1


    • Bolster
    • Lipoma
    • Pexing stitch

    ASJC Scopus subject areas

    • Dermatology


    Dive into the research topics of 'Surgical gems in dermatologic surgery I'. Together they form a unique fingerprint.

    Cite this