Novel Surgical Approach to Subcutaneous Closure: The Subcutaneous Inverted Cross Mattress Stitch (SICM Stitch).

摘要

Placement of subcutaneous stitches minimizes the distance between wound edges, diminishes the tension on the wound when percutaneous or running subcutaneous stitches are placed; and, when placed properly, assists in wound edge eversion Yet certain factors, such as extreme defect width, convexity of skin surface, tissue inelasticity, and low coefficient of friction associated with certain suture material, may make proper placement of typical subcutaneous sutures difficult. To effortlessly and effectively overcome these obstacles, this article describes the utility of the novel subcutaneous inverted cross mattress (SICM) stitch, which, to the author's knowledge, has not yet been described in the literature.