Suturing of thin skin in elderly patients is often problematic; sutures typically ‘cheese-wire’ if under any tension. Before discounting primary closure, we suggest a technique that avoids tearing fragile skin. Adhesive strips are used on the edge of the wound to increase the strength of the skin, acting as a further layer on the skin surface.
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Published online: April 27, 2009
© 2009 Published by Elsevier Inc.