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Suturing of fragile skin

Published:April 27, 2009DOI:https://doi.org/10.1016/j.bjps.2008.11.091
      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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