๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
Surgical Repairs
Surgical Repairs
INTRODUCTION
Direct linear closure of surgical wounds is the primary technique used for defect closure in dermatologic surgery. Linear closure is favored for several reasons, including its ease of execution; reliable and predictable healing pattern; rapidity; and reproducibility. Much of the dermatologic surgery literature has historically focused on novel flap and graft techniques, though recently a renaissance in linear closure design has occurred. Even large or deep defects on the face may be amenable to linear repairs, and indeed this may represent the best option for many such wounds.1โ7 When feasible, layered linear closure remains the gold standard for wound closure given the predictable outcomes, reasonable cost to the patient and healthcare system, and low risk of complications. Fundamental linear closure techniques, including undermining, hemostasis, tissue handling, and suture placement, represent the bedrock of all surgical closures, from small punch biopsies to large flaps.