Suture Products and Techniques: What to Use, Where, and Why

BACKGROUNDThere are an increasing number of wound closure materials and suturing techniques described in the dermatologic and surgery literature. A dermatologic surgeonʼs familiarity with these materials and techniques is important to supplement his or her already established practices and improve surgical outcomes. OBJECTIVETo perform a thorough literature review of wound closure materials (sutures, tissue adhesives, surgical tape, and staples) and suturing techniques and to outline how and when to use them. MATERIALS AND METHODSA literature review was conducted using PubMed and other online search engines. Keywords searched included suture, tissue adhesive, tissue glue, surgical tape, staples, dermatologic suturing, and suturing techniques. RESULTSNumerous articles outline the utility of various sutures, surgical adhesives, surgical tape, and staples in dermatologic surgery. In addition, there are various articles describing classic and novel suturing techniques along with their specific uses in cutaneous surgery. CONCLUSIONNumerous factors must be considered when choosing a wound closure material and suturing technique. These include wound tension, desire for wound edge eversion/inversion, desired hemostasis, repair type, patientʼs ability to care for the wound and return for suture removal, skin integrity, and wound location. Careful consideration of these factors and proper execution of suturing techniques can lead to excellent cosmetic results.