The “Modified” Winch Stitch
Background. The methods described to achieve intraoperative tissue expansion have drawbacks. Objective. To report an intraoperative tissue expansion technique using standard suture material and hemostats to create a “modified” winch stitch. Methods. A continuous running suture is placed with both en...
Gespeichert in:
| Veröffentlicht in: | Dermatologic surgery 2001-10, Vol.27 (10), p.891-894 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 894 |
|---|---|
| container_issue | 10 |
| container_start_page | 891 |
| container_title | Dermatologic surgery |
| container_volume | 27 |
| creator | Casparian, J. Michael Rodewald, Erin J. Monheit, Gary D. |
| description | Background. The methods described to achieve intraoperative tissue expansion have drawbacks.
Objective. To report an intraoperative tissue expansion technique using standard suture material and hemostats to create a “modified” winch stitch.
Methods. A continuous running suture is placed with both ends left free. A “fixed” hemostat is placed above the skin at one end. After pulling at the other end with a second hemostat, a third hemostat is placed proximal to this hemostat just above the skin, which is left in place to produce stretching. The second and third hemostats are then used in an alternating pulling and holding fashion.
Results. This method produces significant tissue expansion. If the desired degree of approximation is achieved, the ends of the suture can be tied together, as in the previously described winch stitch.
Conclusion. The modified winch stitch is a simple and inexpensive means to facilitate closure of wounds under a significant amount of tension. |
| doi_str_mv | 10.1046/j.1524-4725.2001.01107.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_72306532</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>72306532</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4410-fa419c9f8aab4dee998064acb2255143990e31cc0f5bee0dc744fe7b91fcb09a3</originalsourceid><addsrcrecordid>eNqNkDtOxDAQhi0E4n0F2Aa6hBnHWccNEuItgSgAUVqOM1ayZDcQZwV0HAQux0lw2AhaCstj-ftnRh9jI4QYQYwPJjGmXERC8jTmABgDIsj4dYmt_34shxrkOIIU-Rrb8H4SQK4SWGVriJLzlGfrbPeupNHX-8d1U1SuouLr_XP0UM1sObrtqs6WW2zFmdrT9nBvsvuz07vji-jq5vzy-OgqskIgRM4IVFa5zJhcFERKZTAWxuZhTIoiUQooQWvBpTkRFFYK4UjmCp3NQZlkk-0v-j61zfOcfKenlbdU12ZGzdxryRMYpwkPYLYAbdt435LTT201Ne2bRtC9HD3RvQPdO9C9HP0jR7-G6M4wY55PqfgLDjYCsDcAxltTu9bMbOX_OIGJkKLfQSy4l6buqPWP9fyFWl2SqbtSA4DgkmdRPxzDC6JwEELscIhVNb39e299cnv_UybfF9-PKA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>72306532</pqid></control><display><type>article</type><title>The “Modified” Winch Stitch</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Journals@Ovid Complete</source><creator>Casparian, J. Michael ; Rodewald, Erin J. ; Monheit, Gary D.</creator><creatorcontrib>Casparian, J. Michael ; Rodewald, Erin J. ; Monheit, Gary D.</creatorcontrib><description>Background. The methods described to achieve intraoperative tissue expansion have drawbacks.
Objective. To report an intraoperative tissue expansion technique using standard suture material and hemostats to create a “modified” winch stitch.
Methods. A continuous running suture is placed with both ends left free. A “fixed” hemostat is placed above the skin at one end. After pulling at the other end with a second hemostat, a third hemostat is placed proximal to this hemostat just above the skin, which is left in place to produce stretching. The second and third hemostats are then used in an alternating pulling and holding fashion.
Results. This method produces significant tissue expansion. If the desired degree of approximation is achieved, the ends of the suture can be tied together, as in the previously described winch stitch.
Conclusion. The modified winch stitch is a simple and inexpensive means to facilitate closure of wounds under a significant amount of tension.</description><identifier>ISSN: 1076-0512</identifier><identifier>EISSN: 1524-4725</identifier><identifier>DOI: 10.1046/j.1524-4725.2001.01107.x</identifier><identifier>PMID: 11722528</identifier><language>eng</language><publisher>Boston, MA, USA: Blackwell Science, Inc</publisher><subject>Biological and medical sciences ; Humans ; Medical sciences ; Skin plastic surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Suture Techniques ; Tissue Expansion - methods ; Wounds and Injuries - surgery</subject><ispartof>Dermatologic surgery, 2001-10, Vol.27 (10), p.891-894</ispartof><rights>2001 by the American Society for Dermatologic Surgery, Inc.</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4410-fa419c9f8aab4dee998064acb2255143990e31cc0f5bee0dc744fe7b91fcb09a3</citedby><cites>FETCH-LOGICAL-c4410-fa419c9f8aab4dee998064acb2255143990e31cc0f5bee0dc744fe7b91fcb09a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1524-4725.2001.01107.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14134742$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11722528$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Casparian, J. Michael</creatorcontrib><creatorcontrib>Rodewald, Erin J.</creatorcontrib><creatorcontrib>Monheit, Gary D.</creatorcontrib><title>The “Modified” Winch Stitch</title><title>Dermatologic surgery</title><addtitle>Dermatol Surg</addtitle><description>Background. The methods described to achieve intraoperative tissue expansion have drawbacks.
Objective. To report an intraoperative tissue expansion technique using standard suture material and hemostats to create a “modified” winch stitch.
Methods. A continuous running suture is placed with both ends left free. A “fixed” hemostat is placed above the skin at one end. After pulling at the other end with a second hemostat, a third hemostat is placed proximal to this hemostat just above the skin, which is left in place to produce stretching. The second and third hemostats are then used in an alternating pulling and holding fashion.
Results. This method produces significant tissue expansion. If the desired degree of approximation is achieved, the ends of the suture can be tied together, as in the previously described winch stitch.
Conclusion. The modified winch stitch is a simple and inexpensive means to facilitate closure of wounds under a significant amount of tension.</description><subject>Biological and medical sciences</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Skin plastic surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Suture Techniques</subject><subject>Tissue Expansion - methods</subject><subject>Wounds and Injuries - surgery</subject><issn>1076-0512</issn><issn>1524-4725</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkDtOxDAQhi0E4n0F2Aa6hBnHWccNEuItgSgAUVqOM1ayZDcQZwV0HAQux0lw2AhaCstj-ftnRh9jI4QYQYwPJjGmXERC8jTmABgDIsj4dYmt_34shxrkOIIU-Rrb8H4SQK4SWGVriJLzlGfrbPeupNHX-8d1U1SuouLr_XP0UM1sObrtqs6WW2zFmdrT9nBvsvuz07vji-jq5vzy-OgqskIgRM4IVFa5zJhcFERKZTAWxuZhTIoiUQooQWvBpTkRFFYK4UjmCp3NQZlkk-0v-j61zfOcfKenlbdU12ZGzdxryRMYpwkPYLYAbdt435LTT201Ne2bRtC9HD3RvQPdO9C9HP0jR7-G6M4wY55PqfgLDjYCsDcAxltTu9bMbOX_OIGJkKLfQSy4l6buqPWP9fyFWl2SqbtSA4DgkmdRPxzDC6JwEELscIhVNb39e299cnv_UybfF9-PKA</recordid><startdate>200110</startdate><enddate>200110</enddate><creator>Casparian, J. Michael</creator><creator>Rodewald, Erin J.</creator><creator>Monheit, Gary D.</creator><general>Blackwell Science, Inc</general><general>by the American Society for Dermatologic Surgery, Inc</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200110</creationdate><title>The “Modified” Winch Stitch</title><author>Casparian, J. Michael ; Rodewald, Erin J. ; Monheit, Gary D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4410-fa419c9f8aab4dee998064acb2255143990e31cc0f5bee0dc744fe7b91fcb09a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Biological and medical sciences</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Skin plastic surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Suture Techniques</topic><topic>Tissue Expansion - methods</topic><topic>Wounds and Injuries - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Casparian, J. Michael</creatorcontrib><creatorcontrib>Rodewald, Erin J.</creatorcontrib><creatorcontrib>Monheit, Gary D.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Dermatologic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Casparian, J. Michael</au><au>Rodewald, Erin J.</au><au>Monheit, Gary D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The “Modified” Winch Stitch</atitle><jtitle>Dermatologic surgery</jtitle><addtitle>Dermatol Surg</addtitle><date>2001-10</date><risdate>2001</risdate><volume>27</volume><issue>10</issue><spage>891</spage><epage>894</epage><pages>891-894</pages><issn>1076-0512</issn><eissn>1524-4725</eissn><abstract>Background. The methods described to achieve intraoperative tissue expansion have drawbacks.
Objective. To report an intraoperative tissue expansion technique using standard suture material and hemostats to create a “modified” winch stitch.
Methods. A continuous running suture is placed with both ends left free. A “fixed” hemostat is placed above the skin at one end. After pulling at the other end with a second hemostat, a third hemostat is placed proximal to this hemostat just above the skin, which is left in place to produce stretching. The second and third hemostats are then used in an alternating pulling and holding fashion.
Results. This method produces significant tissue expansion. If the desired degree of approximation is achieved, the ends of the suture can be tied together, as in the previously described winch stitch.
Conclusion. The modified winch stitch is a simple and inexpensive means to facilitate closure of wounds under a significant amount of tension.</abstract><cop>Boston, MA, USA</cop><pub>Blackwell Science, Inc</pub><pmid>11722528</pmid><doi>10.1046/j.1524-4725.2001.01107.x</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1076-0512 |
| ispartof | Dermatologic surgery, 2001-10, Vol.27 (10), p.891-894 |
| issn | 1076-0512 1524-4725 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_72306532 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Journals@Ovid Complete |
| subjects | Biological and medical sciences Humans Medical sciences Skin plastic surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Suture Techniques Tissue Expansion - methods Wounds and Injuries - surgery |
| title | The “Modified” Winch Stitch |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-28T10%3A51%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20%E2%80%9CModified%E2%80%9D%20Winch%20Stitch&rft.jtitle=Dermatologic%20surgery&rft.au=Casparian,%20J.%20Michael&rft.date=2001-10&rft.volume=27&rft.issue=10&rft.spage=891&rft.epage=894&rft.pages=891-894&rft.issn=1076-0512&rft.eissn=1524-4725&rft_id=info:doi/10.1046/j.1524-4725.2001.01107.x&rft_dat=%3Cproquest_cross%3E72306532%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=72306532&rft_id=info:pmid/11722528&rfr_iscdi=true |