By K. Roenigk Randall, John Louis Ratz, Henry H. Roenigk Jr.
The cornerstone of any dermatologic library, this 3rd version is significantly multiplied and revised to supply greater than eighty new and up-to-date chapters on subject matters crucial for the surgical dermatologist in daily medical perform. With awesome insurance of rising and confirmed surgical thoughts, beauty innovations, and reconstruction tools, this resource deals top quality colour photos and medical pictures that rigorously navigate readers via key anatomical buildings and gives tricky aspect unsurpassed by means of any competing textual content.
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Extra info for Roenigk's Dermatologic Surgery: Current Techniques in Procedural Dermatology, Third Edition
Absorption is essentially complete by 180 days. Poliglecaprone 25 Poliglecaprone 25 (MonocrylTM, a product of Ethicon) is a more recently developed synthetic absorbable monofilament suture composed of a copolymer of glycolide and epsilon-caprolactone. It is pliable and elicits minimal tissue reactivity (virtually inert in tissue). Because of its minimal reactivity, it may be utilized as a running intradermal suture, allowing prolonged superficial wound support without risk of railroad track deformity associated with prolonged use of nonabsorbable surface (epidermal, superficial) sutures.
When used to oppose the skin surface, the sutures should be just tight enough to approximate, not strangulate, tissues. The wound edema that develops postoperatively increases the tension on the sutures and may cause them to ‘‘cut in’’ if they are firmly placed at the time of surgery. , facelift). ) that minimize wound tension. Silk Silk has been used for centuries to close wounds. For the first half of this century, absorbable catgut and nonabsorbable silk were the standards for virtually all wound closures.
P. P. minimum knot security at 3 weeks 75% at 2 weeks, 50% at 4 weeks, 25% at 6 weeks Strength retention post-implantation Other Minimal tissue reactivity, may be used as absorbable running intradermal, pliable, low memory, delayed absorption in comparison with polyglecaprone 25 Similar loss of strength and mass as surgical gut sutures, but is easier to work with (lower drag forces) and is associated with fewer infections than surgical gut, greater pre-implantation strength than gut Monofilament valuable when potential wound infection is a concern; significant tensile strength retention; improved handling characteristics when compared with polydioxanone Minimal tissue reactivity, good choice for absorbable running intradermal, pliable, low memory 20 Caudell et al.