Running W-plasty is one of the widely used methods aimed to correct a straight scar. A technique of suturing to ensure proper tensioning and securing of the running W-plasty is presented. The wound is sutured in a running base-apical subcuticular fashion. The suture tension is then correctly adjusted and if optimal edge approximation is achieved, the redundant portions of suture from the wound ends are then tied together. If perfect edge approximation is not achieved, the wound is loosened and an additional running subcuticular suture is placed in the opposite base apical fashion. Both running sutures are then properly tensioned and tied in a similar fashion. This technique of suturing provides precise wound edge approximation, maintains the tensile strength for a long time, does not leave stitch marks, does not compress the subdermal vessels, and is simple and quick to perform.
European Journal of Plastic Surgery – Springer Journals
Published: Aug 16, 1999
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