Maintaining Pores and Skin Microcirculation during Dermatological Surgery

Giavedoni Priscilla^*
*Correspondence: Giavedoni Priscilla, Department of Dermatology, University of Brescia, 25121 Brescia, Italy, Email:

Introduction

Dermatological surgery often involves intricate procedures where preserving the microcirculation of the skin is essential for optimal wound healing and aesthetic outcomes. The stitch is a specialized suturing technique that aims to maintain skin microcirculation during surgical procedures. This article explores the significance of the stitch in dermatological surgery, highlighting its benefits, applications and impact on wound healing. The stitch is a specialized suturing technique used in dermatological surgery to preserve skin microcirculation and optimize wound healing outcomes. It was developed by Swiss surgeons has since become an important tool in the field of dermatology. The technique involves placing deep dermal sutures in an inverted manner, bringing the skin edges together without causing excessive tension or compression on the underlying blood vessels and tissues. By minimizing tension, the stitch aims to maintain the delicate microvasculature of the skin, ensuring adequate blood flow and oxygenation to the surrounding tissues [1].

Description

The primary objective of the stitch is to preserve the microcirculation of the skin, which is essential for optimal wound healing and aesthetic outcomes. By minimizing tension on the skin edges, this technique offers several benefits. The stitch helps maintain blood flow and oxygenation to the tissues surrounding the surgical site. Preserving microcirculation promotes adequate nutrient and oxygen delivery, supporting the natural healing process and reducing the risk of complications. By distributing tension evenly across the wound, the stitch minimizes the risk of wound dehiscence, unsightly scars and postoperative complications. The technique allows for better wound approximation and alignment, leading to improved cosmetic outcomes. The stitch can be applied in various dermatological surgical procedures, including skin excisions, closures, flaps and grafts. It is particularly useful in areas with limited vascularity, such as the face, fingers and toes, where preserving blood supply is crucial for successful outcomes [2].

Preserving skin microcirculation through the stitch has a significant impact on wound healing. By ensuring adequate blood flow, this technique promotes the delivery of essential nutrients and oxygen to the wound site, supporting cellular regeneration, collagen synthesis and wound closure. Optimal wound healing is achieved when tissues receive sufficient oxygen and nutrients, reducing the risk of infection, promoting granulation tissue formation and accelerating the overall healing process. The stitch plays a vital role in preserving skin microcirculation, minimizing ischemic necrosis and enhancing wound healing outcomes. The stitch is a valuable technique in dermatological surgery for preserving skin microcirculation and optimizing wound healing. By minimizing tension on skin edges and preserving blood supply to the surgical site, this technique promotes tissue perfusion, reduces the risk of complications and enhances the natural healing process. Dermatologists skilled in the stitch can provide their patients with improved wound healing, reduced scarring and enhanced overall surgical outcomes. Understanding and applying this technique appropriately contributes to the success of dermatological procedures and ensures optimal patient care [3].

The stitch, named after the Swiss surgeons, is a technique used to suture skin edges in a way that minimizes tension and preserves the microcirculation. It involves placing deep dermal sutures in an inverted manner, bringing the skin edges together without causing excessive compression on the underlying blood vessels and tissues. The primary objective of the stitch is to maintain blood flow and oxygenation to the tissues surrounding the surgical site. By minimizing tension on the skin edges, this technique helps preserve the delicate microvasculature, which is crucial for optimal wound healing. By distributing tension evenly across the wound, the stitch minimizes the risk of wound dehiscence, unsightly scars and postoperative complications. This technique allows for better wound approximation, resulting in improved cosmetic outcomes. The stitch can be used in a wide range of dermatological surgical procedures, including skin excisions, closures, flaps and grafts. It is particularly valuable in areas with limited vascularity, such as the face, fingers and toes, where preserving blood supply is critical for successful outcomes [4].

By ensuring sufficient blood flow to the surgical site, the stitch helps minimize the risk of ischemic necrosis, a potentially serious complication that can lead to tissue death and delayed wound healing. Preserving microcirculation is particularly vital when working in regions with compromised blood supply or compromised underlying tissue quality. Preserving skin microcirculation through the stitch has a significant impact on wound healing and overall surgical outcomes. By maintaining blood flow, this technique promotes the delivery of vital nutrients and oxygen to the wound site, supporting the natural healing process. Adequate tissue perfusion reduces the risk of infection, promotes collagen synthesis and accelerates wound closure, ultimately leading to faster healing and superior cosmetic results [4].

Conclusion

In dermatological surgery, the stitch plays a crucial role in preserving skin microcirculation, ensuring optimal wound healing and achieving favorable cosmetic outcomes. By minimizing tension on the skin edges and preserving blood supply to the surgical site, this technique promotes tissue perfusion, reduces the risk of complications and enhances the natural healing process. Dermatologists skilled in the stitch can provide their patients with the benefits of improved wound healing, reduced scarring and enhanced overall surgical outcomes. As dermatological surgery continues to evolve, the stitch remains an invaluable tool for maintaining skin microcirculation and achieving successful outcomes in a wide range of procedures.

Acknowledgement

None.

Conflict of Interest

No potential conflict of interest was reported by the authors.

References

1. Kleinerman, Rebecca, Talley B. Whang, Robert L. Bard and Ellen S. Marmur. "Ultrasound in dermatology: Principles and applications." J Am Acad Dermatol 67 (2012): 478-487.

Google Scholar, Crossref, Indexed at

2. Catalano, Orlando, Fernando Alfageme Roldán, Carlo Varelli and Robert Bard, et al. "Skin cancer: Findings and role of high-resolution ultrasound." J Ultrasound 22 (2019): 423-431.

Google Scholar, Crossref, Indexed at

3. Bobadilla, Francisco, Ximena Wortsman, Carla Munoz and Laura Segovia, et al. "Pre-surgical high resolution ultrasound of facial basal cell carcinoma: Correlation with histology." Cancer Imaging 8 (2008): 163.

Google Scholar, Crossref, Indexed at

4. Berger, Vance W and Sunny Y. Alperson. "A general framework for the evaluation of clinical trial quality." Rev Recent Clin Trials 4 (2009): 79-88.

Google Scholar, Crossref, Indexed at

5. Izumi, Toru, Makoto Saito, Akio Obata and Masayuki Arii, et al. "Oral intake of soy isoflavone aglycone improves the aged skin of adult women." J Nutr Sci Vitaminol 53 (2007): 57-62.

Google Scholar, Crossref, Indexed at