Revisiting the purse-string closure: Some new methods and modifications

BACKGROUND. Surgical wounds resulting from the extirpation of cutaneous malignancies can be repaired in a number of ways. One alternative, which has been used extensively in our practice, is the purse-string closure. This method of closure offers distinct advantages in the proper setting over traditional methods of closure. OBJECTIVE. Over the years, our approach to this procedure has evolved, and we have integrated a number of new modifications that are presented later here. METHODS. A report of three illustrative cases is given. RESULTS. Three cases are presented that illustrate some new modifications to the purse-string closure. CONCLUSION. The purse-string closure, which uses circumferential tissue advancement, can be used to close a wide range of surgical wounds. This method also frequently offers the advantage of an excellent cosmetic outcome.