Presutures for skin stretching: Step 4 (large photo)

Place additional Lembert sutures along the entire length of the wound. These Lembert sutures, tied under tension, bridge the lesion or defect. The sutures are usually placed in the late afternoon, and the area is covered with a bandage overnight. An Elizabethan collar may be needed to prevent molestation of the area.

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Introduction

Step 1

Step 3A

Step 4

Step 2

Step 6A

Step 6B

Step 5

Using presuturing to close distal limb wounds, video part 1

Using presuturing to close distal limb wounds, video part 2

Step by Step Article

Video of the procedure

Step 3B