ABSTRACT

The purse string suture (PSS) technique is an easy and dynamic tool in cutaneous surgery. It can be used as a means for rapid primary closure, as a method for reduction of defect size prior to flap and graft placement, and placement of a ‘‘partial’’ purse string at or near free margins (1-6). It is a particularly useful application in the management of poorly delineated melanomas, whereby surgical margins remain undisturbed while final pathological analysis is pending, and the original surgical defect can be easily recreated in the event of a positive margin (7).