Log In My Account lc. Continuous - knots are placed only at the beginning and end of a running line of continuous stitches. Continuous stitch This is quick to perform using the same suture line without cutting, which helps distribute the tension along the length of the stitched wound. They are not able to start and complete many audits at the same time. In 526 patients OCS was used for biliary tract surgery with complications rate 1. So the wound area should be kept extremely clean and the stitches should be allowed to dissolve on their own. One-row continuous suture (OCS) was used in 3605 patients while placing anastomoses in different parts of the digestive tract, extrahepatic bile ducts and pancreas as well as suturing after gastrostomy and choledochotomy. Download The Oral Surgery Suture Trainer and enjoy it on your iPhone, iPad and iPod touch. However, with the explosion of network volume, the problem of data sparsity that causes large-scale KG systems to calculate and manage difficultly has become more significant. However, avoid the use of absorbable suture in such patients; it may . Sutures should be removed 7-10 days post-operatively to prevent the formation of epithelial tracks. granny 2 identical simple knots. Comparative study-interrupted and continuous suture-rectus sheath closure. This can take considerable time and result in knots tied with unequal tightness. Clinical anatomy of incisions. what are the disadvantages of monofilament sutures extreme care must be taken when using, crushing or crimping may creare a weak point or nick which may result in suture breakage. Suturing techniques horizontal mattress suture Figure 8 Running subcuticular suture The benefit of this suture is the minimal epidermal puncture points allowing the suture to be left in place longer without suture-track scarring. Single Interrupted Suture 5. The sheath is closed with continuous suture, and the skin is approximated with a subcuticular suture. Relatively fluid and airtight. When the peritoneal layer is sutured, many studies have shown that discontinuous sutures are more prone to incision dehiscence than continuous sutures, and fast-absorbing sutures are more likely to form incisional hernias than slow-absorbing or non-absorbable sutures. what is the disadvantage of a surgeon&39;s knot bulky - increased foreign material in wound - difficult to tighten - doesn&39;t allow proper tension for ligating vessels what contributes to knot security - suture size (inverse) - coefficient of friction (multifilament > monofilament; coating often decreases security). The use of tissue adhesives in dermatologic surgery is still evolving. 1 Time consuming. Not as efficient as fed-batch cultures in the production of secondary metabolites (antibiotics) and recombinant proteins, the production of which is generally triggered at the end of the growth phase 2. Interrupted Provide more security from suture breakage. The needle can enter horizontally or vertically. Hence, the knots should be re-checked before cutting the suture thread to ensure its stability. Relatively fluid and airtight. inverting,appositional,or everting 3. If continuous suture technique is used in infected tissues, the risk of infection transmission can be reduced by choosing a monofilament material as a suture type. This can take considerable time and result in knots tied with unequal tightness. the effect the suture pattern has on wound tension. Disadvantage it needs longer time to be placed and has a higer risk to cause scars. May 02, 2020 Use as few knots as possible because they are the weakest part of the suture and at the same time act as irritants. Aust Vet J. Less time consuming. MeSH terms Dermatology methods. Altough the distinct advantage of continuous suture is that there are fewer individual 3. Hence, the knots should be re-checked before cutting the suture thread to ensure its stability. square 2 mirror image simple knots. What are the challenges of continuous assessment. The promotion of "Internet real estate registration" and the application of registration information sharing have brought great challenges to the security. In recent years, with the continuous development of social economy, the scale of the network and the amount of information have increased dramatically, and network information security has been paid more and more attention. Advantages Speed, small. Advantages of continous members. Clinical anatomy of incisions. Advantages and disadvantages ofthe continuous suture. Clinical anatomy of incisions. Too much bite and too much skin will be inverted, possibly causing unnecessary tension. Continuous lockingblanket suture. It results in menstrual spotting, dysmenorrhea, dyspareunia, chronic pelvic pain, with an increased risk of scar pregnancy, placentation abnormalities and development of uterine rupture in future pregnancies. One of the disadvantages is that continuous suturing allows for the transmission of infection along the suture line. Courtesy of Meeks GR. Objective To review the different types of continuous sutures, their advantages, and disadvantages. These videos are designed for dental students and dental. Interrupted sutures involve the full thickness of the skin and are usually non-absorbable (but not always). The sheath is closed with continuous suture, and the skin is approximated with a subcuticular suture. Interrupted sutur e patterns Continuous suture patterns. Wound tapes provide an alternative to suture closure in this situation. Unable to maintain, if one knot is slipped, fail or tear out the entire suture line become loosened. Modifications of this suture have been recently. Flutter undergoes continuous updates that add to. closing a scalp laceration on a screaming child. Single Suture 4. This may cause learners to feel more stressed. This review paper presents the current progress, the challenges, the advantages, the disadvantages and the future trends of energy harvesters which can harvest energy from various sources from the human body. One of the disadvantages is that continuous suturing allows for the transmission of infection along the suture line. The continuous locking suture technique is described for use in endodontic surgery. Perhaps the biggest advantage of continuous suture patterns is their speed,allowing faster wound closure,. The disadvantage of the interrupted suture is that tying several . They typically require more knots to ensure security but tend to fracture less than multifilament sutures. A disadvantage of any continuous suture is that if one suture pulls . Flutter undergoes continuous updates that add to. fContinuous lockingblanket Similar to continuous but locking provided by withdrawing the suture through its own loop. The Pros and Cons of Continuous Sutures. The technique is an effective way to close Ochsenbein-Luebke flaps. Advantages Less time consuming than interrupted sutures patterns. The disadvantage of these needles is that the strap that attaches to the suture is fragile and breaks easily. Conclusion Recommendations are made regarding the appropriate use of continuous sutures in wounds depending on the amount of tension in the wound, and requirement of a good cosmetic result. Q What are the disadvantages of monofilament and multifilament A Monofilament has the following disadvantages 1)With thicker threads the wiriness that is a characteristic of all monofilament threads impairs handling and in particular renders knot-tying more difficult 2)Care should be used in handling because nicking or damaging them. The technique&39;s advantages and disadvantages are discussed. The sheath is closed with continuous suture, and the skin is approximated with a subcuticular suture. Monofilament sutures are not capable of accommodating microorganisms like multifilament sutures. In recent years, with the continuous development of social economy, the scale of the network and the amount of information have increased dramatically, and network information security has been paid more and more attention. The simple running, or continuous suture, is begun in the same way as a simple interrupted suture. The technique&39;s advantages and disadvantages are discussed. This clear and comprehensive app shows 3D animations of 20 current suturing techniques used in periodontology and oral surgery. Objective To review the different types of continuous sutures, their advantages, and disadvantages. It appears that using high viscosity 2-octyl cyanoacrylate in the repair of linear wounds after Mohs micrographic surgery results in cosmetic outcomes equivalent to those reported with the use of epidermal sutures. Log In My Account lc. Continuous - knots are placed only at the beginning and end of a running line of continuous stitches. Staples may be the best option when the wound is too big or surgery too complex for sutures. Momentary time sampling and partial and whole-interval recording are discontinuous methods Discontinuous measurement. Simple Interrupted. Fabricating Continuous Steel Beams. They add complexity to the design and require specialized professionals to ensure they&x27;re used properly. Log In My Account mr. I will always share knowledge about Surgical Blades and so on. The technique is an effective way to close Ochsenbein-Luebke flaps. However, the high cost of RALM remains the main disadvantage. If continuous suture technique is used . Abstract. Two techniques of OCS were used. the effect the suture pattern has on wound tension. Therefore, a surgical technique that can reduce the cost of RALM and still has the advantages of robotic surgery is required. Subcuticular stitches are a good choice for patients who are prone to keloid formation. Jul 09, 2018 2. Staples Used to pull skin and tissues edges together to promote wounds healing Staples Used to close surgical incisions are wide stainless steel clips that resemble a regular paper clip Common sites include o Arms o Legs o Abdomen o Back o Scalp Wounds of the face, neck, hand, and feet are not stapled as wounds and tendons are close to the. Based on their mechanisms of action, these agents are divided into three categories 1. but it has the disadvantage of being time consuming to. Q What are the disadvantages of monofilament and multifilament A Monofilament has the following disadvantages 1)With thicker threads the wiriness that is a characteristic of all. Disadvantages of continuous suture The main disadvantage of the continuous suture is that if the knot loosens or threads breaks, a portion or the entire flap may loosen, exposing bone, implants, grafts, etc. other sutures can be used instead, like Mid-term absorbable monofilaments. Conclusion Recommendations are made regarding the appropriate use of continuous sutures in wounds depending on the amount of tension in the wound, and requirement of a good cosmetic result. So used for closing bony deficiencies such as oro-antral fistula or cystic cavities. Sep 12, 2022 A potential disadvantage to PMM is that it may not be acceptable for use with small sample sizes, as the pool of available observed outcomes with a similar case prediction will be small (Kleinke, 2018). 2 Large amounts of suture materials. Disadvantages to simple interrupted Simple interrupted suture. Careful preoperative selection of patients is one of the most important aspects to avoid complications. A total of 152 patients were included in the study over a period of 3 years. The main disadvantage of continuous suture is that if the suture breaks, . Jul 09, 2018 2. If continuous suture technique is used in infected tissues, the risk of infection transmission can be reduced by choosing a monofilament material as a suture type. This technique is used to suture tubular structures such as blood vessels in order to stop bleeding or reestablish blood flow. Single Suture 4. 21 There are also soft lumen needles that allow the use of a single kit at more than 1 point, such as the Protector Meniscus (Arthrex). Background Hepaticojejunostomy is commonly used in hepato-bilio-pancreatic surgery and a crucial step in many surgical procedures, including pancreaticoduodenectomy. MeSH terms Dermatology methods. Routine interrupted sutures are useful to suture divided papillae,. Continuous sutures are usually inserted underneath the skin surface using absorbable or non-absorbable suture material. In the continuous suture, the stitches are connected along the wound. Two techniques of OCS were used. Disadvantages Faliure of the entire suture line. Continuous horizontal mattress suture technique. Nursing 2160 Week 12. The disadvantage is that these needles allow only 1 stitch for each suture kit. Advantages a. Advantages Less time consuming than interrupted sutures patterns. These videos are designed for dental students and dental. inverting,appositional,or everting 3. If you need, welcome to visit our website to know more about details. In the continuous suture, the stitches are connected along the wound. They can also speed up surgery time, lessen pain and reduce infection risk. It should be remembered that suturing may exacerbate the liver tissue damage and extend the ischemic injury to the unaffected liver parenchyma. sasameer 411 PDS. disadvantages of continuous pattern Definition. However, this effect can be avoided by early removal of the sutures once the tissue has recovered enough strength to be held together without any extra support (5-7 days). If the quality of the absorbable line is inferior, there is a risk of wound infection and recovery is difficult. fContinuous lockingblanket Similar to continuous but locking provided by withdrawing the suture through its own loop. One-row continuous suture (OCS) was used in 3605 patients while placing anastomoses in different parts of the digestive tract, extrahepatic bile ducts and pancreas as well as suturing after gastrostomy and choledochotomy. Mobile market research allows users to reach more people, engage more people, and collect more valuable data as respondents are free to engage at their own pace, on their own time. Irregular tightening of suture can lead to irregular fibrosis. If you have a C-section, for example, staples will leave less of a scar and shorten your recovery time. It should be remembered that suturing may exacerbate the liver tissue damage and extend the ischemic injury to the unaffected liver parenchyma. closing a scalp laceration on a screaming child. The choice of using interrupted versus continuous suture patterns still remains controversial (Table 1). Load the suture as detailed above and use the toothed forceps to gently evert the skin edge (without crushing the tissues). ek; ab. closure of layers under tension. Relatively fluid and airtight. It should be addressed by holding the suture and slightly tugging it. The main disadvantage of the continuous suture is that if the knot . Clinical anatomy of incisions. Periodontics 3 84-89. Disadvantage it needs longer time to be placed and has a higer risk to cause scars. Disadvantages of interrupted sutures include the length of time required for their placement and the greater risk of crosshatched marks (ie, . Continuous and Comprehensive Evaluation in Schools Continuous and Comprehensive Evaluation (CCE) refers to a system of school-based evaluation of students that covers all. Suture patterns will be described from the point of view of a right-handed surgeon. A magnifying glass. A potential disadvantage of a continuous closure is the risk that . Wound closure with . Among these techniques, simple interrupted and continuous interlocking are commonly used. Continuous closure was performed using no. facebook; twitter; linkedin; pinterest; Central Camera--mounted on precision crafted wood panel Arnarkok Metal Phone Tripod Mount w Rotatable Cold Shoe,360 Rotation & Tilt Angle,Compatible with iPhone Cell Phone Tripod Mount Adapter, Phone Mount ,Wood Signs, Custom Wood Signs, Carved Wood Signs,Google Nest Cam (Outdoor or. 09, 2018 The last artical we have reffered that characteristics of absorbable Surgical Sutures. In 526 patients OCS was used for biliary tract surgery with complications rate 1. Suturing techniques horizontal mattress suture Figure 8 Running subcuticular suture The benefit of this suture is the minimal epidermal puncture points allowing the suture to be left in place longer without suture-track scarring. Fabricating Continuous Steel Beams. Disadvantages Time consuming to place. Failure of one knot will not affect the incision suture line More Secure Disadvantages More time to tie individual knots. One disadvantage of placing interrupted sutures is that a knot must be tied for each suture. fibrin coatings); 2. Incisions are closed with sutures (stitches), staples, tissue adhesives or tapes. fibrin coatings); 2. Failure of one knot will not affect the incision suture line More Secure Disadvantages More time to tie individual knots. One-row continuous suture (OCS) was used in 3605 patients while placing anastomoses in different parts of the digestive tract, extrahepatic bile ducts and pancreas as well as suturing after gastrostomy and choledochotomy. <br >Industry forerunners Ray Poynter, Navin Williams, and Sue York employ decades of study to examine the present and future state of mobile market research, as well as the. For alleviating the issue,. There are also soft lumen needles that allow the use of a single kit at more than 1 point, such as the Protector Meniscus (Arthrex). ho; ze. Clinical anatomy of incisions. The importance of the assistant&x27;s role is described. Method The study sample included 20 patients (16 males and four females) with maxillofacial trauma requiring ORIF (Open Reduction and Internal Fixation) of maxilla or mandible fractures. To view the full video, please purchase it with the button below. Its disadvantages, however, are that under ordinary circumstances it is impossible to determine. Not possible to free a few sutures at a . Altough the distinct advantage of continuous suture is that there are fewer individual 3. Abstract One-row continuous suture (OCS) was used in 3605 patients while placing anastomoses in different parts of the digestive tract, extrahepatic bile ducts and pancreas as. what is the disadvantage of a surgeon&39;s knot bulky - increased foreign material in wound - difficult to tighten - doesn&39;t allow proper tension for ligating vessels what contributes to knot security - suture size (inverse) - coefficient of friction (multifilament > monofilament; coating often decreases security). Continuous stitch This is quick to perform using the same suture line without cutting, which helps distribute the tension along the length of the stitched wound. continuous or interrupted 2. Altough the distinct advantage of continuous suture is that there are fewer individual 3. Advantages and Disadvantages of Sutures & Staples. TOPIC 1 ADVANTAGES OF CONTINOUS MEMBERS. Fascia is closed with continuous delayed-absorbable suture. So the wound area should be kept extremely clean and the stitches should be allowed to dissolve on their own. The continuous locking suture technique is described for use in endodontic surgery. An example of a natural non absorbable suture is a Nylon b Polyester c. have the disadvantage of being less flexible in terms of. This type of suture is similar to continuous suture but the locking is done by inserting the suture through its own loop while closing the suture. Using an unsuitably large suture introduces more foreign material into the wound than is necessary, interferes with the blood supply, and may cause excessive inflammation, all of which alter the tissues architecture and ability to resist infection. Jul 09, 2018 Advantages and disadvantages of absorbable Surgical Sutures Jul. Download scientific diagram and disadvantages of interrupted suture technique and continuous suture technique during hepaticojejunostomy from publication Continuous or interrupted suture. Advantages of continous members. The technique is an effective way to close Ochsenbein-Luebke flaps. A magnifying glass. Fewer amounts of suture materials. Both the Cushing suture pattern and the Connell suture technique are continuous sutures,. Artificial Pancreas Improves Quality of Diabetic Patients' Life Nowadays, with the development of technology, scientists and technical engineers have developed an intelligent wearable "artificial pancreas" device. Only by fully understanding the advantages and disadvantages of various types of sutures and mastering the application skills, according to the tension and healing speed of different tissues, can choose sutures according to local conditions. Not as efficient as fed-batch cultures in the production of secondary metabolites (antibiotics) and recombinant proteins, the production of which is generally triggered at the end of the growth phase 2. University of Nairobi. The choice of using interrupted versus continuous suture patterns still remains controversial (Table 1). Download The Oral Surgery Suture Trainer and enjoy it on your iPhone, iPad and iPod touch. Disadvantages of interrupted sutures include the length of time required for their placement and the greater risk of crosshatched marks (ie, . Download The Oral Surgery Suture Trainer and enjoy it on your iPhone, iPad and iPod touch. In 526 patients OCS was used for biliary tract surgery with complications rate 1. Fewer amounts of suture materials. Theres also an increased risk of fluid from inside the hollow organ flowing out through the sutured incision line. Hence, the knots should be re-checked before cutting the suture thread to ensure its stability. May 14, 2020 The disadvantage is that these needles allow only 1 stitch for each suture kit. free massaging porn, jobs in carbondale il
Interrupted Provide more security from suture breakage. . Disadvantages of continuous suture
Wound closure with . Altough the distinct advantage of continuous suture is that there are fewer individual 3. There are sim ple continuous and simple interrupted su tures as well. square 2 mirror image simple knots. 1 Prior undermining. Interrupted Provide more security from suture breakage. Advantages Less time consuming than interrupted sutures patterns. One of the disadvantages is that continuous suturing allows for the transmission of infection along the suture line. Interrupted sutur e patterns Continuous suture patterns. Disadvantages Faliure of the entire suture line. Continuous sutures are usually inserted underneath the skin surface using absorbable or non-absorbable suture material. Increased time to place sutures. A framework is a more expansive piece of code that provides an architecture or scaffold for building software solutions on. 19 Products. - difficult to tighten. what is the disadvantage of a surgeon&39;s knot bulky - increased foreign material in wound. More suture material used. Again, it is important to grasp the skin and evert it slightly using a fine toothed forcep, and. Disadvantages Time consuming to place. Again, it is important to grasp the skin and evert it slightly using a fine toothed forcep, and the needle holder is rotated into a pronated position in preparation for piercing the skin. Simple interrupted suture Interrupted sutures are known for their easy application, . inverting,appositional,or everting 3. Varghese et al. Staples may be the best option when the wound is too big or surgery too complex for sutures. This consists of a continuous . Abstract One-row continuous suture (OCS) was used in 3605 patients while placing anastomoses in different parts of the digestive tract, extrahepatic bile ducts and pancreas as. Advantages Speed, small amount of suture, tension. Suturing Infiltration of Local Anaesthetic Drain Insertion Abscess Drainage Skin Lesion Excision Wound Healing Damage to Local Structures Acute Inflammation Chronic Inflammation Wound Healing Basic Wound Management Clinical Skills Venepuncture Cannulation Blood Cultures Intravenous Infusions Female Catheterisation Male Catheterisation. The absorbable line technology has matured and has been widely promoted. FAQ. Although suture materials and aspects of the technique have. ek; ab. Figure 9. Various periodontal suturing techniques. Log In My Account lc. Abstract One-row continuous suture (OCS) was used in 3605 patients while placing anastomoses in different parts of the digestive tract, extrahepatic bile ducts and pancreas as. The disadvantage of this technique is that the suture remains in. Nov 23, 2015 Currently, occlusion of the bleeding vessels through deep sutures or packing the site of bleeding are the most common methods used to minimize blood loss from a ruptured liver (17-19). speed of placement, less suture left in wound, more air-or water tight (urinary bladder) and suture economy because don&39;t have to tie many knots what are the two disadvantages of. The continuous locking suture technique is described for use in endodontic surgery. Hydroponics is a type of horticulture and a subset of hydroculture which involves growing plants, usually crops or medicinal plants, without soil, by using water-based mineral nutrient solutions in aqueous solvents. Intradermal or Subcuticular Continuous Suture Pattern. Abstract One-row continuous suture (OCS) was used in 3605 patients while placing anastomoses in different parts of the digestive tract, extrahepatic bile ducts and pancreas as. The far-far suture placement passes 4 to 8 mm from the wound edge, fairly deep in the wound below the dermis. Two techniques of OCS were used. Start studying Sutures. Courtesy of Meeks GR. 1 Prior undermining. The technique is an effective way to close Ochsenbein-Luebke flaps. Terrestrial or aquatic plants may grow with their roots exposed to the nutritious liquid or in addition, the roots may be mechanically supported by an inert medium such as. The vertical mattress suture uses the far-far, near-near system (). Advantages and Disadvantages of Sutures & Staples. Dermatologists performing skin surgery mostly use the square knot. The technique can be thought of as an upside-down interrupted suture. Disadvantages Everts tissue edges if not careful. The clinical indications presented by the womanthe degrees of laxness of the suspensory Cooper's ligaments; and of the breast skin. One disadvantage of placing interrupted sutures is that a knot must be tied for each suture. One of the disadvantages of this technique is the danger of surface scarring due to increased tension across the wound and also to the fact that the suture enters the skin 4 times on each stitch. In select high-tension areas, 3-0 monofilament suture may be utilized as well, particularly in the context of a multimodality approach, for example when mattress sutures are placed in the center of the wound to maximize tension relief and eversion, and simple interrupted sutures are placed at the lateral edges of the wound to minimize dog-ear. May 02, 2020 Use as few knots as possible because they are the weakest part of the suture and at the same time act as irritants. Wound closure with . Morris ML (1965) Suturing techniques in periodontal suture ties, the disadvantages of using any continuous surgery. A simple figure - of -eight suture was then used to repair the tear in the diaphragm to keep the stomach in position. Disadvantages The disadvantage of a non absorbable suture is that a foreign body is left in the patient. If you need, welcome to visit our website to know more about details. We propose a "locking suture on myoma (LSOM)" technique and compared the operative and perioperative outcomes of patients who underwent RALM with or without. Courtesy of Meeks GR. Special sutures Periosteal suture. Again, it is important to grasp the skin and evert it slightly using a fine toothed forcep, and. Suturing techniques horizontal mattress suture Figure 8 Running subcuticular suture The benefit of this suture is the. continuous or interrupted 2. have the disadvantage of being less flexible in terms of. Numerous suture ingredients and methods for closing the slits have been scrutinized; however, there is still a requi- site for closure methods to prevent incisional hernia. Fewer amounts of suture materials. 21 There are also soft lumen needles that allow the use of a single kit at more than 1 point, such as the Protector Meniscus (Arthrex). The advantages, disadvantages, risks, and limitations of the outside-in continuous meniscal suture of the knee are described in Table 1. Using a continuous suture rather than multiple interrupted sutures offers a. We have developed a meniscal suture device called the Meniscus 4 A-II device that enables the surgeon to perform meniscal suture from the inside out with continuous stitches on several. As the suture is to be underneath the skin surface it is favourable for the knot to be deep in the wound, this avoids extrusion of the suture material. Advantages and disadvantages to simple continuous suture Simple continuous suture Name the suture pattern Advantage Greater stability if line fails. the tissue. Vertical Mattress Suture. disadvantages, such as lumen stenosis and. Single Interrupted Suture 5. Nevertheless, the VAC system has some disadvantages. Based on their mechanisms of action, these agents are divided into three categories 1. Although continuous running suture using monofilament is possible, this method is not widely used due to various disadvantages, including slackness. The sheath is closed with continuous suture, and the skin is approximated with a subcuticular suture. Disadvantages Time consuming to place. The choice of using interrupted versus continuous suture patterns still remains controversial (Table 1). Clinical anatomy of incisions. Perhaps the biggest advantage of continuous suture patterns is their speed,allowing faster wound closure,. The technique is an effective way to close Ochsenbein-Luebke flaps. It appears that using high viscosity 2-octyl cyanoacrylate in the repair of linear wounds after Mohs micrographic surgery results in cosmetic outcomes equivalent to those reported with the use of epidermal sutures. This clear and comprehensive app shows 3D animations of 20 current suturing techniques used in periodontology and oral surgery. Suturepatterns will be described from the point of view of a right-handed surgeon. The clinical indications presented by the womanthe degrees of laxness of the suspensory Cooper's ligaments; and of the breast skin. Interrupted sutures take longer to do, but they are the most common type. 19 Products. Clinical anatomy of incisions. The batch size is determined by the still pot size when batch distillation is used. The disadvantage of the interrupted suture is that tying several . An X shape is created over the wound. The continuous suture technique has some disadvantages. Trailer 16. blood supply to the fascial edges3. The absorbable line technology has matured and has been widely promoted. Interrupted sutures take longer to do, but they are the most common type. 1 Excessive tension on sutures leads to tissue necrosis, which favors wound dehiscence by. It appears that using high viscosity 2-octyl cyanoacrylate in the repair of linear wounds after Mohs micrographic surgery results in cosmetic outcomes equivalent to those reported with the use of epidermal sutures. The technique&39;s advantages and disadvantages are discussed. . memektembem