Efficient suturing in herniating adipose with an assistant's technique of tissue displacement

When suturing surgical defects with exuberant adipose tissue, deep (dermal) sutures often become encased in the adipose tissue, creating an obstruction to approximating the wound edges. In addition, throwing surgeon’s knots can be complicated by binding of the adipose tissue to the suture thread, obstructing a reliably secure knot. 1 Miller C.J. Antunes M.B. Sobanko J.F. Surgical technique for optimal outcomes: part II. Repairing tissue: suturing. J Am Acad Dermatol. 2015; 72: 389-402 Abstract Full Text Full Text PDF PubMed Scopus (17) Google Scholar ,2 Weng R. Li Q. Zheng Y. Reduce suture complications by applying proper knot tying techniques. Dermatol Surg. 2010; 36: 1314-1318 Crossref PubMed Scopus (5) Google Scholar Together, these restrictions slow the efficiency of a repair and may contribute to potential sources of dehiscence.