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In the closure of wounds, the margins of which are widely separated, as in those in which there is an extensive skin defect, sutures which will bring together the wound edges, or skin margins, and hold them coapted, resisting the sometimes unavoidable tension without cutting out, are obviously helpful.
For the purpose of relaxing the tissues immediately along the wound margin heavy interrupted sutures are usually passed at a distance of one inch or more from the wound line on each side, and these, to some extent, take the strain from the coaptation sutures.
Such relaxation sutures, however, do not differ essentially from the coaptation sutures applied closely along the wound margin. Their slight advantage consists in the fact that they are usually of heavier material and, passing through
EASTMAN JR. THE APPROXIMATION OF WIDELY SEPARATED WOUND MARGINS. JAMA. 1910;55(27):2282–2283. doi:10.1001/jama.1910.04330270004002