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To the Editor:—
I enjoyed the article on removal of skin sutures by Weinstein and Roberts in The Journal, July 25, 1953, page 1231. Dr. Daniel L. Borden introduced a similar traction loop into the suture which he reported in the American Journal of Surgery (73:100, 1947). I have added one more step. I leave the end of the interrupted sutures long and tie the long ends together, or I use a split buckshot in place of the knot so that all stitches can be removed at once. This saves digging around for each stitch and makes it less likely that a stitch will be missed because the light is poor at the bedside, tissue swelling is present, or the area is inaccessible.
Kazmierski RH. REMOVAL OF SKIN SUTURES. JAMA. 1953;153(3):235. doi:10.1001/jama.1953.02940200057017