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July 2, 1955


JAMA. 1955;158(9):776. doi:10.1001/jama.1955.02960090070014

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To the Editor:—  Several years ago it was noted that in repairing facial wounds, especially those that were irregular and beveled, accurate approximation with minimal scarring could be obtained if sutures including the smallest portion of skin edge were used. These sutures frequently rub off leaving no residuum, and the results are superior to the subcuticular stitch in common use. Halsted (J. A. M. A.60:1119 [April 12] 1913) used this method in 1913 in dogs and referred to it as "the epithelial stitch." When this method is employed it is customary to use a layer of interrupted silk or absorbable surgical sutures in the subcutaneous tissue to relieve the skin edges of tension. After this a layer of interrupted or continuous fine silk is used on the skin and only the smallest portion of the edge of the epithelium is included in the stitch. Since there is no

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