Office surgery is more and more a part of dermatologic practice. Incision and drainage operations, biopsy procedures, and small tumor excisions are now office practice.
Closure of incisions has had to be performed with needle and silk—a wasteful, tedious, and often bloody procedure. The use of suture clips was contraindicated for several reasons. 1. The teeth are large, leaving scars. 2. The bodies of the clips saddle high over the skin, preventing pressure dressings. 3. They are painful.
Close examination of the Michel clip reveals that the teeth are large in cross section and in length. Their points are rounded, because they are punched out of the center of the body of the clip. Manufacture in this fashion makes for a point bearing a rounded tip, as illustrated (Fig. 1).
The suture clip illustrated here operates simply and quickly. The penetration points are approximately one-fifth the size of the penetration
BROWN ME. A Dermatologic Suture Clip. Arch Dermatol. 1961;84(4):663–666. doi:10.1001/archderm.1961.01580160127026
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