Circular excision and "purse string suture" is appropriate for prominent hemangiomas with predominant deep component.
Different techniques have been used to control hemostasis, including purse string suture, square suture, endo-loop, electrocoagulation, and devascularization.
Fourteen patients with nasal hemangioma were treated during 5-year period (2003 2007) with intralesional corticosteroids, lenticular excision, open rhinoplasty excision, and circular excision with "purse string suture".
While refinements in apical-purse string suturing techniques have reduced bleeding complications, this remains an invasive approach in elderly frail patients.
Each tumor piece was placed into a small tissue pocket formed in the middle wall of the greater curvature of the stomach beneath the serosa in another nude mouse, and fixed using a purse string suture with 7-0 absuturese sutures.
It is an extension of the purse string suture technique where a surgical suture is passed as a running stitch in and out along the edge of a wound in such a way that when the ends of the suture are drawn tight the wound is closed.
Subsequently two 20 gauge cannulae (Becton-Dickinson, Oxford, UK) were sutured into the chosen vessels using a 3/0 prolene (Covidien, Hampshire, UK) purse string suture (Figure 1).
A lower midline abdominal incision was made to expose the urinary bladder and a polyethylene catheter (PE-50) was inserted into the dome of the urinary bladder and secured in place using a 6-0 pursene purstringing suture.
A purse string suture is tied tightly to the tube.
