A Novel Purse-String Suture and Dehydrated Human Amnion/Chorion Membrane Allograft Closure Technique for the Repair of Defects Following Mohs Micrographic and Excisional Surgery

Four elderly patients with multiple comorbidities, polypharmacy, and social issues requested surgical management of sizeable, symptomatic skin cancers: basal cell carcinomas (BCC), squamous cell carcinoma (SCC), and melanoma. All patients desired closure methods that would avoid extensive reconstruction and minimize wound care responsibilities. In this retrospective case series, we investigated outcomes, cosmesis, and ease of wound care following reconstruction with combination of purse-string suture and single application dehydrated human amnion/chorion membrane allograft (dHACM) closure technique for the repair of MMS and excisional surgery defects in a medically fragile patient population.