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Surface stitches following the
removal of a skin cancer of the left cheek. This picture was taken
within ten minutes of placing the stitches and the whitish nature
of the skin is due to the injected local anesthetic that contains
adrenaline, which causes the blood vessels to automatically clamp
down so that bleeding is reduced during and following surgery.
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Close-up of the same patient seen
in picture 8T. The stitch is called a running cuticular suture. It
is made of an inert material called polypropylene, which the author
prefers to use. Polypropylene is only one filament so that germs cannot
hide in between many little filaments like stitches made of silk and
certain types of nylon.
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