The pulley stitch is especially useful as a suture that can be left in place or removed and to reduce surface area of large defects, particularly on the leg or scalp, dermatologic surgeon Kelley Pagliai Redbord said, speaking at the Atlantic Dermatological Conference. The technique reduces risk of skin damage from pressure necrosis, and knot slippage is prevented by a second loop. Redbord also described the subcutaneous inverted cross mattress stitch, which includes the buried pulley stitch and the vertical mattress stitch.

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