Outcomes of simple looped self-removable sutures in minor dermatological procedures

Conventional skin sutures need to be removed after a week or two, requiring a second visit from the patient as well as apprehension in both adult and pediatric cases due to the use of a surgical blade. We evaluated a “self-removable” suturing technique that allows patients or healthcare providers to remove sutures easily without sharp instruments. This knot involves a modified double throw with a remnant loop, enabling removal of the suture by gentle traction. In a pilot study of 16 patients undergoing minor dermatologic procedures, 11/14 (78.6%) sutures were successfully self-removed by the patient attendant under supervision. One had to be removed by physician and two had loosened before removal. Two patients were lost to follow-up. No gaping or delayed healing was noted.