Modified technique of securing the running subcuticular suture with the Aberdeen knot in wound apposition

The key to obtaining an aesthetically pleasing scar is to achieve sound and secure wound apposition with minimal tension across the sutured wound. In lengthy wounds, secure wound apposition using the subcuticlar approach may be challenging, and wound breakdown in the post-operative phase is not an uncommon complication. To provide a solution to this problem, we describe a simple and practical suturing technique that approximates the wound effectively and in a secure manner to produce greater tensile strength without compromising the ideals of achieving a cosmetically pleasing scar. The authors have observed a significantly improved cosmetic result using this approach. This technique offers a consistent, simple and quick solution to closing wounds securely with an excellent cosmetic result.