key: cord-0923873-o92ifkzk authors: Roybal, Lacey L.; Howerter, Stephanie; Markus, Brandon; Young, John; Lear, William title: Use of a novel adhesive suture retention wound closure device to prevent patient follow-up visits during COVID-19 pandemic date: 2020-05-01 journal: JAAD case reports DOI: 10.1016/j.jdcr.2020.04.032 sha: 656d6c64ac7e682848e9dea5b884351b0738a81d doc_id: 923873 cord_uid: o92ifkzk nan Conflicts of interest: Dr Lear is a shareholder in SUTUREGARD (SUTUREGARD Medical, 19 Portland, OR). The rest of the authors have no conflicts to disclose. 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 Introduction 86 The outbreak of the novel coronavirus ( COVID-19, SARS-COV-2) has resulted in most states 87 recommending reduction of patient interactions for non-urgent conditions. Recommendations 88 continue to evolve in terms of practice guidelines and many state and consensus guidelines 89 recommend minimizing non-urgent procedures and patient contact in order to conserve personal 90 protective equipment and limit patient and physician exposure. 1 She underwent wide local excision with 5.0 mm margins with a resulting 3.0 cm wide by 7.5 cm 130 long defect. The wound could not be easily approximately with digital pressure (Fig 4) . In order to avoid a flap or graft closure and to eliminate her need for a future suture removal, we decided 132 to use the ARS device. The skin around the defect was cleaned and dried. An ARS strip was 133 applied to the middle portion on each side of the wound (Fig 5) . A 2-0 nylon retention suture was 134 used to suture through the central holes of the ARS device using a simple interrupted pattern. The ARS device and retention suture resulted in a linear wound under minimal tension (Fig 6) . for epidermal closure (Fig 7) . After 21 days, the patient was easily able to remove the ARS 139 device and 2-0 nylon suture at home using large bandage scissors without any wound dehiscence 140 or healing complications (Fig 8) . at home and the wound was well approximated and healing appropriately (Fig 9) . Short-Term Recommendations for Cutaneous Melanoma Management During COVID-226 National Comprehensive Cancer network Centers for Medicare 229 and Medicaid Services Emergencies/Current-Emergencies-page Q&A: The novel coronavirus outbreak causing COVID-19 Coronavirus Disease (COVID-19): A primer 235 for emergency physicians A novel adhesive suture retention device for 238 the closure of fragile skin under tension Coronavirus infections: Epidemiological, clinical and immunological 241 features and hypotheses Nonabsorbable Sutures From the Skin Fast Absorbing Gut Suture versus Cyanoacrylate Tissue Adhesive in the 246 Epidermal Closure of Linear Repairs Following Mohs Micrographic Surgery Rapid absorbing gut suture versus 2-249 ocylethylcyanoacrylate tissue adhesive in the epidermal closure of linear repairs Chronic Skin Fragility of Aging: Current Concepts in the 252 Recognition, and Management of Dermatoporosis