What is the primary purpose of using bolsters with retention sutures?

The primary purpose of using bolsters with retention sutures is to prevent tissue damage. Retention sutures are typically used in situations where additional support is needed to hold tissues together, especially in areas where normal suturing techniques might not provide adequate strength. By integrating bolsters, which are usually made from soft, wide materials, the pressure from the sutures is distributed more evenly across the tissue surface. This helps to reduce localized stress and tension on the skin and underlying structures, therefore minimizing the risk of tissue necrosis or damage that can result from too-tight sutures.

While enhancing cosmetic appearance, minimizing scarring, and reducing infection risk are important considerations in wound management, the immediate function of bolsters is centered on protecting the integrity of the tissue and providing stable support during the healing process.