Capo J, Liporace F, Yingling JM, et al. - Near traumatic lacerations or surgical incisions in edematous tissue beds, multiple small relaxing skin incisions oriented parallel to the longitudinal axis (so-called "pie-crusting") have been used for accomplishing primary closure when edema or skin loss would otherwise have made this challenging. Researchers here aimed at providing biomechanical evidence that pie-crusting reduces wound closure tension. Further, they presented a case series with data showing clinical results. They conducted a biomechanical cadaveric study and retrospective small series cohort utilizing 16 porcine limbs and 7 patients with 8 wounds in which pie-crusting was done. As per the biomechanical data, the wound closure tension significantly decreases with pie-crusting the wound with both a single and double row of incisions. All wounds in the patient cohort closed and healed well with no complications at average follow-up (average 18 months) when an average of 3.5 parallel layers of pie-crusting was used at the time of definitive closure.