Details:

Alternative Title:
Ann Plast Surg
Personal Author:
Cheng, Li-Fu; Lee, Jiunn-Tat; Hsu, Honda; Wu, Meng-Si;
Cheng, Li-Fu; Lee, Jiunn-Tat; Hsu, Honda; Wu, Meng-Si; Less -
Description:
Background Numerous conventional wound reconstruction methods such as wound undermining with direct suture, skin graft, and flap surgery can be used to treat large wounds. The adequate undermining of the skin flaps of a wound is a commonly used technique for achieving the closure of large tension wounds; however, the use of tension to approximate and suture the skin flaps can cause ischemic marginal necrosis. The purpose of this study is to use elastic rubber bands to relieve the tension of direct wound closure for simultaneously minimizing the risks of wound dehiscence and wound edge ischemia that lead to necrosis. Materials and Methods This retrospective study was conducted to evaluate our clinical experiences with 22 large wounds, which involved performing primary closures under a considerable amount of tension by using elastic rubber bands in a skin-stretching technique following a wide undermining procedure. Assessment of the results entailed complete wound healing and related complications. Results All 22 wounds in our study showed fair to good results except for one. The mean success rate was approximately 95.45%. Conclusion The simple skin-stretching design enabled tension-free skin closure, which pulled the bilateral undermining skin flaps as bilateral fasciocutaneous advancement flaps. The skin-stretching technique was generally successful.
Subject:
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Adult
Aged
Aged, 80 And Over
Article
Dermatologic Surgical Procedures
Elastic Rubber Bands
Female
Humans
Ischemia
Male
Middle Aged
Necrosis
Negative-Pressure Wound Therapy
Reconstructive Surgical Procedures
Retrospective Studies
Simple Skin-stretching Device
Surgical Flaps
Surgical Wound Dehiscence
Suture Techniques
Tension-free Wound Closure
Tension-relief Wound Closure
Treatment Outcome
Wound Closure Techniques
Wound Healing

Source:
Ann Plast Surg. 78(3 Suppl 2):S52-S57.;
Pubmed ID:
28195891
Pubmed Central ID:
PMC5357159
Document Type:
Journal Article;
Funding:
R49 CE123228/CE/NCIPC CDC HHS/United States;
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:416d42abed20e47f28ad857dca65876ebaa7c1d1b3b73990723622cd8661dc2a
File Type:

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