Petroianu Andy
Departamento de Cirurgia, Faculdade de Medicina, Universidade Federal Minas Gerais, Brazil.
Acta Med Port. 2011 May-Jun;24(3):427-30. Epub 2011 Aug 12.
The large wounds of the body wall, due to traumas, removal of tumors or prolonged laparostomies are a difficult surgical challenge with complex treatment. This paper presents the efficacy of the closure of large surgical wounds using rubber elastic bands.
One or two circular rubber elastic bands were sutured under mean tension at the opposite edges of 22 large wounds located in different body sites. These rubber strips were replaced when they were broken or re-fixed when they have lost their tension until the complete closure of the wounds.
Complete closure was achieved without any other surgical procedure or device in 21 wounds and one wound reduced its dimensions. No major complication due to this treatment was verified.
The synthesis of large wounds with rubber elastic bands kept under mean tension is a simple, efficacious and inexpensive surgical option that may be useful for treatment in several circumstances.
由于创伤、肿瘤切除或长期剖腹手术导致的体壁大伤口是具有复杂治疗的困难手术挑战。本文介绍了使用橡胶弹力带闭合大手术伤口的疗效。
在位于不同身体部位的22个大伤口的相对边缘处以平均张力缝合一或两个圆形橡胶弹力带。当这些橡胶条断裂时进行更换，当它们失去张力时重新固定，直到伤口完全闭合。
21个伤口无需任何其他手术操作或装置即实现了完全闭合，1个伤口尺寸减小。未证实该治疗引起任何严重并发症。
用保持平均张力的橡胶弹力带闭合大伤口是一种简单、有效且廉价的手术选择，在多种情况下可能对治疗有用。
