Lee Jun Won, Park Seong Hoon, Lee Seong Joo, Kim Seong Hwan, Jeong Hii Sun, Suh In Suck
Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
Arch Craniofac Surg. 2018 Sep;19(3):235-239. doi: 10.7181/acfs.2018.01998. Epub 2018 Sep 20.
Intraoperative expansion has been used to cover small to large defects without disadvantages of the conventional tissue expanders. Various materials, for example, expanders and Foley catheters are being used. We introduce a new, convenient and economical device immediately available in the operating room, according to the defect size for intraoperative expansion, with latex gloves or balloons. The retrospective study was done with 20 patients who presented with skin and soft tissue defects. During the operation, expansion was done with latex gloves or balloons inflated with saline through an intravenous line and a three-way stopcock. After the inflation, the glove was removed and skin was covered with expanded tissue. A careful decision was made regarding the inflation volume and placement of the expander according to the defect size. There were no postoperative complications. The skin contracture and tension was minimal with a texture similar to the adjacent tissue. The new intraoperative expansion devices with latex gloves and balloons were cheap and made easily right in the operation room. The reconstruction of small to large sized skin defects can be done successfully, functionally and aesthetically without using expensive commercial materials.
术中扩张已被用于覆盖从小型到大型的缺损，而不存在传统组织扩张器的缺点。正在使用各种材料，例如扩张器和 Foley 导管。我们根据缺损大小，介绍一种新的、方便且经济的设备，可在手术室立即使用，该设备由乳胶手套或球囊组成用于术中扩张。对 20 例有皮肤和软组织缺损的患者进行了回顾性研究。在手术过程中，通过静脉输液管和三通旋塞用生理盐水充盈乳胶手套或球囊进行扩张。充盈后，移除手套，用扩张的组织覆盖皮肤。根据缺损大小，对扩张器的充盈量和放置位置进行了谨慎的决策。术后无并发症。皮肤挛缩和张力最小，质地与相邻组织相似。带有乳胶手套和球囊的新型术中扩张设备价格便宜，可在手术室轻松制作。无需使用昂贵的商业材料，即可成功地在功能和美学上完成从小型到大型皮肤缺损的修复。
