Sabaghzadeh Amir, Biglari Farsad, Pourmahmoudian Mohammad, Azizifarsani Hamidreza, Kafiabadi Meisam Jafari
Department of Orthopedic Surgery, Clinical Research Development Unit of Shohada-e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Anesthesiology, School of Medicine, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Trauma Case Rep. 2023 Aug 21;47:100915. doi: 10.1016/j.tcr.2023.100915. eCollection 2023 Oct.
This article discusses the use of the skin-stretching technique (SST) to manage large soft tissue defects resulting from various causes. The other surgical techniques for closing such defects, such as pedicle flaps and free tissue flaps, are often associated with significant morbidity and cost. The SST involves progressively stretching soft tissue using an external device to reduce defect size or complete wound coverage. The article describes a simple, inexpensive, and readily available method for managing large wound defects using clasps and rubber bands. The article also highlights the potential complications associated with SST such as skin necrosis, pin site infection, wound dehiscence, infection, and pain. Overall, SST is a promising alternative for the management of large soft tissue defects that are not amenable to direct suturing.
本文讨论了使用皮肤拉伸技术(SST)来处理由各种原因导致的大面积软组织缺损。用于闭合此类缺损的其他外科技术,如带蒂皮瓣和游离组织皮瓣,常常伴随着显著的发病率和成本。SST包括使用外部装置逐步拉伸软组织,以减小缺损尺寸或实现伤口的完全覆盖。本文描述了一种使用扣环和橡皮筋处理大面积伤口缺损的简单、廉价且易于获得的方法。本文还强调了与SST相关的潜在并发症,如皮肤坏死、针道感染、伤口裂开、感染和疼痛。总体而言,SST是处理无法直接缝合的大面积软组织缺损的一种有前景的替代方法。