Experience with the skin stretching device
Identifieur interne : 00C081 ( Main/Exploration ); précédent : 00C080; suivant : 00C082Experience with the skin stretching device
Auteurs : M. Signorini [Italie] ; D. Blandini [Italie] ; G. Rafanelli [Italie] ; M. Colonna [Italie] ; P. Candiani [Italie]Source :
- European Journal of Plastic Surgery [ 0930-343X ] ; 1996-03-01.
Abstract
Abstract: The skin stretching device was designed to harness the biomechanical properties of the skin in order to close large cutaneous defects by direct closure, without the need of other more complicated techniques such as skin grafts or flaps. The authors present their experience with 31 patients in whom the device was used to repair defects produced by excision of lesions of different nature, size, and body areas, six cases are presented. The main defect of the method, i.e. the increase of intraoperative time to allow for tissue stretching, should be avoidable most of the time by applying the device preoperatively under local anesthesia. The importance of not undermining during this procedure is stressed; the objective parameters to evaluate are analyzed, such as colour and tension of the skin. The complication rate was very acceptable, there was only one infection and one marginal necrosis that healed without further interventions. The described technique appears safe and easy to perform, and produces a good short-term result.
Url:
DOI: 10.1007/BF00207916
Affiliations:
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Signorini</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Institute of Plastic and Reconstructive Surgery, University of Milan, Milano</wicri:regionArea><wicri:noRegion>Milano</wicri:noRegion></affiliation></author><author><name sortKey="Blandini, D" sort="Blandini, D" uniqKey="Blandini D" first="D." last="Blandini">D. Blandini</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Institute of Plastic and Reconstructive Surgery, University of Milan, Milano</wicri:regionArea><wicri:noRegion>Milano</wicri:noRegion></affiliation></author><author><name sortKey="Rafanelli, G" sort="Rafanelli, G" uniqKey="Rafanelli G" first="G." last="Rafanelli">G. Rafanelli</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Institute of Plastic and Reconstructive Surgery, University of Milan, Milano</wicri:regionArea><wicri:noRegion>Milano</wicri:noRegion></affiliation></author><author><name sortKey="Colonna, M" sort="Colonna, M" uniqKey="Colonna M" first="M." last="Colonna">M. Colonna</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Institute of Plastic and Reconstructive Surgery, University of Milan, Milano</wicri:regionArea><wicri:noRegion>Milano</wicri:noRegion></affiliation></author><author><name sortKey="Candiani, P" sort="Candiani, P" uniqKey="Candiani P" first="P." last="Candiani">P. Candiani</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Institute of Plastic and Reconstructive Surgery, University of Milan, Milano</wicri:regionArea><wicri:noRegion>Milano</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">European Journal of Plastic Surgery</title><title level="j" type="abbrev">Eur J Plast Surg</title><idno type="ISSN">0930-343X</idno><idno type="eISSN">1435-0130</idno><imprint><publisher>Springer-Verlag</publisher><pubPlace>Berlin/Heidelberg</pubPlace><date type="published" when="1996-03-01">1996-03-01</date><biblScope unit="volume">19</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="63">63</biblScope><biblScope unit="page" to="68">68</biblScope></imprint><idno type="ISSN">0930-343X</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0930-343X</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: The skin stretching device was designed to harness the biomechanical properties of the skin in order to close large cutaneous defects by direct closure, without the need of other more complicated techniques such as skin grafts or flaps. The authors present their experience with 31 patients in whom the device was used to repair defects produced by excision of lesions of different nature, size, and body areas, six cases are presented. The main defect of the method, i.e. the increase of intraoperative time to allow for tissue stretching, should be avoidable most of the time by applying the device preoperatively under local anesthesia. The importance of not undermining during this procedure is stressed; the objective parameters to evaluate are analyzed, such as colour and tension of the skin. The complication rate was very acceptable, there was only one infection and one marginal necrosis that healed without further interventions. The described technique appears safe and easy to perform, and produces a good short-term result.</div></front></TEI><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Signorini, M" sort="Signorini, M" uniqKey="Signorini M" first="M." last="Signorini">M. Signorini</name></noRegion><name sortKey="Blandini, D" sort="Blandini, D" uniqKey="Blandini D" first="D." last="Blandini">D. Blandini</name><name sortKey="Candiani, P" sort="Candiani, P" uniqKey="Candiani P" first="P." last="Candiani">P. Candiani</name><name sortKey="Colonna, M" sort="Colonna, M" uniqKey="Colonna M" first="M." last="Colonna">M. Colonna</name><name sortKey="Rafanelli, G" sort="Rafanelli, G" uniqKey="Rafanelli G" first="G." last="Rafanelli">G. Rafanelli</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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