Sutura elástica para tratamento de grandes feridas

Abstract

The suture of extensive wounds remains a major challenge for plastic surgeons. The objec tive of this article is to promote use of elastic sutures as an effective procedure for the closure of extensive wounds. Fourteen patients presenting with extensive wounds caused by trauma in the lower limbs were included in the study. The entire wound was sutured in eachpatientwithatwo-stepprocedure.Inthefirststep,theoppositeedgesofthewound were approximated using rubber circular elastic bands. In the second step, carried out a fewdayslater,theelasticbandswereremoved,followedbyasimplesuturewithmonofila ment nylon thread. Placement of elastic sutures proved to be a safe, functionally effective, easyt operform, and lowcost procedure for the closure of extensive wounds without using donor areas as skin grafts.

Closure of large wounds using rubber bands in rabbits

“…The biggest problem of this technique was the need of daily returns to the operating room, which made treatment difficult. Since then, the elastic band has been used in intervention of various types of wounds, including compartmental syndrome 10,11 , extensive fasciotomy wounds [12][13][14][15] , open fractures 16 , injuries from burns 17 and large wounds of the body wall 15,18 .…”

“…The use of elastic bands to traction the wound edges is an effective resource in the treatment of large wounds of the body wall [9][10][11][12][13][14][15][16][17][18] . This closure occurs by skin stretching, using the viscoelastic properties of the skin 12,13,16,18 .…”

“…This technique has been successfully used in large human chronic wounds arising from laparostomies, removal of tumors, fasciotomies, burns and trauma 15,18 . However, this is the first experimental work showing efficiency of traction of the large acute wounds edges of by anelastic rubber band on animals.…”

Uso Do Silo De Plástico Associado À Sutura Elástica No Fechamento De Ferida

“…O tratamento de feridas extensas em áreas de difícil confecção de retalhos é um grande desafio para o cirurgião 1 . A sutura da ferida utilizando elásticos estéreis foi utilizada, inicialmente, evitando fechamentos da ferida com tensão e a necessidade de 1 enxertos cutâneos 2 .…”

Pioderma gangrenoso e a sutura elástica como um coadjuvante ao tratamento

“…Em paralelo, até então não relacionado ao tratamento do PG, em 2012, foi descrita a aplicação da sutura elástica como alternativa para fechamento de feridas amplas, evitando fechamentos sob tensão ou necessidade de enxertos cutâneos para cobertura de ferimentos deixados abertos 4 .…”