The use of a skin-stretching device combined with vacuum sealing drainage for closure of a large skin defect: a case report

Lei, Ying; Liu, Lei; Du, Si-Heng; Zong, Zhaowen; Zhang, Lianyang; Qing-shan, Guo

doi:10.1186/s13256-018-1779-8

Cited by 8 publications

(6 citation statements)

References 9 publications

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“… 17 Skin graft, local flap, free tissue transfer procedure, or various combinations of the aforementioned options have been used to close large defects. 5 , 6 , 10 , 11 , 17 – 22 In-depth studies of the biomechanical characteristics of the skin have facilitated the development of mechanical devices to enable the closure of large cutaneous defects that cannot be sutured directly. These devices can downgrade the surgical complexity, reduce operating time and shorten the hospital stay.…”

Section: Discussionmentioning

confidence: 99%

What are optimum cycles for immediate primary closure of large cutaneous defects?

Li,

Huang,

Song

et al. 2024

Science Progress

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Background: In the reconstruction of large complex cutaneous wounds, a myriad of mechanical devices has been designed to facilitate primary wound closure. However, there is a dearth of studies elucidating how best to achieve optimum use and efficiency of skin stretching (SS) when using the device for immediate primary closure of defects. Methods: Skin defect wounds (7 × 7 cm) were prepared on the back of three Bama miniature pigs. A total of 15 cycles of SS (cycle loading) were subsequently performed on the skin edges of the wound by EASApprox® SS system. Then, the changes in equidistant points were recorded after each cycle. After the SS test, all wounds were sutured under low tension. Results: Skin elongation was observed at all equidistant points on the back wounds of three Bama miniature pigs. Up to an additional 1.10 to 3.75 cm of tissue was garnered. The maximum skin elongation was typically achieved within eight cycles of stretching and relaxation. Beyond this range, additional stretching cycles did not result in further skin extension. Conclusion: There may be a close link between mobilization range and the times of acute cyclic stretching (cycle loading) during the process of primary wound closure. However, larger studies are required to further evaluate the accuracy and effectiveness.

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Section: Discussionmentioning

confidence: 99%

What are optimum cycles for immediate primary closure of large cutaneous defects?

Li,

Huang,

Song

et al. 2024

Science Progress

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“…4 For large-area skin defects that could not be completely closed in first stage, SSD combined with VSD to reduce the wound was also an option. Some research found that SSD combined with VSD treatment for diabetic foot wounds, 5 skin stress injury in elderly chronic critical patients, 6 extensive skin defect caused by explosive injury have satisfactory results, 7 and could achieve the purpose of close the defect wound, shorten the healing time and hospital stay.…”

Section: Discussionmentioning

confidence: 99%

Application of Skin-stretching Device for Closing Scalp Defect

Zhang

Xu²,

Liu³

et al. 2022

Journal of Craniofacial Surgery

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Background: The scalp defect was a clinical common constructive challenge. This research verified the efficacy of the skin-stretching device in the treatment of scalp defect and assessed the associated complications. Methods: The clinical data of 12 patients with scalp defect treated with skin-stretching device from January 2020 to January 2021 were collected. We used EASApprox skin-stretching device for the treatment of scalp defect. We described a detailed reconstruction procedure for this treatment. We collected the site, distance from wound edge and other characteristics of the wound, and recorded the number of stretching cycles, operation time, closed state, healing time, and observed postoperative complications and wound healing status. Results: In this research, the scalp defect was mainly caused by pressure ulcer, and mainly located in the parietooccipital site. The average distance from wound edge was 3.2 cm, the average stretching cycles was 4.2 times during the operation, and the average operation time was 43.5 minutes. Ten patients were directly sutured after stretching, and 2 patients underwent first-stage stretching to reduce the wound. The average time of wound healing was 13.5 days. Postoperative follow-up of 3 months, no patients had wound tear, necrosis, 1 patient suffered from wound exudation and infection due to poor nutrition. Skin function and final scar was acceptable. Conclusion: The treatment of skin-stretching device was effective for scalp defect and has the advantages of convenient operation, acceptable functional results, without severe complications. In addition to traditional treatment, this was a promising treatment. However, more clinical and preclinical research of the skin-stretching device were required.

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“…Currently, many surgical methods such as skin graft, local flap, free tissue transfer procedure, tissue expansion, or various combinations of the aforementioned options have been used to close these large defects following tumor resection [ 6 – 8 , 10 – 13 , 22 – 26 ]. Of these methods, tissue expansion procedure may be a promising, cost-effective treatment option [ 22 , 24 – 26 ]. It significantly downgrades surgical complexity, reduces operating time, and shortens hospital stay.…”

Section: Discussionmentioning

confidence: 99%

A novel skin-stretching device for closing large skin-soft tissue defects after soft tissue sarcoma resection

Shao

et al. 2020

World J Surg Onc

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Background Closure of large skin-soft tissue defects following soft tissue sarcoma (STS) resection has been a great challenge. The objective of this study was to evaluate the effectiveness of a novel, simple, and cheap skin-stretching device (bidirectional regulation-hook skin closure system, BHS) for closing large skin-soft tissue defects resulting from the removal of STS and the complications associated with the use of the BHS. Methods From January 2017 to September 2018, 25 patients with STS underwent BHS therapy after tumor resection. BHS was used for two main clinical applications: securing wound closure after high-tension suture closure and delayed wound closure. We described a detailed reconstruction procedure regarding this therapy. Wound closure and complications associated with BHS therapy were recorded. We also analyzed tumor recurrence and metastases. Results All patients were observed for 16–36 months with an average follow-up of 25.6 months. During the follow-up period, no significant functional restriction was observed and the final scar was aesthetically acceptable. Superficial wound infection occurred in six patients, wound edge ischemia in two patients, and small skin tears in two patients. Two patients developed pulmonary metastasis, two patients had a local recurrence, and one patient died of pulmonary metastasis. Conclusions BHS therapy can effectively close large skin-soft tissue defects following STS resection and obtain acceptable functional results, without severe complications. However, larger studies are required to further evaluate the effectiveness, indications, and complications of BHS therapy.

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The use of a skin-stretching device combined with vacuum sealing drainage for closure of a large skin defect: a case report

Cited by 8 publications

References 9 publications

What are optimum cycles for immediate primary closure of large cutaneous defects?

What are optimum cycles for immediate primary closure of large cutaneous defects?

Application of Skin-stretching Device for Closing Scalp Defect

A novel skin-stretching device for closing large skin-soft tissue defects after soft tissue sarcoma resection

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