EASApprox® skin-stretching system: A secure and effective method to achieve wound closure

Song, Mingzhi; Zhang, Zhen; Liu, Tao; Liu, Song; Li, Gang; Liu, Zhaochang; Huang, Jing‐Yang; Song, Chunli; Li, Linan; Guo, Li; Qiu, Yang; Wan, Jiajia; Liu, Yuejian; Wu, Tao; Wang, Xiaoyong; Lu, Ming; Wang, Shouyu

doi:10.3892/etm.2017.4539

Cited by 16 publications

(16 citation statements)

References 25 publications

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“…Risk of alveolar osteitis development after extraction is higher in open healing ( 28 ). Wound healing, including pain, is worse when a high-tension wound is sutured ( 29 ). Disintegration of some stitches after a while in the control side, rather than the study side, indicates a greater tension on the wound edges in this group.…”

Section: Discussionmentioning

confidence: 99%

Effect of lingual-based flap design on postoperative pain of impacted mandibular third molar surgery: Split-mouth randomized clinical trial

Hassan¹,

Al‐Khanati²,

Bahhah³

2020

Med Oral

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Background The extraction of third molars is one of the most common procedures in oral and maxillofacial surgery clinic. Surgical extraction involves the manipulation of both soft and hard tissues, so the patient usually experiences pain, swelling, and trismus in the immediate post-operative period. Several studies have been conducted using different types of surgical flaps to provide access with the least possible damage of soft tissues. Designing and implementing an optimum flap, which provides easier technique, better visibility, minimal post-operative complications, and best healing, is an aspired goal of every oral surgeon. This study aimed to compare lingual-based four-cornered flap with conventional triangular flap, and to evaluate its effect on post-operative pain after surgical extraction of impacted lower third molars. Material and Methods Seventeen patients (age ranged from 19 to 26 years) with bilateral, symmetrical impacted lower third molars (n=34) were included in the study. This was a randomized clinical trial with a split-mouth design. The impacted molars were assigned randomly, by coin flipping, to two groups: Case side with lingual-based four-cornered flap (Group A), and control side with conventional triangular flap (Group B). Away from the incision, the prognosis, surgical intervention, and postoperative procedures were exactly the same for the two groups. Postsurgical pain was assessed for 5 days using visual analogue scale (VAS) and by recording patients need for analgesics on a daily basis. Patients were also evaluated via a self-reporting questionnaire, i.e. Postoperative Symptoms Severity (PoSSe) scale, administered on the seventh postoperative day. Results Pain scores recorded in Group A were found to be significantly lower as compared to pain scores in Group B in the 5 postoperative days ( P <0.05). Total analgesic intake in Group B was significantly higher ( P <0.05). PoSSe scores were lower in Group A, however, this difference was insignificant ( P >0.05). Conclusions According to the data of the current study and within its limits, it appeared that lingual-based four-cornered flap design was superior to the conventional triangular flap regarding the postsurgical discomfort and pain. Key words: Impaction, third molar surgery, flap design, pain, PoSSe scale, split-mouth, RCT.

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Section: Discussionmentioning

confidence: 99%

Effect of lingual-based flap design on postoperative pain of impacted mandibular third molar surgery: Split-mouth randomized clinical trial

Hassan¹,

Al‐Khanati²,

Bahhah³

2020

Med Oral

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“…Wound closure with over-tension could disturb the blood circulation of the skin edge and result in wound dehiscence or skin necrosis. A pinch test is a simple method and has a correlation to the actual skin tension of the defect which is measured by a tension gauge 3 . In the present study, there was only one severe wound complication that delayed adjuvant therapy caused by high tension of the sutured skin in both groups.…”

Section: Discussionmentioning

confidence: 99%

Rhomboid Flap Reconstruction after Mastectomy for Locally Advanced Breast Cancer

2021

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Background: In cases of mastectomy for locally advanced breast cancer (LABC), surgical skin flap reconstruction is sometimes required to cover large skin defects. In this study of patients with LABC, the patient group that required local flap reconstruction after mastectomy and the patient group that underwent mastectomy alone were compared to evaluate the efficacy of local, cutaneous (rhomboid) flap reconstruction after mastectomy. Methods: Sixty-eight patients with LABC who underwent mastectomy were reviewed retrospectively. Fourteen patients underwent local (rhomboid) flap reconstruction after mastectomy (local flap group) and 54 patients underwent direct closure after mastectomy (direct closure group). A pinch test was performed to determine the closure method. Data regarding the operation and post-operative complications and quality of life (QOL) were compared between both groups. Results: It was possible to close defects in the local flap group that were significantly larger than those in the direct closure group (p=0.0002), and there were no significant differences in post-operative complications between the groups. Although the operative duration was significantly longer in the local flap group than in the direct closure group (p=0.016), the average difference was only 25 minutes. There were no significant differences in factors pertaining to post-operative QOL. Conclusions: Rhomboid flap reconstruction is effective for covering large defects after mastectomy in patients with LABC.

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“…In 1993, Hirschowitz et al firstly described an external skin-stretching device which harnesses the viscoelastic properties of the skin to close open wounds [ 13 ]. Since then, many modifications, such as SureClosure®, Wiseband®, and TopClosure®, have been introduced and reported by different authors and obtained acceptable outcomes [ 7 – 10 , 12 , 15 , 25 , 29 ] (Table 2 ). However, due to geographical, economical, or other special factors, many of them are not used in many hospitals or countries.…”

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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EASApprox® skin-stretching system: A secure and effective method to achieve wound closure

Cited by 16 publications

References 25 publications

Effect of lingual-based flap design on postoperative pain of impacted mandibular third molar surgery: Split-mouth randomized clinical trial

Effect of lingual-based flap design on postoperative pain of impacted mandibular third molar surgery: Split-mouth randomized clinical trial

Rhomboid Flap Reconstruction after Mastectomy for Locally Advanced Breast Cancer

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

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