Novel Use for Hemostatic Net in Split-thickness Skin Grafts

Pava, Liz Carolina; Mendoza, J Jurado; Martínez, D. Sáez; Rodríguez-Bermeo, Stefania; Barrios, Valeria; Gómez-Ortega, Viviana

doi:10.1097/gox.0000000000003893

Cited by 2 publications

(2 citation statements)

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“…24,25 It has been leveraged to avoid hematoma post-gynecomastia surgery and continues to find use in skin grafts, flaps, latissimus donor sites, and other breast surgeries, as well as the continued treatment of axillary hyperhidrosis. 26,27 In the realm of gynecological surgery, the Surgical Net technique is making significant contributions to the management of postpartum hemorrhage by controlling bleeding and potentially preventing hysterectomies. 28 The increasing application and myriad of uses demonstrate the Surgical Net technique's adaptability, offering new pathways for innovation and improvement in numerous surgical fields, ensuring better, safer, and more effective outcomes for patients worldwide.…”

Section: Other Applicationsmentioning

confidence: 99%

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Evolution of the Surgical Net

O'Daniel,

Kachare

2024

Facial Plast Surg

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The Surgical Net technique, originally conceptualized to mitigate postoperative hematomas, has evolved into a versatile tool, transcending its initial purpose, and signaling a new era of surgical innovation. This article provides a comprehensive overview of the Surgical Net's journey from a targeted solution to a multifaceted surgical asset and explores its burgeoning applications, challenges, and future trajectories. Despite early reluctance due to anatomical concerns and unfamiliarity with the novel technique, the Surgical Net’s consistent success in various surgical contexts from facial surgeries to gynecological applications has catalyzed its widespread global adoption. The technique’s integration of the progressive tension method and enhanced skin redraping capabilities underscores its contribution to optimal aesthetic outcomes and improved surgical control. Noteworthy is its role in the innovative concept of gliding surgery, marked by procedures like the gliding brow lift and Glidelift, demonstrating the Surgical Net’s adaptability and effectiveness in diverse surgical environments. Contributions from international surgeons have expanded its applications to areas like axillary space obliteration post breast implant, postmastectomy closure, and the management of postpartum hemorrhage, showcasing the Surgical Net's global impact and universal commitment to optimizing surgical outcomes. The article delves into the anatomical considerations essential for adapting the Surgical Net technique to various surgical contexts, emphasizing the need for continuous research, clinical trials, and multidisciplinary collaboration to navigate emerging challenges and ensure its sustained efficacy and safety. In conclusion, the article highlights the Surgical Net technique’s unwavering potential for further advancements, greater procedural efficiency, and the continued elevation of patient care standards. The consistent evolution of its applications, paired with a dedicated approach to addressing emergent challenges, reinforces the Surgical Net’s enduring contribution to surgical innovation and global patient welfare.

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Section: Other Applicationsmentioning

confidence: 99%

“…24,25 It has been leveraged to avoid hematoma after gynecomastia surgery and continues to find use in skin grafts, flaps, latissimus donor sites, and other breast surgeries, as well as the continued treatment of axillary hyperhidrosis. 26,27 In the realm of gynecological surgery, the Evolution of the Surgical Net ODaniel, Kachare…”

Section: Other Applicationsmentioning

confidence: 99%

Evolution of the Surgical Net

O'Daniel,

Kachare

2024

Facial Plast Surg

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Establishment of Safety of Hemostatic Net Application Utilizing Laser-Assisted Fluorescence Angiography With SPY-Q Software Analysis

Kachare

Moore

Little

et al. 2023

Aesthetic Surgery Journal

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Background The hemostatic net, which was initially described as a method to decrease hematoma rates in face/neck lift procedures, has since increased in practice and applicability. However, despite its demonstrated safety and efficacy, there exists significant skepticism with regards to its necessity; in particular, there is concern that the transcutaneous sutures may restrict dermal perfusion. Objectives The goal of this study was to assess flap perfusion, both pre- and post- the application of the hemostatic net, to determine if there is an objective decrease in tissue perfusion in relation to application of the hemostatic net, as measured by laser-assisted angiography (LAA). Methods Eight patients underwent cervicofacial flap reconstruction of cutaneous malignancy defects, after which a hemostatic net was applied. All patients underwent evaluation with LAA both pre- and post- the application of the net. The average relative and absolute perfusion of different zones of the flap were calculated. Results The average absolute change in relative perfusion was +6.41%, +0.31%, and +3.28% for zones 1, 2, and 3, respectively, after application of the hemostatic net. There was no statistical difference in relative tissue perfusion after application of the net. There were no instances of delayed healing, infections, ischemia, necrosis, or hematoma. One patient developed a seroma after the net was removed. No patients had scarring or residual track marks from the transcutaneous sutures. Conclusions With the use of LAA, we were able to objectively demonstrate no significant decrease in tissue perfusion after the application of the hemostatic net.

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Novel Use for Hemostatic Net in Split-thickness Skin Grafts

Cited by 2 publications

References 4 publications

Evolution of the Surgical Net

Evolution of the Surgical Net

Establishment of Safety of Hemostatic Net Application Utilizing Laser-Assisted Fluorescence Angiography With SPY-Q Software Analysis

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