One-stage circumferential limb ring constriction release and direct circular skin closure in amniotic band syndrome: a 14-case series

Dufournier, Benjamin; Guéro, S.; Tienda, Marine De; Dana, Caroline; Garcelon, Nicolas; Glorion, Christophe; Salon, A.; Pannier, Stéphanie

doi:10.1016/j.otsr.2020.06.009

Cited by 7 publications

(11 citation statements)

References 8 publications

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“…The one-stage release technique has the advantage of avoiding repeat anesthesia, painful postoperative care, and a lower hospital admission rate. [ 16 ]…”

Section: Discussionmentioning

confidence: 99%

“…In our experience, superficial ABS in young children do not deepen with growth. The one-stage release technique has the advantage of avoiding repeat anesthesia, painful postoperative care, and a lower hospital admission rate [16] …”

Section: Discussionmentioning

confidence: 99%

“…[16] Z-plasties would increase scars, and the linear, circular incision will reduce it. [16] There is no contracture with growth since complete release, and circular incision converted the deep constriction rings into superficial scars. Superficial scars and ABS in children do not deepen with growth.…”

Section: Discussionmentioning

confidence: 99%

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Clinical assessment of the results of one-stage circular incision techniques for limb ring constriction due to amniotic band syndrome

Wang

Fang

2021

Medicine

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Background: Amniotic band syndrome (ABS) is a congenital malformation that results in abnormalities in many parts of the body. Most surgical treatments for ABS used multi-stage Z-plasties. The purpose of this study was to assess the clinical results of onestage circular incision techniques for limb ring constriction due to amniotic band syndrome.Methods: We reviewed 27 patients with limb ring constriction in ABS from 2010 to 2020. The mean ages of the patients were 11.7 months (range, 0-72 months). The complete circular incision release the ABS. All patients' operations were used one-stage circular incision surgical techniques, including patients with multiple bands. All the patients were followed up with a period ranges from 2 years to 10 years. Patient-reported visual analog scale (VAS) scar ranking on a scale of 0 (minimum satisfaction) to 10 (maximum satisfaction) were used to evaluate esthetic outcomes.Results: After our surgery, all the limbs, toes, and fingers were rescued, and the lymphedema reduced remarkably. The VAS scores (mean ± SD) for patient satisfaction were 7.55 ± 1.89. The surgical treatment of amniotic band syndrome in a one-stage circular incision is safe and effective. Conclusion:The one-stage circular incision surgical techniques have many advantages, including reduced surgical invasiveness, scar formation, and the cost of treatment.

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“…The one-stage release technique has the advantage of avoiding repeat anesthesia, painful postoperative care, and a lower hospital admission rate. [ 16 ]…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical assessment of the results of one-stage circular incision techniques for limb ring constriction due to amniotic band syndrome

Wang

Fang

2021

Medicine

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“…12 However, one-stage circumferential band release has become increasingly popular and has not been found to increase risk for ischemic complications or venous congestion. 20,22,30 At the authors’ institution, one-stage circumferential excision is performed. Resection should include the tight band itself and neighboring skin where subcutaneous thickness begins to decline, ensuring adequate soft tissue remains to close without tension.…”

Section: Presentation and Management By Locationmentioning

confidence: 99%

“…Indications for earlier release of the bands at an age younger than 3 to 6 months include vascular compromise and severe lymphedema. 20,21 In addition, signs of nerve compression warrant intervention within the first week of life, as early intervention has been shown to optimize chances for recovery of function. 21 Electromyographic and nerve conduction studies can be used to track clinical response to early nerve decompression 22 (Table 2).…”

Section: Operative Timingmentioning

confidence: 99%

Amniotic Band Syndrome: Head-to-Toe Manifestations and Clinical Management Guidelines

Inglesby

Janssen

Graziano

et al. 2023

Plastic &Amp; Reconstructive Surgery

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Learning Objectives: After studying this article, the participant should be able to: 1. Understand and describe the basic principles underlying the intrinsic versus extrinsic proposed mechanisms for the development of amniotic band syndrome (ABS). 2. Discuss risk factors and conditions that are associated with the development of ABS. 3. Understand the various presentations and associated clinical implications of ABS by anatomic location. 4. Describe the basic tenets underlying various repair technique options for ABS of the extremities. 5. Discuss the common manifestations of ABS in the face and trunk. 6. Understand clinical implications of fetoscopic surgery as it relates to ABS treatment as a novel method for limb salvage in utero. Summary: Amniotic band syndrome (ABS) refers to the development of constrictive bands of fibrotic tissue in utero. It can lead to a variety of clinical manifestations after delivery. There is much debate in the plastic surgery community regarding the exact pathophysiologic mechanism for the development of ABS, and the most appropriate management. This CME article aims to provide an overview of ABS manifestations throughout the body, and to expound on the most recent advances in anticipatory and definitive management of the condition.

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Early release of constricting amniotic band of the lower limb followed by reconstruction using multiple Z-plasty

Alabdrabalnabi

Elsaid

AlSinan

et al. 2021

Journal of Pediatric Surgery Case Reports

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One-stage circumferential limb ring constriction release and direct circular skin closure in amniotic band syndrome: a 14-case series

Cited by 7 publications

References 8 publications

Clinical assessment of the results of one-stage circular incision techniques for limb ring constriction due to amniotic band syndrome

Clinical assessment of the results of one-stage circular incision techniques for limb ring constriction due to amniotic band syndrome

Amniotic Band Syndrome: Head-to-Toe Manifestations and Clinical Management Guidelines

Early release of constricting amniotic band of the lower limb followed by reconstruction using multiple Z-plasty

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