Abstract:
This article discusses the use of the skin-stretching technique (SST) to manage large soft tissue defects resulting from various causes. The other surgical techniques for closing such defects, such as pedicle flaps and free tissue flaps, are often associated with significant morbidity and cost. The SST involves progressively stretching soft tissue using an external device to reduce defect size or complete wound coverage. The article describes a simple, inexpensive, and readily available method for managing large wound defects using clasps and rubber bands. The article also highlights the potential complications associated with SST such as skin necrosis, pin site infection, wound dehiscence, infection, and pain. Overall, SST is a promising alternative for the management of large soft tissue defects that are not amenable to direct suturing.
摘要:
本文讨论了使用皮肤拉伸技术(SST)来处理由各种原因引起的大型软组织缺损。其他闭合这些缺陷的手术技术,如蒂皮瓣和游离组织皮瓣,通常与显著的发病率和成本有关。SST涉及使用外部装置逐渐拉伸软组织以减小缺损尺寸或完全伤口覆盖。这篇文章描述了一个简单的,便宜,以及使用扣钩和橡皮筋处理大伤口缺陷的现成方法。文章还强调了与SST相关的潜在并发症,如皮肤坏死,针状部位感染,伤口裂开,感染,和痛苦。总的来说,SST是治疗不适合直接缝合的大型软组织缺损的有希望的替代方法。