Reconstruction of a Circumferential Upper Extremity Soft Tissue Defect With a Dermal Regeneration Template and Skin Grafting

ABSTRACT Objective: In clinical practice of reconstructive surgery one of the problems one routinely comes across is skin and soft tissue defects, which require coverage. Coverage of such wounds requires primary/secondary closure, skin grafting or flaps. The objective of our clinical series was to assess the efficacy of sure closure skin stretching system for closure of defects which otherwise would have required major flap cover or skin grafting. Methods: Our series included five patients with different causes and types of wound defects namely:1. Post-traumatic soft tissue defect on dorsum of hand.2. Post fasciotomy wound on leg (anterolateral aspect).3. Abdominal wound dehiscence following surgery for enterocutaneous fistula.4. Leg soft tissue defect following dehiscence of fasciocutaneous flap.5. Secondary defect following harvesting a lateral arm/forearm free flap.The device was applied to skin edges after preparing the wound under local anesthesia and the skin edges were brought together by turning the skin-stretching knob. After adequate approximation of the edges of the wound it was sutured by conventional suturing techniques.Results: All the wounds could be successfully closed using the skin stretching system in our series. The time taken for the closure ranged from 2 to 48 h. Conclusions: Sure closure skin stretching system is an effective device for closing some of the skin defects which otherwise would have required skin flaps or grafts. In all the patients wound closure could be achieved by this method and was carried out under local anesthesia. Use of this technique is simple and helps to reduce the morbidity and cost of treatment by allowing the reconstructive surgeon to avoid using major flaps or grafts.

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Reconstruction of extensive soft tissue defect of the upper extremity using the latissimus dorsi myocutaneous island flap

European Journal of Plastic Surgery ◽

10.1007/bf02892655 ◽

1989 ◽

Vol 12 (2) ◽

pp. 74-78

Author(s):

R. K. Gang

Keyword(s):

Soft Tissue ◽

Upper Extremity ◽

Latissimus Dorsi ◽

Soft Tissue Defect ◽

Island Flap ◽

Tissue Defect

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Use of a Dermal Regeneration Template Wound Dressing in the Treatment of Combat-Related Upper Extremity Soft Tissue Injuries

The Journal Of Hand Surgery ◽

10.1016/j.jhsa.2016.08.015 ◽

2016 ◽

Vol 41 (12) ◽

pp. e453-e460 ◽

Cited By ~ 9

Author(s):

Ian L. Valerio ◽

Zachary Masters ◽

Jonathan G. Seavey ◽

George C. Balazs ◽

Derek Ipsen ◽

...

Keyword(s):

Soft Tissue ◽

Upper Extremity ◽

Wound Dressing ◽

Soft Tissue Injuries ◽

Dermal Regeneration Template ◽

Dermal Regeneration ◽

Tissue Injuries

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The use of Integra dermal regeneration matrix in the surgical treatment of a recurrent, extensive malignant skin lesion in the temporal region

Orvosi Hetilap ◽

10.1556/oh.2013.29535 ◽

2013 ◽

Vol 154 (6) ◽

pp. 225-227 ◽

Cited By ~ 1

Author(s):

Csaba Halmy ◽

Zoltán Nádai ◽

Krisztián Csőre ◽

Adrienne Vajda ◽

Róbert Tamás

Keyword(s):

Surgical Treatment ◽

Skin Lesion ◽

Surgical Management ◽

Skin Grafting ◽

Skin Tumor ◽

Temporal Region ◽

Aesthetic Result ◽

Malignant Skin ◽

Dermal Regeneration Template ◽

Dermal Regeneration

Authors report on the use of Integra dermal regeneration template after excision of an extended, recurrent skin tumor in the temporal region. The area covered with Integra was 180 cm2. Skin grafting to cover Integra was performed on the 28th day. Both Integra and the skin transplant were taken 100%. Integra dermal regeneration template can provide good functional and aesthetic result in the surgical management of extended skin tumors over the skull. Orv. Hetil., 2013, 154, 225–227.

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