A skin stretch system for the immediately closing of the large skin defects of the anterior chest wall following large keloid excision

TopClosure® tension‑relief system improves clinical outcomes of patients with breast cancer undergoing mastectomy

“…The results showed that TRS reduced the incidence of flap necrosis and infection, shortened hospital stay, improved wound aesthetics and the quality of life. These findings were consistent with the above previous studies (24)(25)(26)(27). Surgery may trigger acute inflammatory response, which shows close association with the clinical outcomes.…”

“…For instance, a case study on a 36-year-old man receiving surgical resection of the keloid showed that primary closure with TRS contributed to simplified surgical procedures and reduced the operative time (25). Meanwhile, TRS contributes to cosmetic improvements of scarring and decreases the probability of future reconstructive procedures of anterior chest wall (25).…”

“…For instance, a case study on a 36-year-old man receiving surgical resection of the keloid showed that primary closure with TRS contributed to simplified surgical procedures and reduced the operative time (25). Meanwhile, TRS contributes to cosmetic improvements of scarring and decreases the probability of future reconstructive procedures of anterior chest wall (25). Ashkenazi et al (26) found that a large skin defect treated with TRS could avoid extending the scope of surgery with skin grafting or flaps, as well as reducing possibility of donor site morbidity.…”

TopClosure® tension-relief system for immediate primary abdominal defect repair in an adult patient with bladder exstrophy

“…Two pairs of flexible polymer attachment plates (TopClosure V R , 8-mm sets) were attached to the skin 2 cm away from the wound edges using adhesive and secured to the skin by skin staples (Weck Visistat V R 35 W, 6.5 Â 4.7 mm, Teleflex Medical, Morrisville, NC, USA). Based on our previous clinical application method, [6][7][8] a pair of tension sutures (Ethicon 0, MO-2 PDS* II, 40 mm 1/2C, Johnson & Johnson International, New Brunswick, NJ, USA) was inserted through one attachment plate and deep into the subcutaneous tissue of the abdominal wall across the tissue gap, and then out through the contralateral attachment plate on the other side of the abdominal wall skin defect. The suture was then passed through the designated holes in the front part of the attachment plate and over to the first plate.…”

“…Its use has been previously reported to enable primary closure of medium to large skin defects. [6][7][8] We herein report, for the first time, the application of this novel system for primary closure of an abdominal wall skin defect in a 61-year-old patient with bladder exstrophy.…”