Can the DermaClose Device Contribute to Periwound Tissue Ischemia and Necrosis

Durden, Frederick; Tiwari, Pankaj; Kocak, Ergun

doi:10.1097/psn.0b013e3182670eab

Cited by 7 publications

(10 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, donor site issues can include pain, prolonged wound healing, and difficulty achieving immediate closure. 22 , 25 …”

Section: Discussionmentioning

confidence: 99%

“…In a report of two patients with ALT free flaps, two complications were described. 25 A 70-year-old man had limited knee extension after the use of DermaClose (timeframe not specified); the femoral nerve appeared intact but intramuscular electromyography showed minimal nerve function. Second, a 33-year-old woman with Crohn's disease had necrosis of the rectus femoris muscle 1 week after closure.…”

Section: Discussionmentioning

confidence: 99%

“…There is one publicly available case report describing a 60-year-old woman with spontaneous bacterial peritonitis, after a history of metastatic abdominal carcinoid. 25 The abdomen was opened secondary to exploratory laparotomy, resulting in a 14 • 6 cm wound. DermaClose was applied and the incision healed without incident after 8 days.…”

Section: Abdomenmentioning

confidence: 99%

“…However, donor site issues can include pain, prolonged wound healing, and difficulty achieving immediate closure. 22,25 Clinical evidence. CETE may be used for donor site closure after reverse sural flaps.…”

Section: Closure Of Flap Donor Sitesmentioning

confidence: 99%

See 3 more Smart Citations

Multidisciplinary Application of an External Tissue Expander Device to Improve Patient Outcomes: A Critical Review

Dardano

Klapper

Parekh

et al. 2020

Advances in Wound Care

View full text Add to dashboard Cite

Significance: Continuous external tissue expansion (CETE) is a versatile tool in soft tissue injury management, and could be an addition to the traditional reconstructive ladder. Recent Advances: This critical review discusses the principles and application of CETE, covering a company-sponsored consensus meeting on this emerging technology and highlighting the DermaClose Ò (Synovis Micro Companies Alliance, Inc., Birmingham, AL) device's unique approach to soft tissue injury management. There is clinical evidence to support the use of CETE in the management of a number of wound types, including fasciotomy, trauma, amputation, and flap donor sites. The device can be applied to open wounds, potentially avoiding the need for a skin graft or other more complex or invasive reconstruction options. DermaClose applies constant tension without restricting blood flow and does not require repeated tightening. Critical Issues: CETE is becoming more widely used by surgeons of different specialties, and numerous reports describing its efficacy and safety in wound management have been published. Surgeons using CETE must follow the correct technique and select patients carefully to achieve optimal outcomes. However, there is no single source of information or consensus recommendations regarding CETE application. Future Directions: Prospective evidence on the efficacy and safety of CETE in clinical practice is required to communicate the best techniques and share important experiences. This will help to solidify its place in the reconstructive ladder as a valuable additional option for surgeons.

show abstract

“…However, donor site issues can include pain, prolonged wound healing, and difficulty achieving immediate closure. 22 , 25 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Abdomenmentioning

confidence: 99%

Section: Closure Of Flap Donor Sitesmentioning

confidence: 99%

See 2 more Smart Citations

Multidisciplinary Application of an External Tissue Expander Device to Improve Patient Outcomes: A Critical Review

Dardano

Klapper

Parekh

et al. 2020

Advances in Wound Care

View full text Add to dashboard Cite

show abstract

“…), who has had success with DermaClose RC in the closure of fasciotomies, to use this device to facilitate scalp tissue expansion in patients with large cranial defects and severe tissue retraction, which ultimately simplifies cranial reconstructions. While DermaClose RC use has been described for tissue expansion in the plastic surgery literature, 2,11,20,25 there are no reports of its use for preoperative scalp tissue expansion prior to cranioplasties. The DermaClose RC device is placed circumferentially around the cranial defect, achieving tissue expansion without the need for traditional buried inflatable implants.…”

Section: Discussionmentioning

confidence: 99%

Preoperative external tissue expansion for complex cranial reconstructions

Reinard¹,

Zakaria²,

Qatanani

et al. 2016

JNS

View full text Add to dashboard Cite

OBJECTIVE Reconstruction of large solitary cranial defects after multiple craniotomies is challenging because scalp contraction generally requires more than simple subcutaneous undermining to ensure effective and cosmetically appealing closure. In plastic and reconstructive surgery, soft tissue expansion is considered the gold standard for reconstructing scalp defects; however, these techniques are not well known nor are they routinely practiced among neurosurgeons. The authors here describe a simple external tissue expansion technique that is associated with low morbidity and results in high cosmetic satisfaction among patients. METHODS The authors reviewed the medical records of patients with large cranial defects (> 5 cm) following multiple complicated craniotomies who had undergone reconstructive cranioplasty with preoperative tissue expansion using the DermaClose RC device. In addition to gathering data on patient age, sex, primary pathology, number of craniotomies and/or craniectomies, history of radiation therapy, and duration of external scalp tissue expansion, the authors screened patient charts for cerebrospinal fluid (CSF) leak, meningitis, intracranial abscess formation, dermatitis, and patient satisfaction rates. RESULTS The 6 identified patients (5 female, 1 male) had an age range from 36 to 70 years. All patients had complicating factors such as recalcitrant scalp infections after multiple craniotomies or cranial radiation, which led to secondary scalp tissue scarring and retraction. All patients were deemed to be potential candidates for rotational flaps with or without skin grafts. All patients underwent the same preoperative tissue expansion followed by standard cranial bone reconstruction. None of the patients developed CSF leak, meningitis, intracranial abscess, dermatitis, or permanent cosmetic defects. None of the patients required a reoperation. Mean follow-up was 117 days. CONCLUSIONS Preoperative scalp tissue expansion with the DermaClose RC device allows for simple and reliable completion of complicated cranial reconstruction with low morbidity rates and high cosmetic satisfaction among patients.

show abstract