Experience with elastic rubber bands for the tie-over dressing in skin graft

Li, Cheng; Lee, Jiunn Tat; Chou, Trong Duo; Chiu, Tai Feng; Sun, Tzong Bor; Wang, Chien Hsing; Chien, Sou Hsin; Wang, Hsian-Jenn

doi:10.1016/j.burns.2005.08.026

Cited by 19 publications

(12 citation statements)

References 9 publications

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“…Suitable and efficient utilization of the skin-stretching system has facilitated reducing the demand for skin grafting or local flaps for certain high-tension wounds. We also placed a bulky dressing on suture wounds as a reproducible tie-over dressing 17 to compress the underlying dead space of the back and to decrease seroma formation.…”

Section: Discussionmentioning

confidence: 99%

Simple Skin-Stretching Device in Assisted Tension-Free Wound Closure

Cheng

Lee

Hsu

et al. 2017

Annals of Plastic Surgery

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Background Numerous conventional wound reconstruction methods such as wound undermining with direct suture, skin graft, and flap surgery can be used to treat large wounds. The adequate undermining of the skin flaps of a wound is a commonly used technique for achieving the closure of large tension wounds; however, the use of tension to approximate and suture the skin flaps can cause ischemic marginal necrosis. The purpose of this study is to use elastic rubber bands to relieve the tension of direct wound closure for simultaneously minimizing the risks of wound dehiscence and wound edge ischemia that lead to necrosis. Materials and Methods This retrospective study was conducted to evaluate our clinical experiences with 22 large wounds, which involved performing primary closures under a considerable amount of tension by using elastic rubber bands in a skin-stretching technique following a wide undermining procedure. Assessment of the results entailed complete wound healing and related complications. Results All 22 wounds in our study showed fair to good results except for one. The mean success rate was approximately 95.45%. Conclusion The simple skin-stretching design enabled tension-free skin closure, which pulled the bilateral undermining skin flaps as bilateral fasciocutaneous advancement flaps. The skin-stretching technique was generally successful.

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Section: Discussionmentioning

confidence: 99%

Simple Skin-Stretching Device in Assisted Tension-Free Wound Closure

Cheng

Lee

Hsu

et al. 2017

Annals of Plastic Surgery

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“…However, prevention of shearing and/or collection under graft is not always ensured with it. The importance of the need to achieve it is illustrated in the number of innovations attempted, including staplers and plastic syringe [21], rubber bands [22,23], industrial foam and foam rubber [24], fibrin glue [25], etc.…”

Section: Discussionmentioning

confidence: 99%

Vacuum closure as a skin-graft dressing: a comparison against conventional dressing

Petkar¹,

Dhanraj²,

Sreekar³

2012

Eur J Plast Surg

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Background Grafting condition is one of the important determinants of skin-graft take. The technique of VacuumClosure has been claimed to improve the same and thereby graft take. However, there are few comparative studies against the conventional dressing technique evaluating its effectiveness in skin grafting. The present study was undertaken to compare Vacuum-closure with conventional dressing over freshly laid split-skin grafts. Methods Consecutive patients undergoing split-skin grafting were randomized into cases and controls. The grafts in controls were covered by a conventional dressing consisting of vaseline gauze and cotton pads. Those in cases were covered by a vacuum-closure assembly and connected to a wall-suction of 80 mm Hg continuously for four days. The percentage of graft take was assessed at nine days and at two weeks and duration of the dressing were compared between the two groups. The difference in cost of the dressing was noted down. Results Sixty four patients underwent split skin grafting of 71 wounds. Forty three of them were males and twenty nine were females. The grafted wounds included fresh surgically created wounds, traumatic wounds, acute and chronic burn wounds, post-inflammatory wounds and diabetic wounds. Thirty five of the grafts were cases and 36 were controls. Final graft take at two weeks in the study group ranged from 70-100 per cent with an average of 95.29 per cent graft take (SD: 5.9) while the control group showed a graft take ranging between 0-100 percent with an average graft take of 85.89 percent (SD: 25.1) Duration of dressing of the grafts was 11.63 days in cases as against 15.11 days in controls. The differences were statistically significant. The additional cost of the vacuum-closure assembly for an average sized ulcer was 6.27 pounds. Conclusion Negative pressure dressing increases the amount of graft take and should be used particularly when the wound bed and grafting conditions seem less-than-ideal for a complete graft take. Negative-pressure dressing can be economically and effectively assembled using locally available materials. Level of Evidence: Level I, therapeutic study.

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“…Em outro trabalho, fitas de borracha auxiliaram na aproximação de feridas ortopédicas decorrentes de fraturas abertas 7 . Os demais artigos da literatura mencionam fitas elásticas de borracha apenas para manter a tensão de curativos compressivos sobre enxertos de pele (tie-over) 1,9,11 . Esse é um recurso simples e de grande valia em situações cirúrgicas de solução trabalhosa.…”

Section: Discussionunclassified

Síntese de grandes feridas da parede corpórea com tira elástica de borracha

Petroianu¹

2010

ABCD, arq. bras. cir. dig.

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Synthesis of large wounds of the body wall with rubber elastic bandAndy PETROIANU DESCRITORES -Ferida. Borracha. Terapêutica.RESUMO -Racional -As grandes feridas da parede corpórea, decorrentes de traumas extensos, retirada de tumores ou laparostomias prolongadas constituem um desafio cirúrgico de difícil solução. Objetivo -Mostrar a eficácia da aproximação das bordas de grandes feridas, utilizando tira elástica de borracha. Método -Uma ou duas tiras elásticas de borracha (gominha circular) foram suturadas sob tensão moderada às bordas opostas de 21 grandes feridas, em diversas localizações corpóreas. Essas tiras eram substituídas, quando rompiam, ou refixadas, quando perdiam a tensão, até obter-se a aproximação completa das bordas das feridas. Resultado -Em todos os casos houve o fechamento completo das feridas, sem outro procedimento ou artifício auxiliar.Não ocorreu complicação maior decorrente desse tratamento. Conclusão -A síntese de grandes feridas corpóreas com tiras de borracha mantidas sob tensão moderada é uma alternativa simples, eficaz e de custo baixo, que pode ser utilizada em muitas circunstâncias cirúrgicas.ABSTRACT -Background -The large wounds of the body wall, due to traumas, removal of tumors or prolonged laparostomies are a difficult surgical challenge with complex treatment. Aim -Presents the efficacy of the closure of large surgical wounds using rubber elastic bands. Method -One or two circular rubber elastic bands were sutured under mean tension at the opposite edges of 21 large wounds located in different body sites. These rubber strips were replaced when they were broken or refixed when they have lost their tension until the complete closure of the wounds. Results -Complete closure of the wounds was achieved in all cases without any other surgical procedure or device. No major complication due to this treatment was verified. Conclusion -The synthesis of large wounds with rubber elastic bands kept under mean tension is a simple, efficacious and unexpensive surgical option that may be useful for treatment in several circumstances.

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Experience with elastic rubber bands for the tie-over dressing in skin graft

Cited by 19 publications

References 9 publications

Simple Skin-Stretching Device in Assisted Tension-Free Wound Closure

Simple Skin-Stretching Device in Assisted Tension-Free Wound Closure

Vacuum closure as a skin-graft dressing: a comparison against conventional dressing

Síntese de grandes feridas da parede corpórea com tira elástica de borracha

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