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

Abstract

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.

Extensive mammary wound treatment in ewe using a rubber elastic suture technique combined with aloe gel

“…According to Petroianu (2010), performing new stitches or changing the rubber band may be necessary. This procedure aims to keep the tension when tissue approximation is not yet sufficient, as use of the elastic suture assists skin approximation through constant application of tension.…”

“…The use of an elastic suture does not require any extra wound care besides routine procedures such as cleaning and adequate protection (PETROIANU, 2010). However, one possible disadvantage of this technique is related to management of the rubber bands, which can slacken as the wound closure evolves, or eventually break up.…”

Closure of large wounds using rubber bands in rabbits

“…The biggest problem of this technique was the need of daily returns to the operating room, which made treatment difficult. Since then, the elastic band has been used in intervention of various types of wounds, including compartmental syndrome 10,11 , extensive fasciotomy wounds [12][13][14][15] , open fractures 16 , injuries from burns 17 and large wounds of the body wall 15,18 .…”

“…The use of elastic bands to traction the wound edges is an effective resource in the treatment of large wounds of the body wall [9][10][11][12][13][14][15][16][17][18] . This closure occurs by skin stretching, using the viscoelastic properties of the skin 12,13,16,18 . The biomechanical properties of the skin, resulting from the interaction between extracellular matrix components, allow it to be extended.…”

“…This technique has been successfully used in large human chronic wounds arising from laparostomies, removal of tumors, fasciotomies, burns and trauma 15,18 . However, this is the first experimental work showing efficiency of traction of the large acute wounds edges of by anelastic rubber band on animals.…”