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

Zhu, Zhanyong; Tong, Yilan; Wu, Teng; Zhao, Yang; Yu, Ming; Topaz, Moris

doi:10.1177/0300060519891266

Cited by 7 publications

(10 citation statements)

References 12 publications

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“…Compared to traditional surgeries, the technique has the advantages of healing wounds without subsequent reconstruction surgeries, reducing the time for wound closure, and the properties of the stretched skin similar to the adjacent skin [ 22 – 25 ]. There have been various skin stretching devices for wound closure described in the literatures [ 22 , 24 , 26 – 28 ]. However, the application is limited because of the availability and cost which is particularly important in a developing country with limited resources.…”

Section: Discussionmentioning

confidence: 99%

Application of a simple skin stretching system and negative pressure wound therapy in repair of complex diabetic foot wounds

Chen

et al. 2021

J Orthop Surg Res

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The management of complex diabetic foot wounds with large skin defects poses a challenge for surgeons. We presented a simple skin stretching system and negative pressure wound therapy for the repair of complex diabetic foot wounds to examine the effectiveness and safety.A total of 16 patients with diabetic foot ulcers were retrospectively reviewed between January 2015 and October 2020. All patients underwent the treatment by 3 stages. In stage 2, these difficult-to-close wounds of diabetes foot were residual. This method was applied to the wounds with a median defect size of 20.42 cm2 (range, 4.71–66.76 cm2).The median time for closure of complex diabetic foot wounds was 14 days ranging from 8 to 19 days. With respect to the absolute rates of reduction, it was observed with a median of 1.86 cm2/day, ranging from 0.29 cm2/day to 8.35 cm2/day. In accordance with the localization of the defect, the patients were divided into 3 groups: side of the foot (37.5%), dorsum of the foot (50.0%), and others (12.5%). There was no statistical difference between side of the foot and dorsum of the foot in terms of the median defect size with P = 0.069 (Kruskal–Wallis test). Otherwise, there were statistically significant differences regarding the median time and the median absolute rates (P < 0.05; Kruskal–Wallis test). No severe complications were encountered in this study.In summary, our results show that application of the simple skin stretching system and NPWT is an effective and safe approach to complex diabetic foot wounds. Nevertheless, more attention should be paid to the appropriate patient selection and intraoperative judgment to ensure wound closure and avoid undue complications.

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Section: Discussionmentioning

confidence: 99%

Application of a simple skin stretching system and negative pressure wound therapy in repair of complex diabetic foot wounds

Chen

et al. 2021

J Orthop Surg Res

View full text Add to dashboard Cite

show abstract

“…Compared to traditional surgeries, the technique has the advantages of healing wounds without subsequent reconstruction surgeries, reducing the time for wound closure, and the properties of the stretched skin similar to the adjacent skin [22][23][24][25]. There have been various skin stretching devices for wound closure described in the literature [22,24,[26][27][28]. However, the application is limited because of the availability and cost which is particularly important in a developing country with limited resources.…”

Section: Discussionmentioning

confidence: 99%

Application of a simple skin stretching system and negative pressure wound therapy in repair of complex diabetic foot wounds

Chen

et al. 2021

Preprint

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Management of complex diabetic foot wounds with large skin defects poses a challenge for surgeon. We presented a simple skin stretching system and negative pressure wound therapy for the repair of complex diabetic foot wounds to examine the effectiveness and safety.A total of 16 patients with diabetic foot ulcers were retrospectively reviewed between January 2015 to October 2020. All patients underwent the treatment by 3 stages. In stage 2, these difficult-to-close wounds of diabetes foot were residual. This method was applied to the wounds with a median defect size of 20.42 cm² (range: 4.71 -66.76 cm²).The median time for closure of complex diabetic foot wounds was 14 days ranging from 8 days to 19 days. With respect to the absolute rates of reduction, it was observed with a median of 1.86 cm² per day, ranging from 0.29 cm² per day to 8.35 cm² per day. In accordance with the localization of the defect, the patients were divided into 3 groups: side of the foot (37.5%), dorsum of the foot (50.0%), and others (12.5%). There was no statistically difference between side of the foot and dorsum of the foot in terms of the median defect size with P = 0.069 (Kruskal–Wallis test). Otherwise, there were statistically significant differences regarding the median time and the median absolute rates (P < 0.05; Kruskal–Wallis test). No severe complications were encountered in this study.In summary, our results show that application of the simple skin stretching system and NPWT is an effective and safe approach for complex diabetic foot wounds. Nevertheless, more attentions should be paid for the appropriate patient selection and intraoperative judgment to ensure wound closure and avoid undue complications.

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“…Since its index study, TopClosure has been successfully used to manage congenital nevi, traumatic hemipelvectomy, bladder extrophy, enteroatmospheric fistula, and extensive abdominal wall defect following malignancy resection. 35,37,40,43,[45][46][47] Topaz has presented numerous studies in the literature reporting on its positive outcomes for managing medium and large soft tissue defects with a low posttreatment complication profile. 35,36,38,47 Supplementing management with oxygen therapy has proven to be effective and may also reduce the risk of anaerobic bacterial contamination and mitigate risk of infection.…”

Section: Wisebands Wisebands Ltd Misgav Israelmentioning

confidence: 99%

“…7 ). 35 37 38 Multiple devices can be placed perpendicular to the wound closure depending on the size of the defect.…”

Section: Wound Managementmentioning

confidence: 99%

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Israeli Innovations in the Field of Plastic Surgery

et al. 2022

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Numerous innovations within the field of plastic surgery have been developed in Israel over the last few decades. Many of these therapeutic devices and techniques have been established globally with demonstrable efficacy and respectable safety profiles. This article offers an overview of recent Israeli cutting-edge medical therapeutic solutions contributing to the global practice of plastic surgery.

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

Cited by 7 publications

References 12 publications

Application of a simple skin stretching system and negative pressure wound therapy in repair of complex diabetic foot wounds

Application of a simple skin stretching system and negative pressure wound therapy in repair of complex diabetic foot wounds

Application of a simple skin stretching system and negative pressure wound therapy in repair of complex diabetic foot wounds

Israeli Innovations in the Field of Plastic Surgery

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