Page 43 - PlasticosVol4

V O L 4 2019 I S S U E

FRUGAL FUNDAS FRUGAL FUNDAS

our technique, which uses the principle of skin
relaxation, we did not perform any tightening
daily; however, we did not observe any circulation
problem on the skin edges.

Conclusion

Our technique described uses
dermatotraction using cable ties attached
to wound edges to stretch the skin in
a cost-effective way to achieve primary
closure of large wounds. Skin stretching
decreased the wound-closing tension and
allowed primary closure of large defect.
Our technique eliminated donor-site
defects and related morbidity.

needles to allow for primary closure in large
cutaneous wounds. The rib approximator was
progressively tightened until the skin edges
aligned, and vicryl sutures were used to close
the wound. Abramson et al placed the spinal
needles 3 cm from the wound edge.

There is no built-in monitoring system,
transducer, force-limiting applicator, or other
safety mechanism. Capillary refill does provide
information about the blood supply, but it does
not give any indication as to the architecture of
the dermis itself.

Almekinders described a technique in which
staples were placed along the skin edges, and
half of each staple was embedded in the skin,
whereas the other half acted as an eyelet for a
large nylon suture.

The suture was tightened daily, and primary
42 closure was obtained after 5 to 10 days. In 43