Abstract
Our Experience of Treatment of Large Skin Wounds with Excessively Tense Margins
Highlights
During the skin-plasty operation quite often it becomes necessary to excise a size able pathologically modified skin flap
Outcomes and discussion: Clinical observations with various character and shape skin wounds have been presented, which were sutured by means of the given technique
During skin-plastic surgery, it is often necessary to excise a significant area of pathologically altered skin flap
Summary
During the skin-plasty operation quite often it becomes necessary to excise a size able pathologically modified skin flap. Suture of the wound arisen proceeding from the mentioned is not always possible without significant intention of its margins resulting in various complications (dehiscence, margins’ necrosis, hypertrophic, vicious cicatrices, etc) In such cases the method of postoperative wound closing (microsurgical free transplantation, plasty by free flap, and application of local plasty method) is planned in advance or operation is conducted in two stages (dermotension). Local ischemia and necrosis occur, the edges of the wound diverge and healing takes a long time with secondary tension, which subsequently negatively affects the quality of the postoperative scar and may require additional, sometimes multi-stage, interventions In such cases, a method of closing a postoperative wound is usually planned in advance. For suturing the stressed edges of the wound, methods of tissue dermotension are known - gradual reduction of Received: August 21, 2017; Accepted: September 17, 2017; published: Septmeber 18, 2017
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