Skin Extension by Multiple Incisions (SEMI).

Abstract

There is a need for a simple and atraumatic technique for wound closure in soft tissue defects. The aim of this study was to evaluate the technique of skin extension by multiple incisions in the healing of soft tissue defects following trauma. This is a retrospective clinical study on soft tissue defects after trauma. The dimensions of the defects were measured intra-operatively. Exclusion criteria were combined techniques of skin extension by multiple incisions with local flaps or free skin grafts, preoperative numbness, and incomplete data. Complications until wound healing were documented. One hundred soft tissue defects were evaluated. Uneventful healing occurred in 81. Minor complications were found in 15, and revision was performed in 4. Sensitivity to touch was normal in all. Skin extension by multiple incisions is very easy to learn and can be performed without special instruments. The survival rate of the extended skin is high. Sensitivity to touch and mobility of the skin can be preserved, which results in a very durable nearly normal skin.