Abstract
Wounds closed under severe tension often result in breakdown due to skin necrosis and suture cheese wiring causing both physical and financial morbidity. Although a few commercial wound closure systems have been described in the literature, but they are all expensive and not readily available. We have designed a simple and inexpensive system called ‘Tension Tile System’ (TTS) which utilizes plastic casing found in most sterile surgical suture packs. The device is easy to construct, sterile, inexpensive, easily available, and based on already proven principles of mechanical creep and stress relaxation. Large wounds in five patients were closed with the help of TTS system with no complications. We believe that this system will find wide application in all surgical fields where the wound encounters tension during closure.
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