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An improvised wound closure system.

Oren Lapid1

  • 1Department of Plastic, Reconstructive, Academic Medical Center, University of Amsterdam, the Netherlands. olapid@yahoo.com

The Journal of Trauma
|April 14, 2006
PubMed
Summary
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An improvised wound closure system uses silicone vascular loops and intravenous flow controllers to gradually close traumatic wounds. This method effectively closes wounds not suitable for primary intention, avoiding skin grafts.

Area of Science:

  • Biomedical Engineering
  • Wound Healing Research
  • Surgical Innovation

Background:

  • Skin stretching utilizes viscoelastic properties, similar to expansion, but with external force application.
  • An improvised, cost-effective system for wound closure is presented, leveraging readily available materials.

Observation:

  • The system employs silicone vascular loops as sutures and intravenous set flow controllers as locking devices.
  • Gradual wound closure is achieved by incrementally increasing the tension applied by the devices.
  • Applied to nine traumatic wounds in six patients, demonstrating feasibility.

Findings:

  • Average wound size was 70 cm, with an average of 4.3 devices used per wound.
  • Average time to achieve wound closure was 1.55 days.

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  • The system successfully closed wounds unsuitable for primary intention closure.

    • Implications:

    • This novel approach offers an alternative to traditional wound closure techniques.
    • It avoids the need for more complex procedures like skin grafts or flaps.
    • Potential for improved patient outcomes in managing challenging traumatic wounds.