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Skin Extension by Multiple Incisions (SEMI).
1Section Upper Extremity, Foot and Rheuma Surgery, Trauma Department, Medical School Hanover (MHH), Hanover, Germany gaulke.ralph@mh-hannover.de.
Skin extension by multiple incisions offers a simple, atraumatic method for closing soft tissue defects after trauma. This technique preserves skin sensitivity and mobility, resulting in durable, near-normal skin with a high survival rate.
Area of Science:
- Plastic Surgery
- Wound Healing
- Trauma Care
Background:
- Soft tissue defects following trauma require simple and atraumatic closure techniques.
- Existing methods may be complex or invasive.
Purpose of the Study:
- To evaluate the efficacy of skin extension by multiple incisions for healing soft tissue defects post-trauma.
Main Methods:
- Retrospective clinical study of 100 soft tissue defects after trauma.
- Measurement of defect dimensions and documentation of complications.
- Exclusion of combined techniques, preoperative numbness, and incomplete data.
Main Results:
- Uneventful healing observed in 81% of defects.
- Minor complications in 15%, with 4% requiring revision.
- Normal sensitivity to touch was maintained in all cases.
Conclusions:
- Skin extension by multiple incisions is an easily learned, instrument-free technique.
- Achieves a high survival rate for extended skin.
- Preserves skin sensitivity and mobility, leading to durable, functional skin.
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