DOI: 10.1097/DSS.0000000000000808

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PMID: 27359197

Issn Print: 1076-0512

Publication Date: 2016/10/01


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Patch Splinting for Atrophic or Tight Skin Excision Wounds

Shirin Bajaj; Chih-Shan Jason Chen

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Excerpt

We describe a novel technique for wound closure in high-tension wounds by splinting with a multiple-layer Steri-Strip (3M Co., St. Paul, MN) patch. Although the efficacy of a single-layer splint has been demonstrated for closure of atrophic skin in emergency medicine literature, particularly in pretibial lacerations,1,2 its use in dermatologic surgery has never before been reported. By distributing tension away from the epidermal edge using our modified splint, we hypothesize that this approach will reduce the risk of tension-associated complications including tissue tearing behind the wound edge, vascular compromise, ischemia and necrosis, inflammation, infection, and wound dehiscence. We present a case of clinical success with use of this technique on thin and fragile skin of the dorsal hand.
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