Document Detail


Plastic surgery made easy - simple techniques for closing skin defects and improving cosmetic results.
MedLine Citation:
PMID:  16820819     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Although meticulous technique cannot guarantee a superior cosmetic result when repairing skin wounds or excising skin lesions, a well planned and executed repair reduces the risk of unsatisfactory scarring. OBJECTIVE: This article discusses sound plastic surgery principles that every doctor operating on the skin can apply. Common suture techniques and simple flap techniques and their indications are also discussed. DISCUSSION: Principles of effective wound repair include: good lighting and equipment, atraumatic tissue handling, early repair of traumatic wounds, thorough wound debridement and lavage, avoiding healing by secondary intention, judicious antibiotic prophylaxis, appropriate planning of incisions, carefully executed incisions, avoiding wound repair under tension, layered wound repair, use of appropriate suture size and needle, everted wound edges, use of adjuncts such as skin tapes and soft tissue adhesives, and early suture removal. Useful suture techniques include deep dermal sutures with buried knots, simple interrupted sutures, vertical mattress, horizontal mattress, subcuticular sutures, continuous over-and-over sutures and far-near near-far pulley sutures. Rotation, transposition, advancement and island flaps can be useful to close defects in situations where skin grafting is not possible or desirable.
Authors:
Terry Wu
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Australian family physician     Volume:  35     ISSN:  0300-8495     ISO Abbreviation:  Aust Fam Physician     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-07-05     Completed Date:  2006-11-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0326701     Medline TA:  Aust Fam Physician     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  492-6     Citation Subset:  IM    
Affiliation:
Waverley Private Hospital, Epworth Eastern Medical Centre, Peter MacCallum Cancer Institute, and the Skin and Cancer Foundation, Melbourne, Victoria. drttw@optusnet.com.au
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MeSH Terms
Descriptor/Qualifier:
Biopsy / methods
Cicatrix / etiology,  prevention & control*
Debridement / methods
Humans
Skin Diseases / pathology,  surgery
Skin Transplantation / methods
Surgery, Plastic / methods*
Suture Techniques
Wound Infection / prevention & control
Wounds and Injuries / complications,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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