A novel skin-stretching device for closing large skin-soft tissue defects after soft tissue sarcoma resection
Abstract Background Closure of large skin-soft tissue defects following soft tissue sarcoma (STS) resection has been a great challenge. The objective of this study was to evaluate the effectiveness of a novel, simple, and cheap skin-stretching device (bidirectional regulation-hook skin closure syste...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-09-01
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| Series: | World Journal of Surgical Oncology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12957-020-02022-3 |
| _version_ | 1818149145023610880 |
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| author | Qiang Wu Zengwu Shao Yubin Li Saroj Rai Min Cui Ying Yang Baichuan Wang |
| author_facet | Qiang Wu Zengwu Shao Yubin Li Saroj Rai Min Cui Ying Yang Baichuan Wang |
| author_sort | Qiang Wu |
| collection | DOAJ |
| description | Abstract Background Closure of large skin-soft tissue defects following soft tissue sarcoma (STS) resection has been a great challenge. The objective of this study was to evaluate the effectiveness of a novel, simple, and cheap skin-stretching device (bidirectional regulation-hook skin closure system, BHS) for closing large skin-soft tissue defects resulting from the removal of STS and the complications associated with the use of the BHS. Methods From January 2017 to September 2018, 25 patients with STS underwent BHS therapy after tumor resection. BHS was used for two main clinical applications: securing wound closure after high-tension suture closure and delayed wound closure. We described a detailed reconstruction procedure regarding this therapy. Wound closure and complications associated with BHS therapy were recorded. We also analyzed tumor recurrence and metastases. Results All patients were observed for 16–36 months with an average follow-up of 25.6 months. During the follow-up period, no significant functional restriction was observed and the final scar was aesthetically acceptable. Superficial wound infection occurred in six patients, wound edge ischemia in two patients, and small skin tears in two patients. Two patients developed pulmonary metastasis, two patients had a local recurrence, and one patient died of pulmonary metastasis. Conclusions BHS therapy can effectively close large skin-soft tissue defects following STS resection and obtain acceptable functional results, without severe complications. However, larger studies are required to further evaluate the effectiveness, indications, and complications of BHS therapy. |
| first_indexed | 2024-12-11T13:02:22Z |
| format | Article |
| id | doaj.art-d8784058ace94eefb4375665e1dd86d0 |
| institution | Directory Open Access Journal |
| issn | 1477-7819 |
| language | English |
| last_indexed | 2024-12-11T13:02:22Z |
| publishDate | 2020-09-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Surgical Oncology |
| spelling | doaj.art-d8784058ace94eefb4375665e1dd86d02022-12-22T01:06:26ZengBMCWorld Journal of Surgical Oncology1477-78192020-09-011811810.1186/s12957-020-02022-3A novel skin-stretching device for closing large skin-soft tissue defects after soft tissue sarcoma resectionQiang Wu0Zengwu Shao1Yubin Li2Saroj Rai3Min Cui4Ying Yang5Baichuan Wang6Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Orthopedics, Linqing City people’s HospitalNational Trauma Center, National Academy of Medical SciencesDepartment of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Operation, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyAbstract Background Closure of large skin-soft tissue defects following soft tissue sarcoma (STS) resection has been a great challenge. The objective of this study was to evaluate the effectiveness of a novel, simple, and cheap skin-stretching device (bidirectional regulation-hook skin closure system, BHS) for closing large skin-soft tissue defects resulting from the removal of STS and the complications associated with the use of the BHS. Methods From January 2017 to September 2018, 25 patients with STS underwent BHS therapy after tumor resection. BHS was used for two main clinical applications: securing wound closure after high-tension suture closure and delayed wound closure. We described a detailed reconstruction procedure regarding this therapy. Wound closure and complications associated with BHS therapy were recorded. We also analyzed tumor recurrence and metastases. Results All patients were observed for 16–36 months with an average follow-up of 25.6 months. During the follow-up period, no significant functional restriction was observed and the final scar was aesthetically acceptable. Superficial wound infection occurred in six patients, wound edge ischemia in two patients, and small skin tears in two patients. Two patients developed pulmonary metastasis, two patients had a local recurrence, and one patient died of pulmonary metastasis. Conclusions BHS therapy can effectively close large skin-soft tissue defects following STS resection and obtain acceptable functional results, without severe complications. However, larger studies are required to further evaluate the effectiveness, indications, and complications of BHS therapy.http://link.springer.com/article/10.1186/s12957-020-02022-3Soft tissue sarcomaRadical resectionTissue expansionTension sutureComplications |
| spellingShingle | Qiang Wu Zengwu Shao Yubin Li Saroj Rai Min Cui Ying Yang Baichuan Wang A novel skin-stretching device for closing large skin-soft tissue defects after soft tissue sarcoma resection World Journal of Surgical Oncology Soft tissue sarcoma Radical resection Tissue expansion Tension suture Complications |
| title | A novel skin-stretching device for closing large skin-soft tissue defects after soft tissue sarcoma resection |
| title_full | A novel skin-stretching device for closing large skin-soft tissue defects after soft tissue sarcoma resection |
| title_fullStr | A novel skin-stretching device for closing large skin-soft tissue defects after soft tissue sarcoma resection |
| title_full_unstemmed | A novel skin-stretching device for closing large skin-soft tissue defects after soft tissue sarcoma resection |
| title_short | A novel skin-stretching device for closing large skin-soft tissue defects after soft tissue sarcoma resection |
| title_sort | novel skin stretching device for closing large skin soft tissue defects after soft tissue sarcoma resection |
| topic | Soft tissue sarcoma Radical resection Tissue expansion Tension suture Complications |
| url | http://link.springer.com/article/10.1186/s12957-020-02022-3 |
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