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New economical and simple device for intraoperative expansion on small and medium sized soft tissue defects

  • Lee, Jun Won (Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Park, Seong Hoon (Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Lee, Seong Joo (Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kim, Seong Hwan (Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Jeong, Hii Sun (Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Suh, In Suck (Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine)
  • Received : 2018.07.04
  • Accepted : 2018.08.22
  • Published : 2018.09.20

Abstract

Intraoperative expansion has been used to cover small to large defects without disadvantages of the conventional tissue expanders. Various materials, for example, expanders and Foley catheters are being used. We introduce a new, convenient and economical device immediately available in the operating room, according to the defect size for intraoperative expansion, with latex gloves or balloons. The retrospective study was done with 20 patients who presented with skin and soft tissue defects. During the operation, expansion was done with latex gloves or balloons inflated with saline through an intravenous line and a three-way stopcock. After the inflation, the glove was removed and skin was covered with expanded tissue. A careful decision was made regarding the inflation volume and placement of the expander according to the defect size. There were no postoperative complications. The skin contracture and tension was minimal with a texture similar to the adjacent tissue. The new intraoperative expansion devices with latex gloves and balloons were cheap and made easily right in the operation room. The reconstruction of small to large sized skin defects can be done successfully, functionally and aesthetically without using expensive commercial materials.

Keywords

References

  1. Sasaki GH. Intraoperative sustained limited expansion (ISLE) as an immediate reconstructive technique. Clin Plast Surg 1987;14:563-73.
  2. Neumann CG. The expansion of an area of skin by progressive distention of a subcutaneous balloon; use of the method for securing skin for subtotal reconstruction of the ear. Plast Reconstr Surg (1946) 1957;19:124-30. https://doi.org/10.1097/00006534-195702000-00004
  3. Radovan C. Tissue expansion in soft-tissue reconstruction. Plast Reconstr Surg 1984;74:482-92. https://doi.org/10.1097/00006534-198410000-00005
  4. Austad ED, Rose GL. A self-inflating tissue expander. Plast Reconstr Surg 1982;70:588-94. https://doi.org/10.1097/00006534-198211000-00011
  5. Gibson T. Physical properties of skin. J Anat 1969;105(Pt 1): 183-4.
  6. Siegert R, Weerda H, Hoffmann S, Mohadjer C. Clinical and experimental evaluation of intermittent intraoperative shortterm expansion. Plast Reconstr Surg 1993;92:248-54. https://doi.org/10.1097/00006534-199308000-00008
  7. Wee SS, Logan SE, Mustoe TA. Continuous versus intraoperative expansion in the pig model. Plast Reconstr Surg 1992;90: 808-14. https://doi.org/10.1097/00006534-199211000-00012
  8. Sasaki GH. Tissue expansion. West J Med 1989;150:77-8.
  9. Lam AC, Nguyen QH, Tahery DP, Cohen BH, Sasaki GH, Moy RL. Decrease in skin-closing tension intraoperatively with suture tension adjustment reel, balloon expansion, and undermining. J Dermatol Surg Oncol 1994;20:368-71. https://doi.org/10.1111/j.1524-4725.1994.tb02620.x
  10. Demirseren ME, Ceran C, Demirseren DD. Treatment of a congenital melanocytic nevus on the forehead with immediate tissue expansion technique: a three-year follow-up. Pediatr Dermatol 2012;29:621-4. https://doi.org/10.1111/j.1525-1470.2011.01554.x

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