BACKGROUND Primary closure of skin wounds after debridement of open fractures is controversial. The purpose of the present study was to determine whether primary skin closure for grade-IIIA or lower-grade open extremity fractures is associated with a lower deep-infection rate. METHODS We identified 349 Gustilo-Anderson grade-I, II, or IIIA fractures treated at our level-I academic trauma cent...

Fasciotomy incisions lead to large, unsightly, chronic wounds after surgical intervention. Classic management was to use split-thickness skin grafts, but this leads to insensate skin with reports that as many as 23% of patients are dissatisfied by the appearance of the wound. Since no skin loss has occurred with the fasciotomy incision, utilizing the dermal properties of creep, stress relaxatio...

BACKGROUND Skin adhesives provide an alternative to sutures for skin closure. The use of octyl-2-cyanoacrylate in blepharoplasty has been reported by some authors, but difficulties in applying the product and the real benefits of its use are still controversial. OBJECTIVE The purpose of this study is to show a simple technique for closing the upper incision in blepharoplasty with octyl-2-cyan...

Six pigs were used to evaluate the influence of three separate modalities on contaminated wounds. Full-thickness skin wounds on the abdomen were contaminated with 10(4) or 10(5) Staphylococcus aureus and then closed with one of three methods. The three closure modalities included (1) a new absorbable staple (Insorb) placed in the subcuticular tissue, (2) a braided Vicryl suture, and (3) percuta...

Objective: During the period of COVID-19 pandemic, reconstructive surgeons don't want to take risks complex and long operations, struggle with recovery time after surgery as well associated donor-site morbidity. Therefore, they prefer much more simple techniques. The objective this study is evidence that skin traction technique a simple, short term, useful, good option for closing open wound de...