| Autor: |
Ibrahim Cherry, Diane Franck |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
Journal of Pediatric Surgery Case Reports, Vol 92, Iss , Pp 102624- (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2213-5766 |
| DOI: |
10.1016/j.epsc.2023.102624 |
| Popis: |
Introduction: skin closure in an area with large tissue defects and low laxity is always a challenge for plastic surgeons, especially in the pediatric population. The shoelace technique is a gradual closure modality for large wounds with minimal margin elasticity. Case presentation: we report the successful use of this modality for a large abdominal wound defect following laparotomy in a 6-year-old boy. A complete margin approximation was achieved with a unique linear scar and no sign of hypertrophy, contracture, or deep adherence at 1 year postoperatively. Discussion: Although options for the closure of a large skin defect are numerous, decision-making in pediatric reconstructive surgery stays complex. This population is poorly represented in the literature, and evidence must be extrapolated from adult studies. Conclusion: Staged closure using the shoelace technique is a low-cost, accessible, and reproductive modality. It decreases the surface of needed tissue if associated with other modalities and provides a unique scar if used alone. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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