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Table 2 Representative skin-stretching devices for the closure of large skin-soft tissue wounds

From: A novel skin-stretching device for closing large skin-soft tissue defects after soft tissue sarcoma resection

Study

Devices

No. of wounds

Aetiology of the wounds

Manner of wound closure

Follow-up (months)

Complications

Kanjoor et al. [7]

SureClosure

4

Trauma (50%), burns (50%)

Immediate closure, 2

Delayed closure, 2

24; 12; 12; NC

Minimal scar widening, 1; compartment syndrome, 1

Barnea et al. [10]

Wisebands device

22

Trauma (35%), surgery (35%), tumors (25%), burns (5%)

Immediate closure, 6

Delayed closure, 16

12 (mean)

Intractable pain, 1; serious wound infection, 1

Ismavel et al. [30]

Kirschner wires

10

Trauma (40%), fasciotomy wounds (30%), surgery (30%)

Delayed closure, 10

9.9 (mean)

Wound infection, 4; partial wire cutout, 3; partial wound dehiscence, 2

Santiago et al. [9]

DermaClose RC

14

Blast-related injury

Delayed closure, 12

NC

Blistering, 2; maceration of the wound edges, 3

Verhaegen et al. [15]

Skin Stretch system

8

Burns

Immediate closure, 8

12.1 (mean)

Wound infection, 2

Topaz et al. [8]

TopClosure®

TRS

3

Malignant soft tissue tumors

Immediate closure, 3

6; 10; 18

Wound dehiscence, 1; blistering, 1; Scar widening, 1; limitation in ROM, 1

Aboelatta et al. [31]

Home-made wound approximation device

34

Posttraumatic alopecia or ulcers (79%); post burn scars (21%)

Immediate closure, 25

Delayed closure, 9

Over a period of 48 months

Wound infection, 21; wound dehiscence, 6; edge necrosis, 2; pressure necrosis, 1; adherent scars, 6

Karkos et al. [32]

ETE Blomqvist

8

Trauma

Delayed closure, 8

Over a period of 144  months

Wound infection, 1

Current study

BHS device

25

Malignant soft tissue tumors

Immediate closure, 7

Delayed closure, 18

25.6 (mean)

Superficial wound infection, 6; wound edge ischemia, 2; small skin tears, 2.

  1. NC not clear, ROM range of movement, ETE external tissue extender, BHS bidirectional regulation-hook skin closure system