Surgical gems in dermatologic surgery I / 대한피부과학회지
Korean Journal of Dermatology
;
: 360-363, 2003.
Artigo
em Coreano
| WPRIM
| ID: wpr-194581
ABSTRACT
A bolster, simply defined, is any device used to support or cushion. In surgery, bolsters have been used under sutures to reduce skin and subcutaneous tension. Bolsters function to reduce the potential for necrosis and laceration by distributing the wound closure tension over a broader surface area. Pexing stitich is placed between the mobilized tissue and the deep fascia and periosteum to prevent the secondary motion of closure from disrupting anatomic landmarks and moveable structures. The technique aids in obtaining linear closures, prevents distortion of free margins, prevents tenting across concavities, and fixes the closure line at the junction of cosmetic units. Standard treatment of lipoma commonly includes incision with extrication or elliptical excision. Unfortunately, these treatments often elicit a large scar. Using pressure technique, risk of hemorrhage and infection may be minimized secondary to the decreased degree of invasion. In cosmetically sensitive areas, this technique is an effective and aesthetically pleasing method for removal of lipoma.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Periósteo
/
Pele
/
Suturas
/
Ferimentos e Lesões
/
Cicatriz
/
Lacerações
/
Fáscia
/
Pontos de Referência Anatômicos
/
Procedimentos Cirúrgicos Dermatológicos
/
Hemorragia
Idioma:
Coreano
Revista:
Korean Journal of Dermatology
Ano de publicação:
2003
Tipo de documento:
Artigo
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