Extended deepithelialization to secure double-breasted closure of the skin.

Abstract:

:Double-breasted closure of the skin is achieved by deepithelialization of 1 edge of a wound and advancement of the opposite edge over this deepithelialized area. Such closure may prevent contamination or exposure of the implant in cases where immediate breast reconstruction with prosthetic material is obtained after skin sparing mastectomy. The deepithelialization routinely extends as far as the incision to be closed and, consequently, the skin suture at the end of the incision immediately overlies thedeep suture or implant in cases where the implant is not fully covered by muscle. To prevent contamination or exposure of the implant when suture infection or wound dehiscence occurs in these cases, we extend the deepithelialization beyond and around the limit of the skin incision. This allows for complete and secured double-breasted closure of the entire wound and lessens the risk of implant contamination or exposure.

journal_name

Ann Plast Surg

authors

Woerdeman LA,Hage JJ,van Turnhout AA

doi

10.1097/01.sap.0000174362.35948.65

subject

Has Abstract

pub_date

2005-09-01 00:00:00

pages

338-40

issue

3

eissn

0148-7043

issn

1536-3708

pii

00000637-200509000-00025

journal_volume

55

pub_type

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