Authors
Izmailov S.G.1, Lukoyanychev E.E.1, Izmailov A.G. 2, Izmailov A.A.2, Rotkov A.I.1
1 City Clinical Hospital No. 7 named after E.L. Berezova, Nizhny Novgorod
2 Kazan State Medical University, Kazan
Abstract
The introduction of intensive surgical technologies into the practice of treatment of «problem» wounds with hard-to-match margins has caused the appearance of completely new equipment, including adaptive tools for holding, bringing together and stretching the covering tissues, allowing to significantly improve the quality of wound defect closure in this group of patients within the method of active surgical treatment.
The review article presents generalized materials of the technical means developed — wound adaptation and repositioning devices (WARD) for a one-stage and dosed adhesion of tissue structures of «problem» wounds of various localizations. On the basis of publications and our own data, the classification and description of some of them intended for precision juxtaposition of homonymous layers of connected tissues and atraumatic suturing are given, indications, contraindications and experience of their clinical application are stated.
Keywords: surgical fixation devices, sutureless surgical procedures, surgical tape, wound dehiscence.
References
1. Gostishchev VK, Boyarintsev VV, Evseev MA, et al. Tekhnologii soedineniya tkanei v abdominal’noi khirurgii: rukovodstvo dlya vrachei. Pervaya operativnaya tipografiya; 2019. (In Russ.)
2. Izmailov SG, Izmailov GA, Garaev VN, Bodrov AA, Beschastnov VV. Novye tekhnologii v ushivanii ran. Kazanskii meditsinskii zhurnal. 2001; 82(1): 67-71. (In Russ.)
3. Izmailov SG, Izmailov GA, Reznik VS, et al. Adaptatsionno-repozitsionnye tekhnicheskie sredstva v sochetanii s bioaktivnym farmakologicheskim preparatom ksimedon dlya stimulyatsii zazhivleniya ran. Meditsinskaya tekhnika. 1999; 2: 16–21. (In Russ.)
4. Izmailov SG, Izmailov GA. Novye tekhnologii v khirurgii ran: Monografiya. Izd-vo NGMA; 2004. (In Russ.)
5. Mikhailichenko VYu, Shestopalov DV, Karakursakov NE. Rezul’taty lecheniya rasprostranennogo peritonita poluotkrytym sposobom s primeneniem adaptatsionno-repozitsionnykh apparatov. Universitetskaya Klinika. 2015; 11(11): 62-65. (In Russ.)
6. Izmailov SG, Beschastnov VV. Apparatnaya tekhnika ushivaniya ran. Khirurgiya. 2003; 11: 61-64. (In Russ.)
7. Song M, Zhang Z, Liu T, et al. EASApprox(®) skin-stretching system: A secure and effective method to achieve wound closure. Exp Ther Med. 2017; 14(1): 531-538. doi:10.3892/etm.2017.4539.
8. Igoumenou VG, Kokkalis ZT, Mavrogenis AF. Fasciotomy Wound Management. In: Mauffrey C, Hak DJ, Martin III MP, eds. Compartment Syndrome: A Guide to Diagnosis and Management. 2019: 83-95. doi: 10.1007/978-3-030-22331-1_9.
9. Alkhalifah MK, Almutairi FSH. Optimising Wound Closure Following a Fasciotomy: A narrative review. Sultan Qaboos Univ Med J. 2019; 19(3): e192-e200. doi: 10.18295/squmj.2019.19.03.004.
10. Svetukhin AM, Amiraslanov YuA, Mitish VA. Rekonstruktivnye i plasticheskie operatsii v gnoinoi khirurgii. In: Fedorov VD, Svetukhina AM. Izbrannyi kurs lektsii po gnoinoi khirurgii. Miklosh; 2005: 64-76. (In Russ.)
11. Mitish VA, Amiraslanov YuA. Plasticheskie i rekonstruktivnye operatsii v gnoinoi khirurgii i travmatologii. Khirurgiya. 2000; 4: 67-69. (In Russ.)
12. Amiraslanov YuA, Sarkisov DS, Kolokol’chikova EG. Plastika defektov myagkikh tkanei metodom dozirovannogo tkanevogo rastyazheniya. Vrach. 1993; 2: 25–27. (In Russ.)
13. MacKay BJ, Dardano AN, Klapper AM, Parekh SG, Soliman MQ, Valerio IL. Multidisciplinary Application of an External Tissue Expander Device to Improve Patient Outcomes: A Critical Review. Adv wound care. 2020; 9(9): 525-538. doi: 10.1089/wound.2019.1112.
14. Bashir AH. Wound closure by skin traction: an application of tissue expansion. Br J Plast Surg. 1987; 40(6): 582-587. doi: 10.1016/0007-1226(87) 90151-2.
15. Oh SJ. Closure of a full-thickness scalp burn that occurred during hair coloring using a simple skin-stretching method: A case report and review of the literature. Arch Plast Surg. 2019; 46(2): 167-170. doi: 10.5999/aps.2018.00871.
16. Yontar Y, Tatar S, Aydin A, Coruh A. Delayed Primary Closure of Traumatic Tension Wounds Using Plastic Straps and Kirschner Wires. Plast Surg (Oakville, Ont). 2019; 27(1): 29-37. doi: 10.1177/2292550317750147.
17. Izmailov GA, Orenburov PYa, Dyatlov EE, Izmailov SG. Ustroistvo dlya provizornoi ostanovki krovotecheniya pri khirurgicheskom udalenii opukholi kozhi i podkozhnoi kletchatki. Voprosy onkologii. 1991; 6: 749-750. (In Russ.)
18. Blomqvist G, Steenfos H. A new partly external device for extension of skin before excision of skin defects. Scand J Plast Reconstr Surg hand Surg. 1993; 27(3): 179-182. doi: 10.3109/02844319309078109.
19. Barnea Y, Gur E, Amir A, et al. Delayed primary closure of fasciotomy wounds with Wisebands, a skin- and soft tissue-stretch device. Injury. 2006; 37(6): 561-566. doi: 10.1016/j.injury.2006.02.056.
20. Pyatakov SN, Porkhanov VA, Zavrazhnov AA, Baryshev AG, Bardin SA, Pyatakova SN. Otsenka klinicheskoi effektivnosti primeneniya metoda dozirovannogo tkanevogo rastyazheniya v lechenii defektov kozhi i tkanei v oblasti bryushnoi stenki. Tavricheskii mediko-biologicheskii vestnik. 2018; 21(2-1): 77-82. (In Russ.)
21. Urbaniak RM, Khuthaila DK, Khalil AJ, Hammond DC. Closure of massive abdominal wall defects: a case report using the abdominal reapproximation anchor (ABRA) system. Ann Plast Surg. 2006; 57(5): 573-577. doi: 10.1097/01.sap.0000237052.11796.63.
22. Topaz M, Carmel NN, Silberman A, Li M Sen, Li YZ. The TopClosure® 3S System, for skin stretching and a secure wound closure. Eur J Plast Surg. 2012; 35(7): 533-543. doi: 10.1007/s00238-011-0671-1.
23. Li J, Shi JB, Hong P, et al. Combined treatment with vacuum sealing drainage, TopClosure device, and Ilizarov technique for traumatic hemipelvectomy: A rare case report of successful repairing of large-size soft tissue defects. Medicine (Baltimore). 2019; 98(4): e14205. doi: 10.1097/ MD.0000000000014205.
24. May BL, Googe B, Durr S, et al. Utility of a Continuous External Tissue Expander in Complex Pediatric Wound Reconstruction. Eplasty. 2022; 22: e10.
25. Izmailov GA, Akhmetzyanov ShI, Izmailov SG. Ustroistvo dlya sblizheniya kraev rany. Khirurgiya. 1984; 12: 106-109. (In Russ.)
26. Ismailov GA, Ismailov SG. Apparative Adaptation der Wundränder. Chrurgische Prax. 1997; 52(H3): 425-430.
27. Malkov IS, Filippov VA, Korobkov VN, Tagirov MR. Rasprostranennyi peritonit: evolyutsiya metodov khirurgicheskogo lecheniya. Prakticheskaya meditsina. 2017; 6(107) :46-49. (In Russ.)
28. Hirshowitz B, Lindenbaum E, Har-Shai Y. A skin-stretching device for the harnessing of the viscoelastic properties of skin. Plast Reconstr Surg. 1993; 92(2): 260-270. doi: 10.1097/00006534-199308000-00010.
29. Wu Q, Shao Z, Li Y, et al. A novel skin-stretching device for closing large skin-soft tissue defects after soft tissue sarcoma resection. World J Surg Oncol. 2020; 18(1): 247. doi: 10.1186/s12957-020-02022-3.
30. Ratnam BV. A simple external tissue expansion technique based on viscoelastic properties of skin to attain direct closure of a large scalp defect: A case report. Indian J Plast Surg Off Publ Assoc Plast Surg India. 2015; 48(3): 309-312. doi:10.4103/0970-0358.173137.
31. Wang G, Zhang X, Zhang Z, Wei Z. Clinical study on a skin stretching technique with adjustable external fixators to treat skin defects. Medicine (Baltimore). 2020; 99(37): e22144. doi:10.1097/MD.0000000000022144.
32. Dong Q, Gu G, Wang L, et al. Application of modified adjustable skin stretching and secure wound-closure system in repairing of skin and soft tissue defect. Chinese J reparative Reconstr Surg. 2017; 1(12): 1481-1484. doi: 10.7507/1002-1892.201707103.
33. Pu S, Lü Q, Zhao Z, et al. Application of self-made chronic wound closure device in the repair of scarred lower extremity wounds. Chinese J reparative Reconstr Surg. 2019; 33(2): 219-222. doi: 10.7507/1002-1892.201803045.
34. Patent SSSR na izobretenie №1273078/26.03.1985. Nagibin VI, Zhakupbaev AA, Baibatyrov Z. Ustroistvo dli svedeniya i razvedeniya kraev rany. (In Russ.)
35. Kerrigan CL, Homa K. Evaluation of a new wound closure device for linear surgical incisions: 3M Steri-Strip S Surgical Skin Closure versus subcuticular closure. Plast Reconstr Surg. 2010; 125(1): 186-194. doi: 10.1097/PRS.0b013e3181c2a492.
36. Doumit J, Vale R, Kanigsberg N. Dynaclose tape: a practical alternative to punch biopsy site closure. J Cutan Med Surg. 2013; 17(1): 62-65. doi: 10.2310/7750.2012.11149.
37. Huahui Z, Dan X, Hongfei J, et al. Evaluation of a new tension relief system for securing wound closure: A single-centre, Chinese cohort study. Plast Surg (Oakville, Ont). 2016; 24(3): 177-182. doi: 10.4172/plastic-surgery.1000972.
38. Izmailov SG, Ryabkov MG, Leont’ev AE, Beschastnov VV, Izmailov AG, Lukoyanychev EE. Primenenie adaptatsionnykh instrumentov v khirurgii relaparotomnykh ran. Kazanskii meditsinskii zhurnal. 2019; 2: 351-357. (In Russ.) doi: 10.17816/KMJ2019-351.
39. Izmaylov SG, Rotkov AI, Beschastnov VV, Rotkov SI, Popov EV, Lukoanychev EE. Mathematical justification of the wound suturing by wound contractors of new generation. Phys Technol Proc (CPT2020) Conf Proc 8th Int Sci Conf Comput. Published online 2020: 232-238.
40. Izmailov SG, Beschastnov VV, Garaev VN, et al. Novye napravleniya v khirurgicheskikh tekhnologiyakh lecheniya ran myagkikh tkanei. Vestnik Rossiiskoi Akademii meditsinskikh nauk. 2005; 10: 25-30. (In Russ.)
41. Beschastnov VV, Orlinskaya NYu, Kudykin MN. Eksperimental’naya i klinicheskaya otsenka vozmozhnosti dozirovannoi dermotenzii v usloviyakh infitsirovannoi rany myagkikh tkanei. Rossiiskii meditsinskii zhurnal. 2012; 3: 32-34. (In Russ.)
42. Izmailov SG, Beschastnov VV, Izmailov GA, Ledyaev DS, Botyakov AA, Izmailov AG. Vneranevoi programmirovannyi vul’nosintez v lechenii gnoinykh ran. Khiurrgiya. 2005; 12: 49-53. (In Russ.)
43. Izmailov SG, Lukoyanychev EE, Leont’ev AE, i dr. Opyt ispol’zovaniya razrabotannykh mekhanicheskikh sposobov lecheniya bol’nykh s ranevymi oslozhneniyami proteziruyushchei plastiki posleoperatsionnykh ventral’nykh gryzh. Vestnik eksperimental’noi i klinicheskoi khirurgii. 2022; XV(3): 236-243. (In Russ.)
44. Ryabkov MG, Izmailov SG, Lukoyanychev EE, Sabauri RV, Orlinskaya NYu. Taktika pri intraabdominal’noi gipertenzii u bol’nykh s ostrymi zabolevaniyami bryushnoi polosti. Khirurgiya. 2013; 3: 48-54. (In Russ.)
45. Baleev MS. Laparolifting kak variant tekhnicheskogo obespecheniya povtornykh operatsii pri ostroi ishemii kishki. Izvestiya vysshikh uchebnykh zavedenii. Povolzhskii region. Meditsinskie nauki. 2018; 4(48): 87-96. (In Russ.) doi: 10.21685/2072-3032-2018-4-9.
46. Vorontsov AYu, Lukoyanychev EE, Izmailov SG, Izmailov AG, Martynov ED. Klinicheskoe primenenie razrabotannogo ustroistva dlya zakrytiya rany posle radikal’noi mastektomii. Kazanskii med zhurnal. 2019; 100(3): 505-510. (In Russ.) doi: 10.17816/KMJ2019-505.
47. Lukoyanychev EE, Izmailov SG, Emel’yanov VA, Kolchina OS, Rotkov AI, Kiselev MN. Obshchii vzglyad na tekhnologii profilaktiki i lecheniya patsientov s posleoperatsionnymi ventral’nymi gryzhami. Issledovaniya i praktika v meditsine. 2021; 8(3): 84-96. (In Russ.) doi: 10.17709/2410-1893-2021-8-3-8.
48. Pavlenko IV, Beschastnov VV, Ryabkov MG. Dozirovannoe tkanevoe rastyazhenie pri podgotovke donorskoi oblasti k svobodnoi autodermoplastike khronicheskikh ran. Rany i ranevye infektsii. 2019; 6(1): 25-33. (In Russ.) doi: 10.25199/2408-9613-2018-6-1-25-33.
49. Ryabkov MG, Spiridonov AA, Beschastnov VV, Tikhonova OA, Leont’ev AE. Lechenie khronicheskikh ran kombinatsiei autodermoplastiki i lipotransfera. Klin i eksperiment khir zhurn im akad BV Petrovskogo. 2018; 6(4): 17-23. (In Russ.) doi: 10.24411/2308-1198-2018-14002.
50. Izmailov SG, Lukoyanychev EE, Spiridonov VI, i dr. Instrumental’no-farmakologicheskaya kombinatsiya v preduprezhdenii rane-voi infektsii v neotlozhnoi abdominal’noi khirurgii. Zabaikal’skii meditsinskii vestnik. 2019; 1: 135-143. (In Russ.)
