Piecrusting to Facilitate Skin Closure. Issue 4 (August 2016)

• Record Type: Journal Article
• Authors: Singh, Dishan; Lomax, Adam
• Is Part Of: Foot & ankle specialist. Volume 9:Issue 4(2016:Aug.)
• Page Start: 367
• Page End: 371
• Publication Date: 2016-08
• Subjects: wound closure -- skin incisions -- wound healing -- wound dehiscence -- bilateral forefoot reconstruction -- multiple superficial short skin incisions -- lace patterning -- fishmouthing -- meshing technique -- multiple relaxing skin incisions -- piecrusting; Podiatry -- Periodicals; Orthopedics -- Periodicals; Foot -- Diseases -- Periodicals; Foot -- Surgery -- Periodicals; Ankle -- Surgery -- Periodicals; 617.585
• DOI: 10.1177/1938640015620635
• Languages: English
• ISSNs: 1938-6400

Abstract

Wound dehiscence and infection may arise when the skin around the foot or ankle is closed under tension after a surgical incision or trauma. Two cases where a piecrusting technique, using small transdermal incisions made in the surrounding skin similar to the holes in a pie crust, are presented and a literature review of the technique has been performed. The multiple small stab incisions perpendicular to the line of tension have enabled skin closure without tension and have healed with minimal scarring. Levels of Evidence : Level V: Expert opinion