Evaluation of microcirculation and wound-closing tension after undermining the skin. A study in a porcine model using laser Doppler perfusion imaging

Evaluation of microcirculation and wound-closing tension after undermining the skin. A study in a... Undermining the skin can reduce wound tension when closing skin defects and thereby can provide a potentially better microcirculation. On the other hand, undermining causes damage to blood vessels. In this study the relationship between wound tension and microcirculation in undermined wounds was evaluated. A porcine model was used and in three pigs six undermined excisions and six control excisions were done. The tension needed to close the wound was noted and the postoperative microcirculation was measured with a laser Doppler perfusion imager. Undermining the skin gave significantly reduced ( p <0.05) wound-closing tension with a mean decrease of 25% (95% CI: 17–33%). The postoperative microcirculation in the undermined wound was significantly reduced ( p <0.05) with a mean of 28% (95% CI: 8–46%). Undermining the skin reduced the wound-closing tension. In our model the positive effect on the microcirculation by reducing the wound-closing tension was less than the negative effect of cutting the perforating blood vessels to the skin with a net decrease in blood flow. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Evaluation of microcirculation and wound-closing tension after undermining the skin. A study in a porcine model using laser Doppler perfusion imaging

Loading next page...
 
/lp/springer_journal/evaluation-of-microcirculation-and-wound-closing-tension-after-S7S0NGCl0x
Publisher
Springer-Verlag
Copyright
Copyright © 2005 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-004-0673-3
Publisher site
See Article on Publisher Site

Abstract

Undermining the skin can reduce wound tension when closing skin defects and thereby can provide a potentially better microcirculation. On the other hand, undermining causes damage to blood vessels. In this study the relationship between wound tension and microcirculation in undermined wounds was evaluated. A porcine model was used and in three pigs six undermined excisions and six control excisions were done. The tension needed to close the wound was noted and the postoperative microcirculation was measured with a laser Doppler perfusion imager. Undermining the skin gave significantly reduced ( p <0.05) wound-closing tension with a mean decrease of 25% (95% CI: 17–33%). The postoperative microcirculation in the undermined wound was significantly reduced ( p <0.05) with a mean of 28% (95% CI: 8–46%). Undermining the skin reduced the wound-closing tension. In our model the positive effect on the microcirculation by reducing the wound-closing tension was less than the negative effect of cutting the perforating blood vessels to the skin with a net decrease in blood flow.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Dec 1, 2004

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off