A Novel Method of Skin Closure for Aging or Fragile Skin
A novel method of skin closure is detailed for surgical removal of tumors in patients with aging or thin and fragile skin. A polyethylene film with an acrylate adhesive was used as an adjunct to the dermis to help provide stability for suturing. Cases are presented with clinical photographs to demonstrate how this technique may prevent wound complications in elderly patients or those with fragile skin.
Practice Points
- A novel method of skin closure using a polyethylene film with an acrylate adhesive can aid in strengthening suture integrity and preventing skin tears.
- Dehiscence of excision sites in patients with aging or fragile skin can be prevented.
- This closure technique promotes healing and efficient scar formation.
Comment
Various techniques for handling fragile skin during surgery have been described in the literature. Fomon et al1 discussed aging skin as it relates to plastic surgery. Foster and Chan2 described a skin support technique for closing elliptical incisions in patients with fragile skin. Mazzurco and Krach3 discussed the use of a hydrocolloid dressing to aid in the closure of surgical wounds in patients with fragile skin.
The closure method described here was found to be particularly helpful when used as an adjunct to surgery in patients with fragile skin that lacked a suitable dermis. The polyethylene adhesive film helped to hold the sutures more securely. This method is cost-effective and is associated with a high level of patient satisfaction. For the surgeon, this technique may aid in dealing with difficult surgical situations and helps prevent wound complications in elderly patients or those with fragile skin.
