An improvised wound closure system

Oren Lapid

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


Background: Skin stretching harnesses the same viscoelastic properties of the skin as expansion, with the difference that the forces are applied externally and not internally. An improvised system for wound closure is presented. Method: The system is assembled using silicone vascular loops used as sutures and the flow controllers of intravenous sets as locking devices. The wounds are gradually closed by increasing the tension applied by the devices. Results: The system has been applied to nine traumatic wounds in six patients. The average size of the wounds was 70 cm2; the average number of devices used was 4.3 (range, 1-9; median, 3); the average time to achieve closure was 1.55 days (range, 0-2 days; median, 2 days). Conclusion: This system permits the closure of wounds not suitable for closure by primary intention and avoids the use of skin grafts or flaps.

Original languageEnglish
Pages (from-to)910-914
Number of pages5
JournalJournal of Trauma and Acute Care Surgery
Issue number4
StatePublished - 1 Apr 2006
Externally publishedYes


  • Disposable equipment
  • Equipment design
  • Intraoperative care
  • Reconstructive surgical procedures
  • Silicone elastomers
  • Suture techniques
  • Sutures
  • Tissue expansion
  • Wound healing

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine


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