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Tissue expansion: Concepts, techniques and unfavourable results
The phenomenon of tissue expansion is observed in nature all the time. The same properties of the human skin to stretch and expand and yield extra skin if placed under continuous stress over a prolonged period of time has been utilised for reconstructive purposes with the help of a silicon balloon i...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publication & Media Pvt Ltd
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3901915/ https://www.ncbi.nlm.nih.gov/pubmed/24501470 http://dx.doi.org/10.4103/0970-0358.118612 |
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author | Wagh, Milind S. Dixit, Varun |
author_facet | Wagh, Milind S. Dixit, Varun |
author_sort | Wagh, Milind S. |
collection | PubMed |
description | The phenomenon of tissue expansion is observed in nature all the time. The same properties of the human skin to stretch and expand and yield extra skin if placed under continuous stress over a prolonged period of time has been utilised for reconstructive purposes with the help of a silicon balloon inserted under the skin and progressively filled with saline. The technique of tissue expansion is now more than three decades old and has been a value addition to our armamentarium in reconstructive surgery in all parts of the body. However, it still requires careful patient selection, meticulous planning and faultless execution to successfully carry out the process, which usually lasts for more than 8-12 weeks and involves two sittings of surgery. Any compromise in this process can lead to unfavourable results and complications, some minor, which allow continuance of the process to attain the expected goal and others major, which force abandonment of the process without reaching the expected goal. This article seeks to highlight the intricacies of the concept of tissue expansion, the technique related to flawless execution of the process and likely complications with emphasis on their management. We also present our results from a personal series of 138 patients operated over a period of 18 years between 1994 and 2012. |
format | Online Article Text |
id | pubmed-3901915 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Medknow Publication & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-39019152014-02-05 Tissue expansion: Concepts, techniques and unfavourable results Wagh, Milind S. Dixit, Varun Indian J Plast Surg Review Article The phenomenon of tissue expansion is observed in nature all the time. The same properties of the human skin to stretch and expand and yield extra skin if placed under continuous stress over a prolonged period of time has been utilised for reconstructive purposes with the help of a silicon balloon inserted under the skin and progressively filled with saline. The technique of tissue expansion is now more than three decades old and has been a value addition to our armamentarium in reconstructive surgery in all parts of the body. However, it still requires careful patient selection, meticulous planning and faultless execution to successfully carry out the process, which usually lasts for more than 8-12 weeks and involves two sittings of surgery. Any compromise in this process can lead to unfavourable results and complications, some minor, which allow continuance of the process to attain the expected goal and others major, which force abandonment of the process without reaching the expected goal. This article seeks to highlight the intricacies of the concept of tissue expansion, the technique related to flawless execution of the process and likely complications with emphasis on their management. We also present our results from a personal series of 138 patients operated over a period of 18 years between 1994 and 2012. Medknow Publication & Media Pvt Ltd 2013 /pmc/articles/PMC3901915/ /pubmed/24501470 http://dx.doi.org/10.4103/0970-0358.118612 Text en Copyright: © Indian Journal of Plastic Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Wagh, Milind S. Dixit, Varun Tissue expansion: Concepts, techniques and unfavourable results |
title | Tissue expansion: Concepts, techniques and unfavourable results |
title_full | Tissue expansion: Concepts, techniques and unfavourable results |
title_fullStr | Tissue expansion: Concepts, techniques and unfavourable results |
title_full_unstemmed | Tissue expansion: Concepts, techniques and unfavourable results |
title_short | Tissue expansion: Concepts, techniques and unfavourable results |
title_sort | tissue expansion: concepts, techniques and unfavourable results |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3901915/ https://www.ncbi.nlm.nih.gov/pubmed/24501470 http://dx.doi.org/10.4103/0970-0358.118612 |
work_keys_str_mv | AT waghmilinds tissueexpansionconceptstechniquesandunfavourableresults AT dixitvarun tissueexpansionconceptstechniquesandunfavourableresults |