Resumen de Wound Closure, Tension-Relieving Techniques, and Local Flaps
The simplest method of wound closure that is deemed to have the highest chance of success should be chosen.
Simple tension-relieving techniques, such as undermining, strong subcutaneous sutures and walking sutures, are effective in facilitating primary wound closure in many cases.
More advanced methods of relieving wound tension include the use of releasing incisions, skin stretchers, and tissue expanders.
Local flaps are elevated adjacent to the recipient bed and rely on the subdermal plexus for their blood supply.
The risk of necrosis of local flaps can be minimized with meticulous surgical technique;
various modalities may be used to salvage a failing flap.
