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Modification of customary isosceles right triangular configuration to approximate more closely the prevailing relaxed skin tension line (RSTL). Lines with arrowheads indicate the direction of RSTL. W-plasty is drawn carefully. W-plasty is excised while maintaining the blade perpendicular to the skin's surface. Note lack of lateral tissue deformation. Excision following design of geometric Doptelet (Avatrombopag Tablets)- Multum line.

Closure of geometric broken line revision technique. Geometric broken line closure (GBLC) on a curved wound, oriented differentially to relaxed skin tension line (RSTL).

Note height differences of geometric figures at ends and middle of wound and relative increase of triangular Doptelet (Avatrombopag Tablets)- Multum to rectangles. Central scar with bilateral M-plasty. A wound following excision of central scar. Note how M-plasty design conserves otherwise discarded healthy surrounding tissue. Diagrammatic representation wood M-plasty closure with advancement of the tip into the defect by horizontal mattress suture technique.

An alternative method of closing angulated flap Doptelet (Avatrombopag Tablets)- Multum horizontal half-buried mattress suture. The flap tip may be advanced differentially into the wound apex to achieve a moderate degree of eversion and decreased tension. View Media Gallery Incisions, Hemostasis, and Closure Poor wound healing results from posttraumatic infection, inadequate or traumatic wound Doptelet (Avatrombopag Tablets)- Multum, excessive use of electrocautery, or inappropriate postoperative wound care.

View Media Gallery Lim AF, Weintraub J, Kaplan EN, Januszyk M, Cowley C, McLaughlin P, et al. Media Gallery Scar revision. Note significant tissue distortion at ends of wound Scar revision.

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03.08.2019 in 10:00 Николай:

04.08.2019 in 04:25 Христина:
Огромное вам человеческое спасибо, очень актуальная заметка.

09.08.2019 in 10:45 Олег:
Вы похожи на эксперта )))

11.08.2019 in 04:26 irerit:
Да-уж посмотрим