Closure of Large Wound with Rubber Elastic Circular Strips - Case Report

The technique of elastic suture was described by Raskin4 in a review article on acute vascular lesions in the upper limbs after crushing arm and forearm with the development of compartment syndrome. This author used an elastic suture to approximate the edges of fasciotomy and prevent bloody retraction. Leite et al.3 added in the application of subcutaneous and superficial fascia, in order to avoid additional suffering the edge of the skin, which could worsen the condition of the wound to this technique. This modification improved the aesthetic appearance and location prevented the formation of the lateral wound scars. The objective of this report is to present a new technique for closure of extensive surgical wounds through elastic suture, using circular elastic rubber bands.