title: Use of tissue meshing technique to facilitate side to side closure of large defects.
abstract: BACKGROUND
  Primary closure of a large wound usually needs flaps of sophisticated design or skin grafts, both require more skill and wound care. Motley and Holt first reported the use of meshed advancement flap, a relative simple technique to close large defects of the lower leg in five patients.
  
  
  OBJECTIVE
  To report the use of tissue meshing technique to close large wounds with significant tension on various sites of the body.
  
  
  METHODS
  Six patients with large benign or malignant neoplasms at various sites of the body were included. Tissue meshing technique was used to facilitate wound closure after elliptical excision of the tumors at office visits.
  
  
  RESULTS
  The wound defects, ranging from 3.0-3.5 cm in width, were closed with satisfactory cosmetic results, except for the occurrence of transient small hypertrophic scars in one patient. There was no complication of wound dehiscence, ischemia, infection or hematoma.
  
  
  CONCLUSIONS
  Tissue meshing technique is a simple procedure and appears to be a satisfactory alternative to facilitate the closure of large wounds under tension. This technique is suitable for most body sites excluding central face and neck because there may be a stippled appearance in the area of meshing.
authors.affiliation: Department of Dermatology, National Cheng-Kung University Hospital, Tainan, Taiwan.
authors.forename: T W
authors.initials: TW
authors.lastname: Wong
authors.forename: H M
authors.initials: HM
authors.lastname: Sheu
authors.forename: J Y
authors.initials: JY
authors.lastname: Lee
authors.forename: S C
authors.initials: SC
authors.lastname: Chao
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011230:Precancerous Conditions / Q000601:surgery*; D012878:Skin Neoplasms / Q000601:surgery*; D013524:Surgical Flaps; D013526:Surgical Mesh; D013536:Suture Techniques; D014945:Wound Healing / Q000502:physiology