Betul Guzelyuz
The Atlantic Journal of Medical Science and Research - 2025;5(4):136-138
Aim: To illustrate the advantages of performing primary wound repair in a staged manner by utilizing the intrinsic expandability of soft tissue in wounds with extensive tissue loss. Materials and Methods: Staged Primary Tissue Repair is a technique designed to minimize wound-related complications and promote safe healing by exploiting the natural elasticity of tissue rather than relying on abrupt treatment transitions. The method, including its procedural steps, has been described in detail, and a patent application has been submitted. Results: Extensive tissue loss can arise from multiple etiologies and is associated with impaired wound healing when certain adverse factors are present. Although tissue expandability and elasticity are well-recognized-such as with the use of retention sutures for post-laparotomy abdominal closure or tissue expanders before flap surgery-these principles have not been widely applied to primary wound repair. In Staged Primary Tissue Repair , intermittent sutures are sequentially applied. As the wound edges gradually approximate and the defect decreases due to tissue elasticity, additional sutures are placed at each follow-up. This progressive approach ultimately allows tension-free approximation of the wound edges and complete resolution of the defect, thereby enabling safe primary wound closure. Conclusion: Staged Primary Tissue Repair is a promising treatment modality for patients with extensive tissue loss, particularly those with high complication risk or significant comorbidities, by leveraging the natural expandability of soft tissue to achieve secure primary closure.
