{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T20:53:20Z","timestamp":1787864000086,"version":"build-2784847793"},"reference-count":35,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2022,1,30]],"date-time":"2022-01-30T00:00:00Z","timestamp":1643500800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Breast reconstruction incidence increased, including preventive surgery. In this context, providing women best surgical care and results is crucial, with minimum complications, such as wound dehiscence and skin flap necrosis. Tension\u2010free closure of skin flaps is mandatory for successful healing. However, since this is not always possible, various techniques have been developed to reduce tension from wound margins, facilitate primary wound closure, and minimize and improve scarring. These techniques have not been investigated in breast surgeries. The aim of this study was to describe our experience with the Tension\u2010Relief System in mastectomy and breast reconstructive patients, and the advantages of using this technique.<\/jats:p>\n                  <jats:p>The retrospective cohort consisted of 13 breasts of 11 women aged 29\u201374\u00a0years who underwent surgery with primary wound closure using the System, in 2019\u20132020 in our department. It was applied averagely 19.7\u00a0days, demonstrated effectiveness in preventing complications and as secondary treatment following complications. This enabled avoiding further and more extensive surgeries, including donor\u2010site morbidity when needed.<\/jats:p>\n                  <jats:p>In mastectomy and breast reconstruction, the system minimizes complications and yields satisfactory esthetic and functional outcomes, with minimal inconvenience to the patient, and good pain control. The technique is low\u2010cost, simple to use, and does not require special settings, surgical equipment, or particular skills.<\/jats:p>","DOI":"10.1111\/jocd.14772","type":"journal-article","created":{"date-parts":[[2022,1,14]],"date-time":"2022-01-14T02:42:54Z","timestamp":1642128174000},"page":"4572-4579","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Complicated wound closure following mastectomy and breast reconstruction"],"prefix":"10.1111","volume":"21","author":[{"given":"Asaf","family":"Olshinka","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery &amp; Burns Rabin Medical Center Beilinson Hospital, Petach Tikva, affiliated with Sackler Faculty of Medicine Tel Aviv University  Tel Aviv Israel"},{"name":"Plastic Surgery &amp; Burns Unit Schneider Children's Medical Center of Israel Petach Tikva, affiliated with the Sackler Faculty of Medicine Tel Aviv University  Tel Aviv 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Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Icekson","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery &amp; Burns Rabin Medical Center Beilinson Hospital, Petach Tikva, affiliated with Sackler Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonya","family":"Wadhawker","sequence":"additional","affiliation":[{"name":"Breast Surgical Unit Division of General Surgery Rabin Medical Center Beilinson Hospital, Petach Tikva, affiliated with Sackler Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Lvovsky","sequence":"additional","affiliation":[{"name":"Forensic identification department Medical Corps, Israel Defense Forces  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