Skin Tumors
Advanced closure of large oncologic defects without skin grafting
Case 1
Title
95 year-old patient who was operated for removal of a large squamous cell carcinoma of the scalp resulting in a large skin defect
Result
✔ Large scalp defect successfully closed without skin grafting
✔ Rapid initial closure achieved within minutes using stress-relaxation
✔ Gradual postoperative skin stretching enabled full closure
✔ Complete healing with good aesthetic outcome at 3 months, even in an elderly patient
Case 2
Title
Closure of Skin Defect Following Tumor Excision Using TopClosure® Without Skin Grafting
Result
✔ Successful closure of post-excision skin defect without skin grafting
✔ Avoidance of donor site complications
✔ Superior wound coverage using controlled skin stretching
✔ Improved healing and aesthetic results
Case 3
Title
Effective Non-Invasive Skin Closure in Elderly Patients Without Skin Grafting
Result
✔ Skin defect successfully closed without skin grafting in an elderly patient
✔ Non-invasive skin securing approach eliminated donor site complications
✔ Improved wound coverage and healing quality
✔ Favorable aesthetic outcome with minimal scarring
Trauma & Emergency Cases
Immediate Closure of Large Soft Tissue Defect Without Skin Grafting
Case 1
Title
A real-world case demonstrating rapid closure of a massive skin defect using TopClosure® within hours
Result
✔ Large soft tissue defect successfully closed within 2 hours
✔ No skin graft required
✔ Rapid recovery with progressive healing
✔ Stable long-term result with good aesthetic outcome
Case 2
Title
Severe Crash Injury with Extensive Tissue Loss – Staged Closure Using TopClosure® Without Skin Grafting.
A complex traumatic injury managed through intraoperative and postoperative skin stretching, enabling progressive closure of a massive soft tissue defect.
Result
✔ Management of severe crash injury with extensive tissue loss
✔ Gradual wound closure achieved using TopClosure® tension relief system
✔ Ongoing bedside approximation reduced need for additional surgery
✔ No skin graft required despite large defect
✔ Effective and controlled healing process
Case 3
Title
Immediate Primary Closure of an Infected Diabetic Stump Using TopClosure® Without Skin Grafting.
A severely infected diabetic stump managed with immediate closure, avoiding prolonged open wound care and additional surgical procedures
Result
✔ Successful closure of an infected diabetic stump in a single stage
✔ Elimination of need for skin grafting and prolonged wound care
✔ Reduced risk of further tissue loss or re-amputation
✔ Improved healing and patient recovery
✔ Effective management of complex diabetic wound
Military & Combat Injuries
Immediate Closure of Large Soft Tissue Defect Without Skin Grafting
Case 1
Title
Limb Salvage with Joint Preservation Following Devastating Combat Injury Using TopClosure®
A high-energy traumatic injury managed with immediate wound approximation while preserving joint integrity, enabling future prosthetic rehabilitation
Result
✔ Management of devastating combat injury with preservation of joint structure
✔ Enabling future prosthetic rehabilitation through limb salvage
✔ Immediate wound closure without the need for skin grafting
✔ Reduction in need for complex reconstructive procedures
✔ Improved long-term functional outcome
Case 2
Title
Progressive Closure of Combat Wound Using TopClosure® – From Acute Injury to Stabilized Healing
A combat-related injury managed through staged wound closure and controlled healing over time using TopClosure®
Result
✔ Progressive closure of complex combat wound using staged approach
✔ Effective wound management without need for skin grafting
✔ Continuous approximation enabled by TopClosure® system
✔ Stable healing achieved over time
✔ Preservation of surrounding tissue integrity
Pediatric Nevus Removal – Early Treatment without internal tissue expanders
Early removal of a giant congenital nevus using TopClosure® technology, enabling gradual skin stretching and closure without internal tissue expanders.
A 3-month-old infant treated for a giant congenital nevus using controlled skin stretching, allowing early intervention, minimizing scarring, and avoiding the need for skin grafting.
Result
✔ Early treatment of giant congenital nevus starting at 3 months of age
✔ Non-invasive skin expansion using TopClosure® without internal tissue expanders
✔ Elimination of pain, risk, and complications associated with balloon expanders
✔ Complete staged reconstruction achieved before age 2
✔ Excellent aesthetic outcome with minimal scarring and preserved facial features
✔ Normal childhood development without psychological burden
A less traumatic, non-invasive alternative to traditional tissue expansion in pediatric reconstructive surgery
Fecial Surgeries
Case 1
Title
Facial Reconstruction Using TopClosure® – Immediate Closure Without Skin Grafting
Direct primary closure of facial defect, reducing surgical complexity and eliminating donor site morbidity
Result
✔ Successful facial reconstruction using primary closure technique
✔ No need for skin grafting or complex flap procedures
✔ Preservation of natural facial anatomy
✔ Minimal scarring with excellent cosmetic outcome
✔ Simplified surgical approach with improved patient recovery
Case 2
Title
Facial Reconstruction Using TopClosure® – Minimal Scarring Without Skin Grafting
A facial lesion excised and closed using controlled skin stretching, preserving natural contours and achieving an optimal cosmetic result
Result
✔ Successful facial reconstruction using non-invasive skin stretching
✔ No need for skin grafting or complex flap procedures
✔ Superior aesthetic outcome with minimal visible scarring
✔ Preservation of facial symmetry and expression
✔ Improved patient satisfaction and recovery