Intraoperative tissue expansion with the Foley catheter

Abstract

Background: As surgeons face larger and more complex surgical defects, there is the continual search for more practical, successful, and cosmetically elegant methods for repair. Intraoperative tissue expansion is a relatively new technique built upon the fundamentals of traditional chronic tissue expansion. The Foley catheter is an inexpensive, readily available device that can be used for intraoperative tissue expansion.

Objective: The purpose of this article is to explain and demonstrate some of the uses for intraoperative tissue expansion with the Foley catheter.

Methods: A series of cycles of inflation and deflation of the Foley catheter balloon allows for gradual stretching of the skin over a period of 15 to 20 minutes.

Results and conclusion: The "tissue gain" achieved via this technique often facilitates wound repair. The Foley catheter is a useful device and a significant addition to the dermatologic surgeon's armamentarium.