A New Form of Artificial Skin to Promote Permanent Wound Coverage

Wang, Hsian-Jenn; Wei, Lin; Wang, Chi-Hsien; Cheng, Ya Chen; Chang, Junn Liang; Tsou, Tai Li; Ku, Chih-Hung; Li, Chun Chang; Chiu, Wen Kuan; Chen, Chiehfeng

doi:10.1097/sap.0000000000001021

Cited by 3 publications

(2 citation statements)

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“…1 Traditionally, flap surgery has been employed to repair such wounds. 2,3 However, flap procedures come with inherent disadvantages, including surgical complexity, donor site morbidity, and heightened risk. 4 In cases where flap surgery is contraindicated, exposed tendons face the risk of necrosis due to the inability to effectively cover the area for an extended period, which significantly impacts their overall prognosis.…”

Section: Introductionmentioning

confidence: 99%

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Repairing Exposed Tendon Wounds with Absorbable Gelatin Sponges and Autologous Split-Thickness Skin Grafts: A Case Series

Jing,

Wang

2024

Adv Skin Wound Care

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Conventional flap repair surgery has several drawbacks, including operational complexity, donor site damage, and high risk. In this case series, the authors explored an alternative approach for repairing exposed tendon wounds caused by trauma using absorbable gelatin sponges (AGSs) and autologous thigh skin grafts. This report presents two cases of lower-extremity skin necrosis with tendon exposure following wound debridement. The treatment approach involved early debridement, negative-pressure wound therapy, and wound irrigation with 0.9% sodium chloride. Upon achieving controlled wound infection, AGSs were applied to the exposed tendon to prevent degeneration and promote wound healing. Subsequently, areas where granulation tissue failed to cover the tendon were repaired using AGSs and 0.25-mm-thick autologous mesh skin grafts harvested from the thigh. Complete wound healing was achieved in both cases, on the 20th and 12th day after skin grafting, respectively. The proposed method proved successful in repairing exposed tendon wounds, effectively preventing infection and necrosis.

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Section: Introductionmentioning

confidence: 99%

“…Achieving adequate vascularization in wounds with tendon exposure is challenging because of their poor angiogenic ability 1 . Traditionally, flap surgery has been employed to repair such wounds 2,3 . However, flap procedures come with inherent disadvantages, including surgical complexity, donor site morbidity, and heightened risk 4 .…”

Section: Introductionmentioning

confidence: 99%