Mid- to Long-term Outcomes After Split-thickness Skin Graft <i>vs.</i> Skin Extension by Multiple Incisions

Kern, Jette Nicoline; Weidemann, Friederike; O’Loughlin, Padhraig F.; Krettek, Christian; Gaulke, Ralph

doi:10.21873/invivo.11494

Cited by 7 publications

(5 citation statements)

References 40 publications

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“…PROMs are important for assessing quality of treatment from a patient perspective (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16). Most earlier reports of quality of treatment relate to the length of hospital stay and perioperative follow-up, often with surgical focus and lack of information on the patient's own experience.…”

Section: Discussionmentioning

confidence: 99%

“…The Short Form Health Survey (SF-36) allow various disease states and surgical methods to be evaluated (1-13), including cholecystectomy. Several studies have evaluated the SF-36 in benign disease and in patients with cancer following surgery (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13). The RAND-36-Item Health Survey (RAND-36) includes the same set of eight domains as the SF-36, namely General Health (GH), Physical Functioning (PF), Mental Health (MH), Social Functioning (SF), Vitality, Bodily Pain (BP), Role-Physical (RP) and Role-Emotional, however, the scoring of GH and BP scales differs slightly in RAND-36 (14)(15)(16)(17).…”

mentioning

confidence: 99%

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First RAND-36-Item Health Survey in Three-dimensional Laparoscopy Cholecystectomy: A Prospective Randomized Study

Eskelinen¹,

Repo²,

Saimanen³

et al. 2023

In Vivo

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Background/Aim: National healthcare organizers require feedback from patients to improve medical treatment methods. Three-dimensional laparoscopy cholecystectomy (3D-LC) is a modern technique in surgery. However, there are no studies with patient feedback from validated questionnaires assessing the postoperative treatment results in 3D-LC. Patients and Methods: Initially 200 patients with symptomatic cholelithiasis were randomized into 3D-LC or minilaparotomy cholecystectomy (MC) groups. RAND-36-Item Health Survey was performed preoperatively and 4 weeks following surgery relating the survey scores between the 3D-LC and MC groups. Results: Similar postoperative RAND-36 scores were reported for both groups preoperatively and at 4 weeks following surgery, and no significant differences in RAND-36 domains were shown. When the patients in both study groups were combined, Mental Health (p<0.001), Bodily Pain (p=0.01) and General Health (p=0.016) domain scores were significantly higher, indicating a significantly positive change in quality of life 4 weeks postoperatively, while those for the Role-Physical domain were significantly lower, indicating reduced physical activity during the 4 weeks following surgery. In comparison to the Finnish reference RAND-36 scores, scores at 4 weeks were significantly higher for the Mental Health domain (MC group, p=0.001) whilst scores were significantly lower in four other domains : Physical Functioning, Social Functioning, Bodily Pain and Role-Physical. Conclusion: This study shows, for the first time using the RAND-36-Item Health Survey, relatively similar short-term outcomes in patients 4 weeks following cholecystectomy by 3D-LC and MC. Although scores for three RAND-36 domains were significantly higher postoperatively, indicating a significantly positive change in quality of life, a longer follow-up after cholecystectomy is needed for final conclusions to be drawn.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

First RAND-36-Item Health Survey in Three-dimensional Laparoscopy Cholecystectomy: A Prospective Randomized Study

Eskelinen¹,

Repo²,

Saimanen³

et al. 2023

In Vivo

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“…19,20 Other studies demonstrated that the Cutometer provided reliable objective data on scars after skin grafting after burn wounds or closure of large soft tissue defects. 18,36,37 The device has also successfully been used in research in cosmetic medicine, 21,22,27 ichthyosis, 24 and gynecology 26 and senology. 23,25…”

Section: Discussionmentioning

confidence: 99%

Palmar skin elasticity measured by the Cutometer MPA 580 is decreased in mild Dupuytren’s disease compared to healthy controls

et al. 2022

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Introduction Involvement of the palmar skin is often seen in patients with Dupuytren’s disease (DD) with severe finger contractures. However, skin elasticity may be already decreased earlier in the disease. The Cutometer MPA 580 could provide an objective skin measurement tool to assess this decrease in elasticity. Linking objective skin measurements to functional outcome measures could lead to better prediction of disease progression. We set up a study to investigate if the Cutometer was able to detect differences in skin elasticity between patients with mild Dupuytren’s disease and healthy controls. Methods A cross-sectional analytical study was performed. Three assessors measured skin elasticity (palmar hand) on two sites using the Cutometer on 30 patients with mild DD and 30 healthy controls. Student’s t-test was used to evaluate differences in skin elasticity and a linear model to evaluate interactions between the groups and sites. Results Significant differences in skin elasticity were found between DD patients and controls, as well as differences based on the location examined. Discussion Similar to other skin conditions, the Cutometer MPA 580 was able to demonstrate a significant lower elasticity in the palmar skin in DD patients compared to healthy controls. A decrease in skin elasticity in different locations of the hand correlated with areas that often pose problems in the treatment of more severe DD. The Cutometer could potentially be a tool to identify these areas earlier in the disease.

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“…The modified OSAS in previous studies, except for vascularity and pliability item scores, were reported as 7.86 points for postoperative linear scars, 11.68 points in secondary intention healing, and 16.61 points in skin grafts. [ 10 11 12 13 14 ]…”

Section: Discussionmentioning

confidence: 99%

A retrospective study to evaluate the efficacy and safety of staged purse-string sutures for the reconstruction of surgical defects on skin using computer image analysis program

Seong

Yeom²,

Yun

et al. 2021

Indian Journal of Dermatology

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Background: Staged purse-string suturing has been recently introduced for the reconstruction of round or oval defects following tumor excision. Objective: The aim of this study was to evaluate the clinical advantage of staged purse-string suturing for the reconstruction of relatively large skin defects. Materials and Methods: Twenty-one patients who received staged purse-string sutures were included in the study. To evaluate the defects and scar sizes objectively, computer-based image analysis was used. A modified observer scar assessment scale (OSAS) was applied for evaluating the clinical efficacy. Results: The mean primary postsurgical defect size in the total 21 cases was 1446.2 ± 1187.2 mm2, and the mean final scar size was about 268.1 ± 252.3 mm2. The defect area decreased gradually as staged purse-string suturing was performed. The mean total modified OSAS was 7.96 ± 1.69. Conclusion: Staged purse-string sutures might be an alternative reconstructive method for relatively large round or oval skin defects.

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Mid- to Long-term Outcomes After Split-thickness Skin Graft vs. Skin Extension by Multiple Incisions

Cited by 7 publications

References 40 publications

First RAND-36-Item Health Survey in Three-dimensional Laparoscopy Cholecystectomy: A Prospective Randomized Study

First RAND-36-Item Health Survey in Three-dimensional Laparoscopy Cholecystectomy: A Prospective Randomized Study

Palmar skin elasticity measured by the Cutometer MPA 580 is decreased in mild Dupuytren’s disease compared to healthy controls

A retrospective study to evaluate the efficacy and safety of staged purse-string sutures for the reconstruction of surgical defects on skin using computer image analysis program

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