Negative pressure wound dressing of the radial forearm donor site

Avery, C.M.E.; Pereira, John; Moody, Ann; Gargiulo, M.; Whitworth, I. H.

doi:10.1016/s0901-5027(00)80092-2

Cited by 50 publications

(22 citation statements)

References 9 publications

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“…Ho et al [17] compared the functional and aesthetic outcomes of FRFF donor sites reconstructed with full-thickness skin graft, split skin graft alone and split skin graft overlying an acellular dermal matrix and found that all three methods of reconstruction have comparable low morbidity, postoperative satisfactory aesthetic and functional outcomes. Negative pressure wound dressing has been used for rapid healing and decreased donor site complications [21]. Bardsley et al [10] used a ulnar artery-based transposition flap for primary closure to reduce wound healing and improve cosmetic results.…”

Section: Discussionmentioning

confidence: 99%

Donor site morbidity of the fasciocutaneous radial forearm flap: what does the patient really bother?

Witt

Bree

Leeuw

et al. 2007

Eur Arch Otorhinolaryngol

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The objective of this study was the evaluation of donor site morbidity in head and neck cancer patients after reconstruction using a free vascularized radial forearm Xap with emphasis on subjective complaints. Fifty patients who underwent at least 6 months before a reconstruction using a free vascularized radial forearm Xap were asked to Wll out two questionnaires regarding cosmetics and sensibility and forearm disabilities. Furthermore, a function test including movement extensions (Xexion-extension, ulnar-radial deviation and pronation-supination), strength (pinch and grip) and temperature (digiti I and V) of the donor and non-donor site were measured and compared. Thirty-Wve percent of the patients reported no complaints regarding cosmetics and sensibility and 75% mentioned no forearm disabilities. There was no diVerence in movement extensions, temperature and grip strength between donor and non-donor sites. The diVerence in pinch strength appeared to be signiWcant (p < 0.001). The total score of the questionnaire on forearm disabilities correlated signiWcantly with extension, pronation and grip strength of the donor arm. Donor site morbidity of the radial forearm Xap measured by objective functional tests was limited but subjective self-ratings revealed complaints regarding cosmestics and sensibility and to a lesser extent regarding forearm disability. The present data may be used for solid patient counselling.

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Section: Discussionmentioning

confidence: 99%

Donor site morbidity of the fasciocutaneous radial forearm flap: what does the patient really bother?

Witt

Bree

Leeuw

et al. 2007

Eur Arch Otorhinolaryngol

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“…A systematic review 6 of fibula donor site morbidity showed wound healing problems to occur in 3.2% to 54% of patients, and the reported rates of 47% (CPD) and 57% (NPD) in our study were in the higher end of the spectrum. Previous reports of use of the NPD in the management of free flap donor sites have focused on the forearm, [13][14][15][16] the findings of which have been summarized in Table 2. Although the multiple reported case series 13,14,16 have found NPD to be beneficial in the management of radial forearm free flap donor sites, the results of a randomized controlled study did not find any significant advan- tage to healing conferred by the NPD.…”

Section: Discussionmentioning

confidence: 99%

“…Previous reports of use of the NPD in the management of free flap donor sites have focused on the forearm, [13][14][15][16] the findings of which have been summarized in Table 2. Although the multiple reported case series 13,14,16 have found NPD to be beneficial in the management of radial forearm free flap donor sites, the results of a randomized controlled study did not find any significant advan- tage to healing conferred by the NPD. 15 Our experience with the NPD system would suggest that assessment of skin graft take at day 5 is too early because we observed that there was delayed dehiscence and/or graft failure and thus decided to document graft healing at 4 to 6 weeks after surgery, which allowed a more accurate assessment.…”

Section: Discussionmentioning

confidence: 99%

“…This was supported by seemingly improved outcomes when its use was compared with that of conventional pressure (bolster) dressings 11,12 in the management of the radial forearm donor site. 13,14 We therefore conducted a prospective-retrospective comparative assessment of the use of the NPD system in the management of the fibula free flap donor site to compare healing outcomes with those of the conventional pressure dressing (CPD).…”

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confidence: 99%

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Prospective Evaluation of a Negative Pressure Dressing System in the Management of the Fibula Free Flap Donor Site

Rogers

Brown

et al. 2013

JAMA Otolaryngol Head Neck Surg

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“…Use of negative pressure wound therapy (NPWT) as an active bolster over skin grafts or dermal regeneration template (DRT) has increased over the past decade. In cases where reliable graft fixation may be difficult to achieve, adjunctive NPWT can reduce shearing and seroma/haematoma formation, improve qualitative appearance of split‐thickness skin grafts (STSGs) and improve patient tolerance of the graft (1–3). The applied force of NPWT has also shown a positive effect on autograft survival, as well as neovascularisation of the DRT (4–7).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of an ultra‐lightweight, single‐patient‐use negative pressure wound therapy system over dermal regeneration template and skin grafts

Gabriel

Thimmappa

Rubano

et al. 2012

International Wound Journal

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As the use of negative pressure wound therapy (NPWT) over skin grafts has increased, traditional methods of NPWT system reimbursement and application are increasingly being challenged. A simplified method of accessing and operating NPWT in the outpatient setting is needed, particularly in cases where immediate outpatient use of NPWT is optimal. We evaluated use of a new ultra-lightweight, off-the-shelf, disposable, single-patient-use NPWT system (SP-NPWT; V.A.C.Via™ Therapy, KCI USA, Inc., San Antonio, TX) over dermal regeneration template (DRT) and/or skin grafts. SP-NPWT was initiated over a DRT and/or skin graft in 33 patients with 41 graft procedures. Endpoints were recorded and compared to a historical control group of 25 patients with 28 grafts bolstered with traditional rental NPWT (V.A.C.® Therapy, KCI USA, Inc.). Average length of inpatient hospital stay was 0·0 days for the SP-NPWT group and 6·0 days for the control group (P < 0·0001). The average duration of SP-NPWT post-DRT or skin graft was 5·6 days for the SP-NPWT group and 7·0 days for the control (P < 0·0001). Preliminary data suggest that, compared to traditional NPWT, off-the-shelf SP-NPWT may provide a quicker, seamless transition to home, resulting in decreased hospital stay and potential cost savings.

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Negative pressure wound dressing of the radial forearm donor site

Cited by 50 publications

References 9 publications

Donor site morbidity of the fasciocutaneous radial forearm flap: what does the patient really bother?

Donor site morbidity of the fasciocutaneous radial forearm flap: what does the patient really bother?

Prospective Evaluation of a Negative Pressure Dressing System in the Management of the Fibula Free Flap Donor Site

Evaluation of an ultra‐lightweight, single‐patient‐use negative pressure wound therapy system over dermal regeneration template and skin grafts

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