Reconstruction of Traumatic Defect of the Lower Third of the Leg Using a Combined Therapy: Negative Pressure Wound Therapy, Acellular Dermal Matrix, and Skin Graft

Brongo, Sergio; Pagliara, Domenico; Campitiello, Nicola; Rubino, Corrado

doi:10.1155/2014/783812

Cited by 5 publications

(4 citation statements)

References 21 publications

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“…33 Sergio Brongo et al used two-stage composite skin grafts to reconstruct the lower leg defect, achieving good results. 34 The NPWT can be used in two-stage composite skin grafts, and it increases revascularization and avoids ADM inactivation. 35 In our study, a one-stage process was used in 18 hands, with graft taken 7 days postoperatively in 98% of cases, resulting in satisfactory results.…”

Section: Discussionmentioning

confidence: 99%

“…One‐stage autogenous skin grafts with ADM have been reported to be successful in the coverage of nasal skin defects 33 . Sergio Brongo et al used two‐stage composite skin grafts to reconstruct the lower leg defect, achieving good results 34 . The NPWT can be used in two‐stage composite skin grafts, and it increases revascularization and avoids ADM inactivation 35 .…”

Section: Discussionmentioning

confidence: 99%

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Deep burn surgery of the whole dorsum of the hand: Composite skin grafting over acellular dermal matrix versus thick split‐thickness skin grafting

Ling,

Jiang,

Guo

et al. 2024

International Wound Journal

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Preservation and restoration of hand function after burn injuries are challenging yet imperative. This study aimed to assess the curative effect of a composite skin graft over an acellular dermal matrix (ADM) and a thick split‐thickness skin graft (STSG) for treating deep burns on the hand. Patients who met the inclusion criteria at the First Affiliated Hospital of Wenzhou Medical University between September 2011 and January 2020 were retrospectively identified from the operative register. We investigated patient characteristics, time from operation to the start of active motion exercise, take rates of skin graft 7 days post‐surgery, donor site recovery, complications and days to complete healing. Patients were followed up for 12 months to evaluate scar quality using the Vancouver Scar Scale (VSS) and hand function through total active motion (TAM) and the Jebsen–Taylor Hand Function Test (JTHFT). A total of 38 patients (52 hands) who received thin STSG on top of the ADM or thick STSG were included. The location of the donor sites was significantly different between Group A (thick STSG) and Group B (thin STSG + ADM) (p = 0.03). There were no statistical differences in age, gender, underlying disease, cause of burn, burn area, dominant hand, patients with two hands operated on and time from burn to surgery between the two groups (p > 0.05). The time from operation to the start of active motion exercise, take rates of skin graft 7 days post‐surgery and days to complete healing were not significantly different between Group A and Group B (p > 0.05). The rate of donor sites requiring skin grafting was lower in Group B than in Group A (22.2% vs. 100%, p < 0.001). There were no statistically significant differences in complications between the groups (p = 0.12). Moreover, 12 months postoperatively, the pliability subscore in the VSS was significantly lower in Group A than in Group B (p = 0.01). However, there were no statistically significant differences in vascularity (p = 0.42), pigmentation (p = 0.31) and height subscores (p = 0.13). The TAM and JTHFT results revealed no statistically significant differences between the two groups (p = 0.22 and 0.06, respectively). The ADM combined with thin STSG is a valuable approach for treating deep and extensive hand burns with low donor site morbidity. It has a good appearance and function in patients with hand burns, especially in patients with limited donor sites.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Deep burn surgery of the whole dorsum of the hand: Composite skin grafting over acellular dermal matrix versus thick split‐thickness skin grafting

Ling,

Jiang,

Guo

et al. 2024

International Wound Journal

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“…Although in both cases there are promising results in terms of preservation of functionality and reduction of recurrence local, with no adverse effects on survival, currently available data do not allow to consider this approach is a standard of care. The integration of chemotherapy with radiotherapy in the postoperative period can be considered in cases selected: it is reasonably feasible especially in patients with sarcomas at high risk of local or distant recurrence (>5 cm, high grade and deep), especially if localized to the limbs and superficial trunk [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] . The patient underwent adjuvant radiotherapy.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of undifferentiated soft tissue sarcoma in a young 17-year-old woman: A case report

Giuzio

Giuliani²,

Massariello³

et al. 2022

International Journal of Surgery Case Reports

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“…Application of NPWT provides controlled negative pressure and maintains a clean wound environment. 2,3 Positive effects of NPWT include increased blood flow, tissue oxygen concentration, granulation tissue formation, interstitial fluid clearance with reduced edema, and hematoma formation.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of an Octogenarian Major Pretibial Degloving Injury Utilizing Negative Pressure Wound Therapy and Subsequently Combining Fenestrated-Type Artificial Dermis Without Skin Grafting

Hung

Chicco

Huang

et al. 2021

The International Journal of Lower Extremity Wounds

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Major pretibial degloving injuries are complex wounds, which can be challenging to treat. Despite recent advances in reconstructive options, most of these injuries still require a prolonged healing period and may result in amputation. Few reports have been published on the management of these complex traumatic injuries. In this article, we present a case of an octogenarian, frail patient with a major pretibial degloving injury. Treatment included serial surgical debridements in combination with negative pressure wound therapy aimed at salvaging the avulsed tissue. Subsequently, a fenestrated-type artificial dermis and negative pressure wound therapy were used as combined therapy so as to obtain adequate soft tissue coverage. The patient made an unremarkable recovery and was discharged on day 22 after injury. The wound healed by secondary intention without need for skin grafting.

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Reconstruction of Traumatic Defect of the Lower Third of the Leg Using a Combined Therapy: Negative Pressure Wound Therapy, Acellular Dermal Matrix, and Skin Graft

Cited by 5 publications

References 21 publications

Deep burn surgery of the whole dorsum of the hand: Composite skin grafting over acellular dermal matrix versus thick split‐thickness skin grafting

Deep burn surgery of the whole dorsum of the hand: Composite skin grafting over acellular dermal matrix versus thick split‐thickness skin grafting

Surgical treatment of undifferentiated soft tissue sarcoma in a young 17-year-old woman: A case report

Reconstruction of an Octogenarian Major Pretibial Degloving Injury Utilizing Negative Pressure Wound Therapy and Subsequently Combining Fenestrated-Type Artificial Dermis Without Skin Grafting

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