Using the ball-shaped attachment of a radiofrequency ablation device for preparation of recipient site in vitiligo surgery

Kaliyadan, Feroze

doi:10.4103/0019-5154.84716

Cited by 5 publications

(6 citation statements)

References 1 publication

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“…Kaliyadan in 2011 reported good results using the ball-tipped attachment of a radiofrequency ablation device in five patients. 5 A similar outcome was also reported by Bishnoi et al using electrofulguration (ConMed hyfrecator 2000) at low output terminal and monopolar mode and a ball-tipped electrode bent at 30°. 6 However, these studies were case reports/series including a smaller number of patients.…”

Section: Discussionsupporting

confidence: 78%

“…Other modalities such as motor dermabrasion, carbon‐dioxide lasers and Er:YAG lasers, liquid nitrogen, PUVA, and microneedling have also been used by various authors with satisfactory results 3 . There are a few reports of using radiofrequency and timed surgery (programmed diathermo‐surgery) in recipient‐site preparation with good results 4,5 . Recently, good clinical outcome has also been achieved with a novel technique of electrofulguration‐assisted dermabrasion using hyfrecator (ConMed 2000) and a ball‐tip electrode 6 .…”

Section: Introductionmentioning

confidence: 99%

“…3 There are a few reports of using radiofrequency and timed surgery (programmed diathermo-surgery) in recipient-site preparation with good results. 4,5 Recently, good clinical outcome has also been achieved with a novel technique of electrofulguration-assisted dermabrasion using hyfrecator (ConMed 2000) and a ball-tip electrode. 6 Owing to this, we have compared the outcome of electrofulguration-assisted recipient-site preparation with the technique of conventional manual dermabrasion using Manekshaw's dermabrader in repigmentation rates following NCES.…”

Section: Introductionmentioning

confidence: 99%

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Electrofulguration‐assisted dermabrasion is comparable to manual dermabrasion in patients undergoing autologous non‐cultured epidermal cell suspension for treatment of stable vitiligo: A randomized controlled trial

Dev

Vinay

Kumaran

et al. 2021

J of Cosmetic Dermatology

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Background: Recipient site preparation is a crucial step in non-cultured epidermal cell suspension (NCES) as it facilitates proper uptake of the grafted melanocytes. Objectives:To compare the repigmentation rate of recipient sites prepared with manual dermabrasion (MD) versus electrofulguration-assisted dermabrasion (EF) in patients undergoing NCES for treatment of stable vitiligo. Methods:This was a prospective randomized study including 26 patients of stable vitiligo (VIDA 0 or −1), each having two patches of size greater than 3 × 3 cm located symmetrically or at the same site or a single patch of 6 × 6 cm or larger. After randomization of patches in the given patient, MD and EF were performed on recipient areas followed by NCES. The patients were followed up at 4 weekly intervals up to 24 weeks and assessed for extent of repigmentation and adverse effects if any.Results: Greater than 75% repigmentation was observed in 69.3% of the patches prepared by MD as compared to 73.1% patches prepared by EF at the end of 24 weeks (p = 0.791). The mean improvement in target VASI was 64.0% in the MD group as compared to 68.8% in the EF group (p = 0.21). Patches prepared by EF achieved successful repigmentation earlier as compared to patches prepared by MD (9.4 weeks vs 11.4 weeks, p = 0.12). Conclusion:Both MD and EF have comparable outcomes with respect to all parameters.

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Section: Discussionsupporting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Electrofulguration‐assisted dermabrasion is comparable to manual dermabrasion in patients undergoing autologous non‐cultured epidermal cell suspension for treatment of stable vitiligo: A randomized controlled trial

Dev

Vinay

Kumaran

et al. 2021

J of Cosmetic Dermatology

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“…Kaliyadan proposes a cheaper alternative using a ball-shaped radiofrequency ablating device at 50% maximum power in the cut/coagulation mode followed by light manual dermabrasion to achieve de-epithelialization. [ 14 ] This cheaper alternative provides the advantage of faster graft site preparation than normal dermabrasion. Furthermore, no complications of scarring were observed and no significant difference in the rate or degree of repigmentation was noted as compared to conventional dermabrasion.…”

Section: Role Of Recipient-site Preparation In Vitiligo Surgeriesmentioning

confidence: 99%

Role of recipient-site preparation techniques and post-operative wound dressing in the surgical management of vitiligo

Al-Hadidi¹,

Griffith²,

Al‐Jamal³

et al. 2015

J Cutan Aesthet Surg

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Vitiligo is an acquired skin disorder characterized by the destruction of melanocytes resulting in achromic macules and patches involving the affected skin. Multiple methods of treatments have emerged to manage vitiligo, including medical and surgical techniques. Among the surgical techniques described in the management of vitiligo are minipunch grafting, split-thickness skin grafting, hair follicle transplantation, suction blister grafting, and cultured and non-cultured autologous melanocyte transplantation. However, prior to grafting optimal recipient-site preparation is needed for graft survival and successful repigmentation outcomes. Similarly, post-operative care of the recipient site is vital to yielding a viable graft irrespective of the transplantation technique employed. This article reviews the multiple methods employed to prepare the recipient site in vitiligo surgeries and the post-surgical conditions which optimize graft viability. A pubmed search was conducted utilizing the key words listed below.

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“…This method facilitates dermabrasion of concave surfaces with low cost and easy availability [37] . Epidermal coagulation is also reported using radiofrequency [38] .…”

Section: Patient Selectionmentioning

confidence: 99%

Updates in Surgical Treatment of Vitiligo

Gamal

El-Barbary

Moftah

2020

Journal of Recent Advances in Medicine

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Background: Vitiligo is a common cutaneous disorder of depigmentation. Surgical treatment of vitiligo is considered the final resort of repigmentation in lesions failing to respond for various medical and light therapies.The tissue and cellular graft techniques are used for the successful introduction of melanocytes into the vitiligo lesions. Stability of vitiligo is the cornerstone of evaluation before surgery. Tissue graft includes various techniques of transferring the healthy pigmented skin as a whole without processing to the vitiliginous skin, while the cellular graft involves further processing of these grafts into cellular components which are then applied on the recipient site after dermabrasion either as such or after multiplication in culture media.Aim: To outline current modalities for surgical treatment of vitiligo. Conclusion:Preparation of recipient-site is considered a crucial step for achieving a successful repigmentation. Multiple promising surgical modalities for vitiligo are continuous in the ongoing research and clinical trials to improve the repigmentation outcomes cosmetically with decreasing the time and the cost.

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Using the ball-shaped attachment of a radiofrequency ablation device for preparation of recipient site in vitiligo surgery

Cited by 5 publications

References 1 publication

Electrofulguration‐assisted dermabrasion is comparable to manual dermabrasion in patients undergoing autologous non‐cultured epidermal cell suspension for treatment of stable vitiligo: A randomized controlled trial

Electrofulguration‐assisted dermabrasion is comparable to manual dermabrasion in patients undergoing autologous non‐cultured epidermal cell suspension for treatment of stable vitiligo: A randomized controlled trial

Role of recipient-site preparation techniques and post-operative wound dressing in the surgical management of vitiligo

Updates in Surgical Treatment of Vitiligo

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