Vaccum-Assisted Closure Therapy in Split-Thickness Skin Graft on the Wound on the Contours of the Body

Pyo, Seung Bum; Sung, Kun Yong; Joo, Hong Sil; Song, Jin Kyung

doi:10.22467/jwmr.2017.00171

Cited by 4 publications

(4 citation statements)

References 10 publications

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“…Pyo et al . also observed better patient satisfaction which was as a result of the increased mobility after negative pressure dressing and the perceived increased effectiveness of the medical team due to the greater ease of dressing application compared to the conventional method [ 15 ]. It has also been noted that patients were more comfortable with less need for dressing change, lower cost of nursing care and less risk of cross infection [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Comparing hospital stay and patient satisfaction in a resource poor setting using conventional and locally adapted negative pressure wound dressing methods in management of leg ulcers with split skin grafts: a comparative prospective study

Maduba¹,

Nnadozie²,

Modekwe³

et al. 2020

PAMJ

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Introduction chronic leg ulcers cause a prolonged hospital stay with devastating effects on the patients. Several modifiable factors are taken care of to reduce the duration of stay. A further measure to hasten wound bed preparation pre-grafting and to hasten graft healing post-grafting is with negative pressure dressing. Methods sixty-two patients were placed in two groups of 31 cases each. The wound beds were prepared with negative pressure apparatus locally adapted with suction machine for group A and with conventional gauze dressing using 5% povidone iodine soaks for group B. Grafted wound was also dressed similarly for the respective groups. Grafts were inspected on the 5 th post-operative day and were determined with planimeter grid. Grafts were monitored until completely healed and patients were discharged. Satisfaction and length of stay were determined at discharge. Results the mean hospital stay pre-grafting and post-grafting were 12.2 (±8.64) days and 13.6 (±2.03) days respectively for the negative pressure dressing and 28.8 (±30.9) days and 21.8 (±21.97) days respectively for the traditional dressing group. These differences with p values of 0.038 for the pre-grafting stay and 0.006 for the post-grafting stay were statistically significant. The patients managed with negative pressure dressing also recorded greater satisfaction with the process and the outcome. Conclusion negative pressure dressing contributes significantly to reducing the length of hospital stay in chronic leg ulcers both in wound bed preparation and in graft healing resulting to better patient satisfaction than in patients treated with conventional gauze dressing and 5% povidone iodine soaks.

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Section: Discussionmentioning

confidence: 99%

Comparing hospital stay and patient satisfaction in a resource poor setting using conventional and locally adapted negative pressure wound dressing methods in management of leg ulcers with split skin grafts: a comparative prospective study

Maduba¹,

Nnadozie²,

Modekwe³

et al. 2020

PAMJ

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“…In addition, patients and medical staff have satisfactory results due to increased mobility during hospitalization. 34 Blackburn et al and Argenta et al found that it is a useful than bolster dressing in sites which are difficult. 6,35 Argenta et al also reported that there is better and faster engraftment of Integra over exposed tendon, bone, joint, and bowel with use of VAC.…”

Section: Graft Uptakementioning

confidence: 99%

Comparative study of outcomes between application of negative pressure wound therapy to split skin graft versus split skin graft immobilized by traditional bolster dressing

Agrawal¹

2023

Int Surg J

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Background: SSG is a versatile technique used for the reconstruction of wounds. The conventional techniques like traditional bolster dressing (TBD) to secure graft have been in use since the long time for the management of these wounds. NPWT is an effective advanced therapy which increase graft take by providing negative pressure to seal the space and provide persistent and uniform pressure. Methods: 60 patients were enrolled in the study. In the TBD group (30 patients) a bolster was placed on the graft which was made using a nonadherent dressing. In the NPWT group (30 patients) the SSG was secured using circumferential staples, followed by placement of VAC dressing with continuous negative pressure. Percentage of graft take assessed on 5th, 7th and 9th postop day. Results: Graft take on day 5th with NPWT group was 83.16±4.1% and in TBD group was 78.12±3.76%. On day 7th with NPWT group was 89.83±4.12% and in TBD group was 84.33±4.66%. On Day 9th with NPWT group was 96.33±5.3% and in TBD group was 92.67±5.24%. In NPWT group, mean Post SSG days were 9.9±0.61days. In TBD group, mean Post SSG days were 13.03±1.4 days. Conclusions: Our study suggest that Application of NPWT on SSG is beneficial in terms of better graft take, lesser infection, shortened post graft hospital stays and less no who needs for redo SSG and it is particularly useful anatomically challenging sites.

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“…Una vez aceptado su uso, por ejemplo, en el tratamiento de quemados, fascitis necrosante, (1) infecciones, (2) etc, uno de los pasos lógicos era utilizarla como sellado, protección y acelerante en el prendimiento de los injertos cutáneos, hecho que venimos realizando en nuestro Servicio desde hace más de 10 años. (1) Por eso no me extraña que su grupo haya pensado en cómo cuantificar, de la manera más objetiva y científica posible, el grado de prendimiento de los mismos, y además haciéndolo con unos recursos relativamente sencillos.…”

Section: Estimados Autoresunclassified

“…Es importante que el cizallamiento entre el injerto y el lecho receptor no se presente, por este motivo se debe garantizar la adherencia del injerto al lecho receptor durante los primeros 5 días, ya que este es el periodo más importante para la nutrición e integración del injerto de piel. (2) El tipo de curación oclusiva más frecuentemente utilizado se realiza colocando un apósito humectado con algún tipo de petrolato sobre el injerto cubierto con un apósito y vendaje con algo de presión sobre el área receptora, con el objetivo de que el injerto se adhiera al lecho receptor y permanezca fijo y aislado del medio externo. Este tipo de curación es conocida como apósito de Blair-Brown.…”

Section: Introductionunclassified

Cuantificación digital de integración de injertos de piel de espesor parcial ocluidos con sistema de presión negativa

Martínez-Castilla¹,

Córdoba²,

Dávalos³

et al. 2021

Cir. plást. iberolatinoam.

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Vaccum-Assisted Closure Therapy in Split-Thickness Skin Graft on the Wound on the Contours of the Body

Abstract: Through investigation of the recording, the testing group included 106 patients, who

Cited by 4 publications

References 10 publications

Comparing hospital stay and patient satisfaction in a resource poor setting using conventional and locally adapted negative pressure wound dressing methods in management of leg ulcers with split skin grafts: a comparative prospective study

Comparing hospital stay and patient satisfaction in a resource poor setting using conventional and locally adapted negative pressure wound dressing methods in management of leg ulcers with split skin grafts: a comparative prospective study

Comparative study of outcomes between application of negative pressure wound therapy to split skin graft versus split skin graft immobilized by traditional bolster dressing

Cuantificación digital de integración de injertos de piel de espesor parcial ocluidos con sistema de presión negativa

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