OBJECTIVE: Negative-pressure dressings (NPDs) have been reported to improve split-thickness skin graft survival in some settings; we assessed whether NPDs could improve skin graft results in radial forearm donor sites. METHODS: Between October 2003 and November 2004, 45 radial forearm donor sites underwent split-thickness skin graft immobilization either with conventional bolster dressing and splint or with an NPD. Split-thickness skin graft take was recorded at 1 and 4 weeks postoperatively. RESULTS: Overall split-thickness skin graft healing was improved in the NPD group (92%) compared with the case of conventional splinting (81%) at 4 weeks (P = .10). The rate of major graft loss was less in NPDs (10%) compared with the case of conventional management (28%) after 4 weeks (P = .06). CONCLUSIONS: Split-thickness skin graft survival was significantly improved by the use of NPDs. Because the use of NPDs is expensive, we consider their use only in patients with potential wound-healing problems, when there is a need to monitor the hand, or when immediate postoperative hand immobilization might impede the patient's recovery.
OBJECTIVE: Negative-pressure dressings (NPDs) have been reported to improve split-thickness skin graft survival in some settings; we assessed whether NPDs could improve skin graft results in radial forearm donor sites. METHODS: Between October 2003 and November 2004, 45 radial forearm donor sites underwent split-thickness skin graft immobilization either with conventional bolster dressing and splint or with an NPD. Split-thickness skin graft take was recorded at 1 and 4 weeks postoperatively. RESULTS: Overall split-thickness skin graft healing was improved in the NPD group (92%) compared with the case of conventional splinting (81%) at 4 weeks (P = .10). The rate of major graft loss was less in NPDs (10%) compared with the case of conventional management (28%) after 4 weeks (P = .06). CONCLUSIONS: Split-thickness skin graft survival was significantly improved by the use of NPDs. Because the use of NPDs is expensive, we consider their use only in patients with potential wound-healing problems, when there is a need to monitor the hand, or when immediate postoperative hand immobilization might impede the patient's recovery.
Authors: Julien Shine; Johnny I Efanov; Laurence Paek; Édouard Coeugniet; Michel A Danino; Ali Izadpanah Journal: Int Wound J Date: 2019-04-04 Impact factor: 3.315
Authors: Anton Straub; Roman Brands; Anna Borgmann; Andreas Vollmer; Julian Hohm; Christian Linz; Urs Müller-Richter; Alexander C Kübler; Stefan Hartmann Journal: J Clin Med Date: 2022-06-17 Impact factor: 4.964
Authors: Bryden J Stanley; Kathryn A Pitt; Christian D Weder; Michele C Fritz; Joe G Hauptman; Barbara A Steficek Journal: Vet Surg Date: 2013-03-29 Impact factor: 1.495
Authors: Denys J Loeffelbein; Sammy Al-Benna; Lars Steinsträßer; Robin M Satanovskij; Nils H Rohleder; Thomas Mücke; Klaus-Dietrich Wolff; Marco R Kesting Journal: Eplasty Date: 2012-02-03
Authors: Jason R Orlik; Peter Horwich; Clark Bartlett; Jonathan Trites; Robert Hart; S Mark Taylor Journal: J Otolaryngol Head Neck Surg Date: 2014-01-13