Stefano Chiummariello1, Giuseppe Del Torto2, Marco Iera1, Sergio Arleo1, Carmine Alfano1. 1. Division of Plastic, Reconstructive, and Aesthetic Surgery, University of Perugia, Perugia, Italy. 2. Division of Plastic, Reconstructive, and Aesthetic Surgery, University of Perugia, Perugia, Italy; email:g.deltorto@yahoo.it.
Abstract
BACKGROUND: The use of negative pressure in the dressing of splitthickness skin grafts has been shown to promote healing by a variety of mechanisms, including a decrease in interstitial edema, an increase in perfusion, and a decrease in bacterial colonization. METHODS: An observational study was performed on 52 patients at the Department of Plastic Surgery, University of Perugia in Perugia, Italy, undergoing split-thickness skin grafting for acute wounds after trauma and for chronic wounds, such as pressure ulcers and diabetic wounds. The dressing used consisted of a single foam sheet, a conventional disposable closed-system suction drain, and an adhesive dressing. RESULTS: In all patients, there was a 95% take of the graft, with 5% of partial loss. There were no significant complications encountered. CONCLUSIONS: Negative pressure wound therapy is an innovative and commercially successful concept for the management of difficultto- treat wounds of nearly every etiology, and the authors' technique is an alternative to commercially available negative pressure dressings..
BACKGROUND: The use of negative pressure in the dressing of splitthickness skin grafts has been shown to promote healing by a variety of mechanisms, including a decrease in interstitial edema, an increase in perfusion, and a decrease in bacterial colonization. METHODS: An observational study was performed on 52 patients at the Department of Plastic Surgery, University of Perugia in Perugia, Italy, undergoing split-thickness skin grafting for acute wounds after trauma and for chronic wounds, such as pressure ulcers and diabetic wounds. The dressing used consisted of a single foam sheet, a conventional disposable closed-system suction drain, and an adhesive dressing. RESULTS: In all patients, there was a 95% take of the graft, with 5% of partial loss. There were no significant complications encountered. CONCLUSIONS: Negative pressure wound therapy is an innovative and commercially successful concept for the management of difficultto- treat wounds of nearly every etiology, and the authors' technique is an alternative to commercially available negative pressure dressings..
Authors: Charles Chidiebele Maduba; Ugochukwu Uzodimma Nnadozie; Victor Ifeanyichukwu Modekwe; Ezekiel Uchechukwu Nwankwo Journal: Pan Afr Med J Date: 2020-06-18