Application of Negative Pressure Therapy on Skin Grafts after Soft-Tissue Reconstruction: A Prospective Observational Study

Mandili, Aeshah; Aljubairy, Abdullah; Alsharif, Bayan; Patwa, Wala; Alotibey, Khlood; Basha, Sara; Alharbi, Ziyad

doi:10.3390/clinpract12030044

Cited by 3 publications

(2 citation statements)

References 32 publications

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“…Furthermore, one study proved compression with conventional dressings to be noninferior to NPWT, while being cheaper and associated with a higher rate of graft take and lower rate of infection. This was however limited by a relatively small sample size and modest p-value proving the results unconvincingly significant (19).…”

Section: Discussionmentioning

confidence: 91%

Split thickness skin graft compression: a scoping review

Kavanagh¹,

Singhal²,

Rozen³

2023

Gland Surg

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Background: Split thickness skin graft (STSG) is a routine reconstructive manoeuvre, particularly after excision of cutaneous lower limb malignancies. While surgical technique is well established, evidence supporting the postoperative management of these grafts is less robust. Compression therapy after the index procedure may be an important adjunct for graft take and minimizing complications, particularly in patients susceptible to oedema from a concurrent lymph node procedure.Methods: An initial PubMed literature search was performed using the terms "split thickness skin graft", "compression" and "oedema" yielding no results, hence a broader search was performed combining the terms "compression", "pressure" and "split thickness skin graft" providing 383 results. One hundred articles remained for abstract review after an initial screen. Results:The literature on compression therapy to promote split thickness graft take is modest, with only 12 articles described (12/100, 12.0%). Even then, none of these were in the setting of grafting after oncological resection. Many of the articles promote negative pressure wound therapy (NPWT) as an established adjunct to promote graft take (80/100, 80.0%).Conclusions: There is limited demonstrated efficacy of postoperative compression therapy for lower limb STSG let alone in patients with an ancillary lymph node procedure. Further large-scale trials ideally in a prospective fashion are warranted to validate this as a simple, widely available and cost-effective adjunct to STSG in this particularly susceptible population of reconstructive patients.

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Section: Discussionmentioning

confidence: 91%

Split thickness skin graft compression: a scoping review

Kavanagh¹,

Singhal²,

Rozen³

2023

Gland Surg

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“…Bandages with the negative pressure are widely used in surgical practice [6]. Most often, such methods are used to heal complex purulent wounds, but according to some literature data, it seems reasonable to fix free skin grafts to the bottom of postoperative wounds [7].…”

Section: Discussionmentioning

confidence: 99%

Plastic Surgery of Wound Defects With Free Grafts After Malignant Skin Tumors Excision: A Pilot Study

Korovin,

Dedkov,

Ostafiichuk

et al. 2023

Exp. oncol.

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Aim. To evaluate the effectiveness of applying negative pressure bandages (VAC bandage) in patients with malignant skin tumors after closing defects with free skin grafts and to compare it with fixation of skin grafts by the ordinary ointment bandages. Materials and Methods. 61 patients with malignant skin tumors who underwent surgical treatment at the National Cancer Institute from 2019 to 2023 were included in the study. For the wound defects closure, the split skin grafts were applied in all patients. At the time of surgery, after closing a wound defect by a split skin graft, a negative pressure dressing (VAC bandage) was applied in 41 patients for 7 days (group 1). In 20 patients, a transplanted skin graft was fixed after surgery by an ordinary ointment pressure bandage (group 2). The immediate results were evaluated one week after surgery. Results. Complete engraftment of the flap in group 1 was observed in 53.7 ± 7.8% cases, in group 2 this result was achieved in 5.0 ± 4.8% patients (p = 0.002). The complete graft necrosis occurred in 1 case in group 1 vs. 2 cases in group 2 (p = 0.496). Conclusion. The results of the engraftment in postoperative wounds were significantly better in the VAC-bandage group in terms of the number of the complete engraftments compared to the conventional pressure ointment bandage group.

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Securing skin grafts: A network meta-analysis

Seretis,

Bounas

2024

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Application of Negative Pressure Therapy on Skin Grafts after Soft-Tissue Reconstruction: A Prospective Observational Study

Cited by 3 publications

References 32 publications

Split thickness skin graft compression: a scoping review

Split thickness skin graft compression: a scoping review

Plastic Surgery of Wound Defects With Free Grafts After Malignant Skin Tumors Excision: A Pilot Study

Securing skin grafts: A network meta-analysis

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