Biobrane in the management of critical microsurgical wounds of the upper extremity

Ahuja, Naveen K.; Datiashvili, Ramazi O.

doi:10.1002/micr.20966

Cited by 5 publications

(4 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In case of soft tissue damage with exposed tendon and absent paratenon, skin substitute can be considered a convenient and efficient option for immediate tendon coverage in terms of tendon function restoration and good cosmetic results [ 33 ]. For small wounds the use of free flap is not convenient as it brings additional costs and resources, and surrounding tissues are often unavailable: in these cases, dermal substitutes can be a valid alternative [ 34 ]. The simplicity of the procedure and a minor donor site morbidity are the most important advantages.…”

Section: Discussionmentioning

confidence: 99%

Upper limb traumatic injuries: A concise overview of reconstructive options

Starnoni

Benanti

Acciaro

et al. 2021

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

Different options for upper limb reconstruction are described in literature: advancement or rotation flaps, regional flaps and free flaps are the most common. Local and regional flaps can represent the reconstructive options for small defects while large wounds require the use of free flaps or distant pedicled flaps. In case of large wound, the use of free flaps rather than distant pedicle flaps is usually preferred. To choose the best reconstructive option, it is essential for the surgeon to have a general overview about the different methods. In this review the Authors will refer to the most commonly used methods to cover soft tissues injuries affecting the dorsum and the palm of the hand and the forearm (excluding fingers). The aim is to show all flap reconstructive options so as to support the inexperienced surgeon during the management of traumatic injuries of the upper limb.

show abstract

Section: Discussionmentioning

confidence: 99%

Upper limb traumatic injuries: A concise overview of reconstructive options

Starnoni

Benanti

Acciaro

et al. 2021

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

show abstract

“…There are some biomaterials, such as silver containing wound dressing, collagen gel wound dressing, silicone derivative foam dressing, biologic dressing, and artificial dermis, which not only promote wound healing, but also alleviate pain and decrease infection. Unfortunately, these materials are not available in our practice.…”

Section: Discussionmentioning

confidence: 99%

Vacuum assisted closure therapy for treatment of complex wounds in replanted extremities

Zhou

et al. 2013

Microsurgery

View full text Add to dashboard Cite

The object of this study was to compare the outcomes of the vacuum assisted closure (VAC) therapy and conventional wound care with dressing change for treatment of complex wounds in patients with replantation of amputated upper and lower extremities. Data of 43 patients with replantation of amputated extremities from May 2004 to December 2011 were reviewed. There were 18 wounds of 18 patients with replantation, which were treated by dressing change and 26 wounds of 25 patients by VAC therapy. The outcomes were evaluated by the survival rate of replanted extremities, growth of granulation tissue, interval between wound treatment and secondary procedure and eventual secondary wound coverage methods. Vascular thromboses were found in 3 patients with wound treatment by dressing change and 5 by VAC. All replants of two groups of patients survived after salvage procedures. The wound score was 3.6 ± 0.7 in the conventional dressing change group and 5.8 ± 0.7 in the VAC group at the sixth day after treatment, respectively. The intervals between wound treatment and secondary wound coverage procedure were 12.0 ± 1.7 days in the dressing change group and 6.1 ± 0.7 days in the VAC group. Flaps were applied for wound coverage in 9 out of 18 (50.0%) wounds in the dressing change group and 5 out of 26 (19.2%) in the VAC group (P < 0.05), when the wounds of rest of patients were covered by the skin graft. The results showed that VAC could promote the growth of granulation tissue of wound, decrease the need of flap for wound coverage, and did not change the survival of replantation.

show abstract

“…Shunting should be utilized as necessary during the debridement process, which may preclude separate preparation of the amputated segment. As serial debridement may be required until definitive coverage, temporary dressings are often utilized to keep the wounds clean and to prevent desiccation [18] .…”

Section: Debridement and Soft Tissue Injurymentioning

confidence: 99%