Occlusive drainage system for split-thickness skin graft: A prospective randomized controlled trial

Hsiao, Sara Fu-yin; Ma, Hsu; Wang, Yu-Hei; Wang, Tien‐Hsiang

doi:10.1016/j.burns.2016.08.025

Cited by 13 publications

(17 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although a more recent RCT by Hsiao et al with a total of 28 patients (14 in each group) was unable to show a significant difference in graft take, the patients suffered significantly less pain (on average up to 4 points on the visual analogue scale) under NPWT [8]. The patients were also significantly more satisfied with the treatment and outcome compared to the standard dressing.…”

Section: Controlled Randomized Studiesmentioning

confidence: 84%

Fixierung von Hauttransplantaten mit Vakuumversiegelung: Eine sinnvolle Option?

Meißner

2019

Phlebologie

View full text Add to dashboard Cite

ZusammenfassungDie Vakuumversiegelung (VS) ist eine seit circa 20 Jahren in der klassischen Wundversorgung nicht mehr wegzudenkende Therapieoption. Insbesondere im Bereich der Wundgrundkonditionierung von chronischen Wunden nimmt sie einen wichtigen Stellenwert ein. In den letzten Jahren wird die Vakuumversiegelung auch zur Fixierung und dem postoperativen Wundmanagement nach Hauttransplantation immer häufiger eingesetzt. Die vorliegende Übersichtsarbeit beschäftigt sich mit den Daten und Evidenzen eines solche Vorgehens und zeigt Möglichkeiten der Nutzung auf.

show abstract

Section: Controlled Randomized Studiesmentioning

confidence: 84%

Fixierung von Hauttransplantaten mit Vakuumversiegelung: Eine sinnvolle Option?

Meißner

2019

Phlebologie

View full text Add to dashboard Cite

show abstract

“…There are some negatives to NPWT that compression may mitigate. One example is that compression with an occlusive dressing can be more tolerated by patients compared to a high-pressure vacuum (18). The simplicity of compression could also mitigate the pain associated with frequent dressing or vacuum-assisted closure (VAC) machine changes.…”

Section: Discussionmentioning

confidence: 99%

Split thickness skin graft compression: a scoping review

Kavanagh¹,

Singhal²,

Rozen³

2023

Gland Surg

View full text Add to dashboard Cite

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.

show abstract

“…The 100% of negative pressure dressing group rated the procedure as comfortable, convenient and recommendable as opposed to the petroleum gauze group where only 16.7% rated it as both comfortable and recommendable, 0% rated it as convenient. They also observed less pain in the negative pressure group compared to the conventional dressing group [ 14 ]. Pyo et al .…”

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

View full text Add to dashboard Cite

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.

show abstract

Occlusive drainage system for split-thickness skin graft: A prospective randomized controlled trial

Cited by 13 publications

References 19 publications

Fixierung von Hauttransplantaten mit Vakuumversiegelung: Eine sinnvolle Option?

Fixierung von Hauttransplantaten mit Vakuumversiegelung: Eine sinnvolle Option?

Split thickness skin graft compression: a scoping review

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

Contact Info

Product

Resources

About

Occlusive drainage system for split-thickness skin graft: A prospective randomized controlled trial

Cited by 13 publications

References 19 publications

﻿Fixierung von Hauttransplantaten mit Vakuumversiegelung: Eine sinnvolle Option?

﻿Fixierung von Hauttransplantaten mit Vakuumversiegelung: Eine sinnvolle Option?

Split thickness skin graft compression: a scoping review

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

Contact Info

Product

Resources

About

Fixierung von Hauttransplantaten mit Vakuumversiegelung: Eine sinnvolle Option?

Fixierung von Hauttransplantaten mit Vakuumversiegelung: Eine sinnvolle Option?