Reliability of the Estimation of the Take of Split Thickness Graft by the Observation Method

Nsaful, Kwesi Okumanin; Paintsil, A. B.; Dakubo, J. C. B.; Nsaful, J.; Appiah-Labi, K.; Nartey, E.

doi:10.4236/mps.2020.103008

Cited by 2 publications

(3 citation statements)

References 10 publications

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“…Still in agreement, Pseudomonas aeruginosa was the commonest cause of infection as was reported by Kwesi et al (11) who noted that the bacteria that were frequently responsible for graft failure were identi ed as Pseudomonas aeruginosa and other Pseudomonas species. In this study we identi ed other species of bacteria among patients with failed grafts.…”

Section: Discussionsupporting

confidence: 66%

“…A skin graft was considered to have failed if less than 80% graft took (if more than 20% of the graft failed) on clinical examination on the 10th post-operative day (6). The percentage take was determined by the observation method since it was found to be as reliable as the digital method according to Kwesi et al (11).…”

Section: Recruitment and Data Collection Proceduresmentioning

confidence: 99%

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Incidence and patterns of split thickness skin graft failure at Kiruddu National Referral Hospital in Uganda

Wabuna,

Kiswezi,

Abraha

et al. 2024

Preprint

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Introduction: Graft failure results in delayed wound healing, increased hospital stays, repeat surgery, further donor sites and increased scar formation. There is limited information specifically about difficulties at the graft site after split skin grafting in the lower limbs. The purpose of this study was to determine the incidence and patterns of split thickness skin graft failure at Kiruddu National Referral Hospital (KNRH) in Uganda. Methods This was a prospective longitudinal study in which patients who had split skin graft on the lower limbs were followed up till the 10th day to assess the graft failure rates. Graft failure was defined as any take less than 80% on the 10th post-operative day. Culture and sensitivity was done for the patients that had graft failure. Using SPSS version 26, the incidence and failure patterns were computed. Results We enrolled 160 study participants, majority of whom were female 84(52.5%) with a mean age of 32.5 years (SD = 19.4). In this study, 59 participants had graft failure representing an incidence ratio of 36.9% (369 graft failures per 1000 grafts done). All failures were partial. The main direct cause of failure was infection, seen in 51(86.4%) of all the failures. The commonest causative organism was Pseudomonas aeruginosa seen in 41.2% of the patients that had infection as the cause of failure. Other organisms included Staphylococcus hemolyticus 12(23.5%), Proteus mirabilis 10(19.6%) and Staphylococcus aureus 8(15.7%). Amikacin had the highest sensitivity against all the organisms isolated in this study. All organisms were resistant to ampicillin, cotrimoxazole and ceftriaxone. Conclusion The failure rate was high. More attention to reduce the risk of graft failure should be focused on minimizing graft infection since this was the main cause of failure. Amikacin should be considered for empiric treatment in patients that experience infection following grafting in KNRH before the culture results are available.

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Section: Discussionsupporting

confidence: 66%

Section: Recruitment and Data Collection Proceduresmentioning

confidence: 99%

Incidence and patterns of split thickness skin graft failure at Kiruddu National Referral Hospital in Uganda

Wabuna,

Kiswezi,

Abraha

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…A skin graft was considered to have failed if less than 80% graft took (if more than 20% of the graft failed) on clinical examination on the 10th post-operative day (9). The percentage take was determined by the observation method since it was found to be as reliable as the digital method according to Kwesi et al (10). The imitomeasure phone application was used to compute the percentage take.…”

Section: Recruitment and Data Collection Proceduresmentioning

confidence: 99%

Predictors of split thickness skin graft failure at Kiruddu National Referral Hospital in Uganda

Wabuna,

Kiswezi,

Abraha

et al. 2024

Preprint

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Introduction: Graft failure results in delayed wound healing, increased hospital stays, repeat surgery, further donor sites and increased scar formation. There is limited information specifically about predictors of split skin graft failure in the lower limbs. The purpose of this study was to determine the predictors of split thickness skin graft failure at Kiruddu National Referral Hospital (KNRH) in Uganda. Methods: This was a prospective longitudinal study in which patients who had split skin graft on the lower limbs were followed up till the 10th day to assess the graft failure rates. Graft failure was defined as any take less than 80% on the 10th post-operative day. The baseline characteristics, clinical characteristics and laboratory characteristics were documented and association with graft failure assessed using Poisson regression in SPSS version 26. Results: We enrolled 160 study participants, majority of whom were female 84(52.5%) with a mean age of 32.5 years (SD=19.4). In this study, 59/160 participants had graft failure. The predictors of skin graft failure were smoking, diabetes mellitus comorbidity, being underweight or obese and presence of hypoalbuminemia. The risk of skin graft failure was independently increased by 27.2% for smokers, 25.0% for the diabetics, 12.4% for those underweight, 5.4% for those obese and by 16.5% for those who had hypoalbuminemia (P<0.05 for all). Conclusion: More attention to reduce the risk of graft failure should be focused on smokers, diabetics, these with high or low body mass index and correcting serum albumin.

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Reliability of the Estimation of the Take of Split Thickness Graft by the Observation Method

Cited by 2 publications

References 10 publications

Incidence and patterns of split thickness skin graft failure at Kiruddu National Referral Hospital in Uganda

Incidence and patterns of split thickness skin graft failure at Kiruddu National Referral Hospital in Uganda

Predictors of split thickness skin graft failure at Kiruddu National Referral Hospital in Uganda

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