Surgical pearl: full-thickness punch grafting in chronic nonhealing ulcers

Thami, Gurvinder P.; Singal, Anjum; Bhalla, Mala

doi:10.1016/s0190-9622(03)02735-x

Cited by 13 publications

(10 citation statements)

References 3 publications

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“…Punch grafting is a simple and frequently used technique, which has been widely employed for treating chronic non‐healing ulcers . The application of small punch grafts accelerates the healing of chronic wounds.…”

Section: Discussionmentioning

confidence: 99%

“…Punch grafting is a simple and frequently used technique, which has been widely employed for treating chronic non-healing ulcers. 8,9,12 The application of small punch grafts accelerates the healing of chronic wounds. Multiple punch grafts, which consist of epidermis and a superficial dermal layer, cover the defect and multiply the circumference of wound edges from which keratinocytes can migrate.…”

Section: Discussionmentioning

confidence: 99%

“…Punch skin grafting is a minor surgical procedure, which can be easily performed, even in outpatient settings . Small split‐thickness grafts are harvested with a punch biopsy, and they are then placed in the defect to promote wound healing . NPWT has been used as an effective tool, not only for treating various types of wounds, but for fixation of skin grafts .…”

Section: Introductionmentioning

confidence: 99%

“…8 Small splitthickness grafts are harvested with a punch biopsy, and they are then placed in the defect to promote wound healing. 9 NPWT has been used as an effective tool, not only for treating various types of wounds, but for fixation of skin grafts. 10 Therefore, applying punch grafting with NPWT may be useful for reducing the prolonged healing time of NPWT and lowering the rate of graft loss.…”

Section: Introductionmentioning

confidence: 99%

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Reconstruction of large wounds using a combination of negative pressure wound therapy and punch grafting after excision of acral lentiginous melanoma on the foot

Seo

Kim

Nam

et al. 2015

The Journal of Dermatology

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Melanoma in darker-pigmented individuals often develops in an acral lentiginous fashion on the foot. After surgical removal of a tumor at this site, repair of the wound can be challenging. This is because there is an insufficient local skin pool and lack of mobility of the skin in this area. Moreover, functional aspects such as walking and weight bearing should be considered. We performed a combination treatment of negative pressure wound therapy (NPWT) and punch grafting on 15 patients, after wide excision of acral lentiginous melanomas on the foot, and compared these to 26 patients who underwent either secondary intention healing (SIH, n = 13) or NPWT (n = 13) alone. The punch grafting with NPWT group showed significantly shorter healing times than those of the other two groups. Evaluation of completely healed wounds using the Vancouver Burn Scar Assessment Scale revealed that the punch grafting group had mean values better, or comparable, to the SIH or NPWT group in four of the five scales (except pigmentation). As for complications, only one patient developed a wound infection after punch grafting. Further, by utilizing NPWT for fixation of punch grafts, it was possible to treat all subjects as outpatients after punch grafting. These results show that a combination treatment of NPWT and punch grafting is an excellent therapeutic option for post-wide excision wounds on the feet, with significantly shortened healing times and favorable cosmetic outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Reconstruction of large wounds using a combination of negative pressure wound therapy and punch grafting after excision of acral lentiginous melanoma on the foot

Seo

Kim

Nam

et al. 2015

The Journal of Dermatology

View full text Add to dashboard Cite

show abstract

“…11 Punch grafting is a minor surgical procedure in which small full-thickness grafts are harvested with a punch biopsy, whereupon they are placed in the ulcer to promote wound healing. [12][13][14][15] Applying small punch grafts aids the healing of chronic ulcers in several ways: it covers the defect with epithelium, it supplies dermis to a deep callus-edged ulcer, it multiplies the circumference of wound edges from which keratinocytes can migrate, and it delivers cytokines and growth factors to enhance wound closure. 15,16 The technique is a derivative of Reverdin's greffe epidermique, in which pinching of the thumb and index finger is used to produce a skin fold, after which small pieces of epidermis are shaved off.…”

mentioning

confidence: 99%