Conventional Bolster Dressing Versus Vacuum-Assisted Closure Device for Securing Split-Thickness Skin Graft in Contoured Wide Raw Area Reconstruction: A Randomized Clinical Trial | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Article 10, Volume 48, Issue 3, July 2024, Pages 229-235 PDF (970.29 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2024.365347 | ||
| Authors | ||
| Ola Seif* 1; Emad Abdel Rahman2; Emad El Kaffas3; Ahmed A Shoulah1; Nashwa Mohamed Emara4; Eman Ibrahim Elgendy5; Mohamed H Abdelhalim1 | ||
| 1The Departments of Plastic Surgery, Faculty of Medicine, Benha University | ||
| 2The Departments of General Surgery, Faculty of Medicine, Benha University | ||
| 3The Departments of General Surgery, Faculty of Medicine, Benha University | ||
| 4The Departments of Pathology, Faculty of Medicine, Benha University | ||
| 5The Departments of Pathology, Faculty of Medicine, Benha University | ||
| Abstract | ||
| Background: Contour wounds that require skin graft closure are frequently situated in unique or complicated anatomical areas, making it difficult and inefficient to stabilize them using traditional bolsters. Objective: The aim of this work is to compare vacuumassisted closure (VAC) with Conventional bolster dressing in terms of graft take, histology of wound healing, hospitalization duration, and expenses. Patients and Methods: In the current study 62 patients were reconstructed using a split thickness skin graft and supported by a VAC (Group A n=31) or a traditional bolster dressing (Group < br />B n=31). The following characteristics were assessed in both groups; operative time, hospital stay. Complications, graft take as well as histological assessment of the skin. Results: The mean age of the included patients in the current study was 42.3±9.34 and 41.1±8.92 in group A and B respectively. Post-operative complications showed statistically significant seroma and hematoma in patients who received conventional bolsters. The histopathological assessment showed that the Hyperkeratosis, pigmentation, neovascularization, collagen deposition and fibroblastic activity were more evident in patients who used VAC (p < 0.001*). Conclusion: VAC device is an effective methos for securing split-thickness skin grafts in contoured wide raw area reconstruction with minimal postoperative complications, better healing and favorable aesthetic outcome. | ||
| Keywords | ||
| VAC; Traditional Bolster; Contour wounds; STSG | ||
| References | ||
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