Endoscpoic Insertion of Tissue Expanders in Post Burn Scars: A Comparative Study between Endoscopic versus Open Tissue Expansion at Post Burn Scars | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 29 January 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2025.347661.1403 | ||
| Authors | ||
| Dalia Mofreh Elsaka1; medhat hassan2; Mustafa Elassal* 3 | ||
| 1Professor of Plastic surgery and burns - Faculty of Medicine - Menoufia University | ||
| 2Department of Plastic Surgery and Buns, Faculty of Medicine - Menoufia University - Shebin Elkom - Menoufia - Egypt | ||
| 3Surgery Department, Plastic Surgery unit, Faculty of Medicine, Al-Azhar University | ||
| Abstract | ||
| Background: The use of endoscopic technology allows for clearer visualization of the tissue-expander pocket, making it possible to place more expanders in less time while maintaining superior control. This results in improved hemostasis, fewer infections, reduced complications, quicker expansion, shorter hospitalization, and a decrease in post-operative complications.Skin tissue expansion is a valuable option for the reconstruction of large skin defects, though the procedure carries a high rate of complications. An endoscopic approach to placing tissue expanders may help lower complication rates and shorten recovery time. Objective: In this study we will compare placement of tissue expanders with aid of endoscopy versus traditional open method for placement of tissue expanders to ass’s safety, feasibility and adequacy of endoscopic tissue expander placement. Methods: This study, conducted prospectively, involved 20 patients who were divided into two groups: Group A, where 10 patients underwent endoscopic tissue expander placement, and Group B, where 10 patients had the traditional open approach. The procedures were carried out at Menofyya University Hospital from June 2018 to December 2024. Patient charts were reviewed, and the data were assessed to compare the outcomes of endoscopic versus open tissue expander placement. Results: Ten patients in this study had 13 tissue expanders placed openly for reconstruction (3 with PBCA, 7 with PBS in areas such as the neck, chest wall, and limbs), and ten patients had 14 expanders placed endoscopically (7 with PBCA, 3 with PBS in the face, chest wall, and back). The open group's average operating time was 75 ± 5 minutes, while the endoscopic group's was 100 ± 5 minutes. However, the endoscopic group experienced a shorter hospital stay (3-5 days compared to 5-9 days) and a shorter time to reach full expansion (6-8 weeks versus 9-11 weeks). Additionally, the endoscopic group experienced fewer major complications than the open group. Conclusions: This reconstructive technique's use of endoscopic tissue-expander placement led to a shorter hospital stay, faster expansion, and a lower rate of major complications. Endoscopic placement is a safe and efficient technique for tissue-expander reconstruction of various cosmetic lesions, according to the study's findings. | ||
| Keywords | ||
| endoscopic; expansion; surgery | ||
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