Conventional bolster dressing versus Vacuum-Assisted Closure device for securing split-thickness skin graft in contoured wide raw area reconstruction: A randomized clinical trial.

Seif, Ola; Abdelrahman, Emad; ElKaffas, Sherif M; Shoulah, Ahmed A; Emara, Nashwa Mohamed; Elgendy, Eman Ibrahim; Abdelhalim, Mohamed H

doi:10.21608/ejprs.2024.263077.1329

	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
Articles in Press, Accepted Manuscript, Available Online from 14 February 2024
Document Type: Original Article
DOI: 10.21608/ejprs.2024.263077.1329
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Authors
Ola Seif¹; Emad Abdelrahman ²; Sherif M ElKaffas²; Ahmed A Shoulah³; Nashwa Mohamed Emara⁴; Eman Ibrahim Elgendy⁵; Mohamed H Abdelhalim ⁶
¹Plastic Surgery Unit, Benha Faculty of Medicine, Benha University
²General Surgery department, Faculty of medicine, Benha University, Benha, Egypt
³Plastic surgery unit - Faculty of Medicine -Benha University
⁴Pathology department, Faculty of Medicine, Benha University
⁵Pathology Department, Faculty of Medicine, Benha University
⁶Plastic Surgery Unit at General Surgery Department, Faculty of Medicine, Benha University, Benha, Egypt
Abstract
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. The aim of this work is to compare vacuum-assisted 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 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
Keywords
Key words: VAC; Traditional Bolster; Contour wounds; STSG


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