Seif, O., Abdel Rahman, E., El Kaffas, E., Shoulah, A., Emara, N., Elgendy, E., Abdelhalim, M. (2024). 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, 48(3), 229-235. doi: 10.21608/ejprs.2024.365347
Ola Seif; Emad Abdel Rahman; Emad El Kaffas; Ahmed A Shoulah; Nashwa Mohamed Emara; Eman Ibrahim Elgendy; Mohamed H Abdelhalim. "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, 48, 3, 2024, 229-235. doi: 10.21608/ejprs.2024.365347
Seif, O., Abdel Rahman, E., El Kaffas, E., Shoulah, A., Emara, N., Elgendy, E., Abdelhalim, M. (2024). '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, 48(3), pp. 229-235. doi: 10.21608/ejprs.2024.365347
Seif, O., Abdel Rahman, E., El Kaffas, E., Shoulah, A., Emara, N., Elgendy, E., Abdelhalim, M. 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, 2024; 48(3): 229-235. doi: 10.21608/ejprs.2024.365347
Conventional Bolster Dressing Versus Vacuum-Assisted Closure Device for Securing Split-Thickness Skin Graft in Contoured Wide Raw Area Reconstruction: A Randomized Clinical Trial
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.
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