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The Egyptian Journal of Plastic and Reconstructive Surgery
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Volume Volume 49 (2025)
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Abo Rady, A., Touma, M., Wilson, A. (2025). Comparative Study Over Securing Split-Thickness Skin Grafts for Post-Traumatic Wounds Using Negative Pressure. The Egyptian Journal of Plastic and Reconstructive Surgery, 49(3), 246-259. doi: 10.21608/ejprs.2025.444137
Ahmed F Abo Rady; Mirette Touma Touma; Adel M Wilson. "Comparative Study Over Securing Split-Thickness Skin Grafts for Post-Traumatic Wounds Using Negative Pressure". The Egyptian Journal of Plastic and Reconstructive Surgery, 49, 3, 2025, 246-259. doi: 10.21608/ejprs.2025.444137
Abo Rady, A., Touma, M., Wilson, A. (2025). 'Comparative Study Over Securing Split-Thickness Skin Grafts for Post-Traumatic Wounds Using Negative Pressure', The Egyptian Journal of Plastic and Reconstructive Surgery, 49(3), pp. 246-259. doi: 10.21608/ejprs.2025.444137
Abo Rady, A., Touma, M., Wilson, A. Comparative Study Over Securing Split-Thickness Skin Grafts for Post-Traumatic Wounds Using Negative Pressure. The Egyptian Journal of Plastic and Reconstructive Surgery, 2025; 49(3): 246-259. doi: 10.21608/ejprs.2025.444137

Comparative Study Over Securing Split-Thickness Skin Grafts for Post-Traumatic Wounds Using Negative Pressure

Article 11, Volume 49, Issue 3, July 2025, Page 246-259  XML PDF (528.15 K)
Document Type: Original Article
DOI: 10.21608/ejprs.2025.444137
View on SCiNiTO View on SCiNiTO
Authors
Ahmed F Abo Rady* ; Mirette Touma Touma email ; Adel M Wilson
The Department of Plastic Surgery, Faculty of Medicine, Cairo University
Abstract
Background: Split-thickness skin grafts (STSG) are crucial
for managing soft tissue defects, requiring close contact
between the graft and the recipient wound bed for success.
Negative pressure therapy has been used to promote wound
healing and secure skin grafts by ensuring tight adhesion.
Objective: Comparing Securing STSGs for post-traumatic
wounds using NPWT to the conventional tie-over technique
Patients and Methods: A prospective, randomized, blinded
clinical trial was conducted on 30 post-traumatic wound cases
eligible for STSGs. Patients were divided into two groups:
Group A received negative pressure wound therapy (NPWT)
for securing STSGs, while Group B underwent the tie-over
technique. Outcomes were evaluated based on time to 90%
graft take, graft failure, contraction, complications, and patient
satisfaction with aesthetic appearance.
Results: The mean time for 90% graft take was 6.7±2.8
days in Group A and 9.3±3.7 days in Group B. Patient satisfaction
regarding aesthetic appearance scored 7.5±1.1 in Group A
and 5.9±1.7 in Group B. No statistical difference was observed
in operative time or postoperative hospital stay between the
two groups.
Conclusions: Securing STSGs for post-traumatic wounds
using NPWT is advantageous compared to the conventional
tie-over technique, resulting in shorter time to 90% graft take,
lower infection rates, reduced graft failure, and better cosmetic
outcomes.
Keywords
Skin Grafts; Traumatic; Negative Pressure Wound Therapy; Tie Over
Main Subjects
New technologies and products
References
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