Mitwalli, A., El Badawy, A., Hassan, A., Mahmoud, N. (2019). Evaluation of the Use of Single Stage Dermal Substitutes in Acute and Chronic Wounds of the Hand. The Egyptian Journal of Plastic and Reconstructive Surgery, 43(1), 47-53. doi: 10.21608/ejprs.2019.65155
Ahmed A Mitwalli; Ahmed El Badawy; Ahmed Hassan; Nada A Mahmoud. "Evaluation of the Use of Single Stage Dermal Substitutes in Acute and Chronic Wounds of the Hand". The Egyptian Journal of Plastic and Reconstructive Surgery, 43, 1, 2019, 47-53. doi: 10.21608/ejprs.2019.65155
Mitwalli, A., El Badawy, A., Hassan, A., Mahmoud, N. (2019). 'Evaluation of the Use of Single Stage Dermal Substitutes in Acute and Chronic Wounds of the Hand', The Egyptian Journal of Plastic and Reconstructive Surgery, 43(1), pp. 47-53. doi: 10.21608/ejprs.2019.65155
Mitwalli, A., El Badawy, A., Hassan, A., Mahmoud, N. Evaluation of the Use of Single Stage Dermal Substitutes in Acute and Chronic Wounds of the Hand. The Egyptian Journal of Plastic and Reconstructive Surgery, 2019; 43(1): 47-53. doi: 10.21608/ejprs.2019.65155
Evaluation of the Use of Single Stage Dermal Substitutes in Acute and Chronic Wounds of the Hand
1The Department of Plastic & Reconstructive Surgery, Al-Noor Specialist Hospital, Makkah, K.S.A.
2The Department of Plastic & Reconstructive Surgery Ain Shams University, Cairo, Egypt**
3The Department of Plastic & Reconstructive Surgery Ain Shams University, Cairo, Egypt
Abstract
Background: Skin substitutes were developed as an alternative to skin grafts, especially for burn patients. Autologous skin grafting is a painful procedure, and often the extent of damaged skin is too large to be covered by autologous tissue graft in existence of limited donor skin. Our aim of the study was to evaluate the use of dermal substitutes in the treatment of acute and chronic wounds of the hand and to establish an applicable protocol of definitive wound management. Methods: The study included 85 adult patients having acute and chronic wounds of the hand. They were divided into 2 groups Group (A): Fifty-five Patients treated with Single-layer dermal substitutes and STSG applied to the wound bed in a one-stage procedure, group (B): Thirty Patients treated with skin grafting alone. Scar Evaluation was done by Pre-& post-operative photography. The Vancouver Scar Scale, Histopathological examination at 45 days postoperatively, Range of motion and Patient satisfaction. Results: Statistical analysis showed significant differences between the two groups. Conclusion: A true “skin substitute” would act like an autologous skin graft in adhering to the wound bed while providing the physiological and mechanical functions of normal skin. The use of dermal substitutes represents a promising treatment for acute burns and chronic wounds.
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