Title: Application of the Vacuum-assisted Closure Therapy on Pressure Dressing in Free Transplant Operation for Free Split-Thickness Skin Graft on Anterior Thoracic Wall,Abdominal Wall and Back
Abstract: Objective To explore the effect of the vacuum-assisted closure(VAC) therapy on the pressure dressing in free transplant operation for free split-thickness skin graft on anterior thoracic wall,abdominal wall and back.Methods Between October 2010 and October 2011,the VAC therapy was applied to the pressure dressing in free transplant operation in 21 patients for free split-thickness skin graft on anterior thoracic wall,abdominal wall and back.The ages of the patients ranged from 21 to 63 years old with an average of 43(15 males and 6 females).Among these patients,13 had wound from cicatrectomy and 8 had from removal of the skin flaps that were used in the operations;7 had wound on the anterior thoracic wall,9 on abdominal wall,and 5 on the back.The lesion areas ranged from 10 cm×12 cm to 15 cm×18 cm and the average thickness for the free transplant split-thickness skin grafts was 0.6 mm.After transplanting split-thickness skin to the lesion areas,the VAC therapy was applied with a pressure range of 100-125 mm Hg(1 mm Hg=0.133 kPa).The hospital stays for these subjects lasted from 19 to 32 days with an average stay of 24 days.Results The transplanted skin survived in all 21 patients and lesion area recovered to stage Ⅰ in the follow-up periods ranging from 6 to 12 months,with an average of 8 months.The skin tone of the transplanted skin grafts showed no difference from the skin tone of the surrounding areas-no lesion or significant dent.Conclusion The skin grafts under VAC therapy pressure dressing in the free transplant operations have a reliably high survival rate and the VAC therapy is an effective,practical and dependable dressing method.
Publication Year: 2012
Publication Date: 2012-01-01
Language: en
Type: article
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