Comparison of lower extremity fasciotomy wound closure techniques in children: vacuum-assisted closure device versus temporary synthetic skin replacement

2018 ◽  
Vol 45 (5) ◽  
pp. 809-814 ◽  
Author(s):  
Hannah Rachel Bussell ◽  
Christoph Alexander Aufdenblatten ◽  
Corina Gruenenfelder ◽  
Stefan Altermatt ◽  
Sasha Job Tharakan
1995 ◽  
Vol 35 (5) ◽  
pp. 485-491 ◽  
Author(s):  
Krishna Narayanan ◽  
J William Futrell ◽  
Michael Bentz ◽  
Dennis Hurwitz

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S129-S130
Author(s):  
Joe A Olivi ◽  
Megan D Rodgers

Abstract Introduction There are accounts of various dressings being applied over epidermal spray cell suspension graft(s) (SCSG) with varying success and no one perfect dressing. We present 3 patients with ASCS grafts used in combination with mSTSG that were treated with vacuum assisted dressing with excellent outcomes. Methods All 3 of our patients received surgical debridement, down to healthy viable tissue with exposed tendon. BTM Dermal matrix was used in 2 of the 3 patients with exposed tendon. All three patients had mSTSG with ACSS autografts. All grafts were covered with telfa ™ clear, followed by tacky macroporous silver dressing, then a vacuum assisted closure device. These were left undisturbed until post operative day (POD) 5. Results All patients had their dressings taken down on POD #5 with excellent results. The interstices were closed quickly with no negative outcome noted from the vacuum dressings. All patients had excellent wound closure and good function postoperatively. Conclusions Vacuum assisted closure devices can be used to cover ASCS and wide meshed grafts with good outcomes. They provide patients with a stable dressing that does not need to be changed and leads to excellent graft take and wound closure.


2001 ◽  
Vol 46 (3) ◽  
pp. 250-254 ◽  
Author(s):  
Robert E. Hersh ◽  
Jason M. Jack ◽  
Mohammed I. Dahman ◽  
Raymond F. Morgan ◽  
David B. Drake

2020 ◽  
Author(s):  
Andrew J. Thomas ◽  
Sachin Gupta ◽  
Aclan Dogan ◽  
Timothy L. Smith ◽  
Justin Cetas ◽  
...  

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
Christian Asher ◽  
Ibrahim Ibrahim ◽  
Eyfrossini Katsarma

Abstract Introduction COVID-19 has had an unprecedented effect on surgical training, including prerequisite entry-level courses to speciality training. We describe the implementation of a virtual, one-to-one training programme aimed at the acquisition and retention of operative skills. Methods Enrolment commenced 8th May 2020 for wound closure techniques or an extended programme including tendon repairs, delivered by Specialist Registrars in Plastic Surgery using Zoom® (v. 5.0.5) via mobile device. Participant feedback was collected retrospectively using a 5-point scale following course completion. Results 5 participants completed the wound closure programme, and 3 the extended programme, over an average of 5 weeks, with 2 sessions per week. 5 participants were male, 3 female and were of the following grades: 2 CT2, 4 FY2, 1 FY1 and 1 medical student. A total of 103.5 hours of training was recorded to 7 September 2020. Participants reported that all virtual skills taught were readily transferable to the theatre environment. Following the course, all participants felt confident to complete the skills learnt independently, rating the course as excellent. Conclusions The COVID-19 crisis has placed insurmountable obstacles in the face of surgical training. With further validation, we aim to develop surgical skills training with virtual, easily reproducible, cost-effective, trainee centred programmes.


2006 ◽  
Vol 61 (5) ◽  
pp. 1267-1270 ◽  
Author(s):  
Marija Trop ◽  
Michael Schintler ◽  
Eva Urban ◽  
Siegfried Roedl ◽  
Andrea Stockenhuber

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