scholarly journals Outcome of Split Thickness Skin Grafting and Multiple Z-Plasties in Postburn Contractures of Groin and Perineum: A 15-Year Experience

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Wani Sajad ◽  
Raashid Hamid
Keyword(s):  
Surgical Treatment ◽  
Skin Grafting ◽  
Cosmetic Outcome ◽  
Primary Concern ◽  
Secondary Surgery ◽  
Cosmetic Results ◽  
Cosmetic Appearance ◽  
Thickness Skin ◽  
Split Thickness Skin Grafting

Background. Groin and perineal burn contracture is a rare postburn sequel. Such postburn contractures causes distressing symptoms to the patients and in the management of these contractures, both functional and cosmetic appearance should be the primary concern. Aims. To study the outcome of surgical treatment (STSG and multiple Z-plasties) in postburn contractures of groin and perineum. Material and Methods. We conducted a study of 49 patients, with postburn groin and perineal contractures. Release of contracture with split thickness skin grafting (STSG) was done in 44 (89.79%) patients and release of contracture and closure by multiple Z-plasties was done in 5 (10.21%) patients. Results. Satisfactory functional and cosmetic outcome was seen in 44 (89.79%) patients. Minor secondary contractures of the graft were seen in 3 (6.81%) patients who were managed by physiotherapy and partial recurrence of the contracture in 4 (8.16%) patients required secondary surgery. Conclusion. We conclude that postburn contractures of the groin and perineum can be successfully treated with release of contracture followed by STSG with satisfactory functional and cosmetic results. Long term measures like regular physiotherapy, use of pressure garments, and messaging with emollient creams should not be neglected and should be instituted postoperatively to prevent secondary contractures of the graft and recurrence of the contracture.

scholarly journals Management of adult concealed penis using a meshed, split-thickness skin graft

2016 ◽  
Vol 10 (11-12) ◽  
pp. 407 ◽  
Author(s):  
Aaron Boonjindasup ◽  
Michael Pinsky ◽  
Carrie Stewart ◽  
Landon Trost ◽  
Abigail Chaffin ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Skin Grafting ◽  
Split Thickness Skin Graft ◽  
Recent Experience ◽  
Viable Option ◽  
Cosmetic Results ◽  
Thickness Skin ◽  
Concealed Penis ◽  
Split Thickness Skin Grafting ◽  
Good Cosmetic

Introduction: Concealed penis (CP) is a rare problem faced by urologists and plastic surgeons. CP occurs secondary to trauma, obesity, or infection. Surgical treatment is individualized and based on patient and provider variables. We aim to review our recent experience using meshed split-thickness skin grafting (STSG) for CP management.Methods: A retrospective review was performed on patients who underwent STSG for CP at our institution. Records were reviewed for demographic, operative, and postoperative variables. Preoperative and postoperative photos were obtained to monitor cosmetic results.Results: Eleven patients underwent CP release with meshed STSG placement. All cases showed improved functional phallic length and good cosmetic results, regardless of etiology.Conclusions: STSG is a viable option for penile coverage for management of this difficult-to-treat CP population. This primary or salvage modality offers excellent cosmetic results and may be used following prior reconstructive attempts.

Long Term Outcomes of Split-Thickness Skin Grafting to the Plantar Foot

2020 ◽  
Vol 59 (3) ◽  
pp. 498-501
Author(s):  
Elliot T. Walters ◽  
Mira Pandya ◽  
Neha Rajpal ◽  
Michel M. Abboud ◽  
Tammer Elmarsafi ◽  
...  
Keyword(s):  
Skin Grafting ◽  
Long Term Outcomes ◽  
Thickness Skin ◽  
Split Thickness Skin Grafting

Efficacy of Wound Coverage Techniques in Extremity Necrotizing Soft Tissue Infections

2018 ◽  
Vol 84 (11) ◽  
pp. 1790-1795 ◽  
Author(s):  
Margaret H. Lauerman ◽  
Thomas M. Scalea ◽  
W. Andrew Eglseder ◽  
Raymond Pensy ◽  
Deborah M. Stein ◽  
...  
Keyword(s):  
Wound Closure ◽  
Skin Grafting ◽  
Wound Coverage ◽  
Secondary Intention ◽  
Primary Wound Closure ◽  
Thickness Skin ◽  
Split Thickness Skin Grafting ◽  
Necrotizing Soft Tissue Infections ◽  
Flap Creation

Little data exist about management of wounds created by debridement in necrotizing soft tissue infections (NSTIs). Multiple wound coverage techniques exist, including complete primary wound closure, split-thickness skin grafting, secondary intention, and flap creation. We hypothesized that all wound coverage techniques would be associated with high rates of successful wound coverage and low crossover rates to other wound coverage techniques. NSTIs over a three-year period were retrospectively reviewed. Both the initial and secondary wound coverage techniques (if necessary) were recorded. The primary outcome was the ability to achieve complete wound coverage. Overall, 46 patients with NSTIs had long-term data available. Of the patients undergoing split-thickness skin grafting as the initial wound coverage technique, 8/8 (100%) achieved complete wound coverage; and of those undergoing flap creation, 1/1 (100%) achieved complete wound coverage; and of those undergoing complete primary wound closure, 4/4 (100%) achieved complete wound coverage. Of the patients undergoing secondary intention as the initial wound coverage technique, 5/33 (15.2%) achieved complete wound coverage and 28/33 (84.8%) required a secondary wound coverage technique with split-thickness skin grafting. All 46 patients achieved long-term successful wound coverage. Time to wound coverage did not vary with initial wound coverage technique ( P = 0.44). Split-thickness skin grafting, flap creation, complete primary wound closure, and secondary intention are all reasonable choices for initial wound coverage for NSTIs. Although secondary intention had a low success rate as an initial wound coverage technique, all patients ultimately achieved complete wound coverage without a significant increase in time to coverage.

Reconstructive options in severe cases of Hidradenitis suppurativa

Open Medicine ◽  
2010 ◽  
Vol 5 (6) ◽  
pp. 674-678 ◽  
Author(s):  
Birol Civelek ◽  
Kadir Aksoy ◽  
Esra Bilgen ◽  
Ibrahim İnal ◽  
Unal. Sahin ◽  
...  
Keyword(s):  
Hidradenitis Suppurativa ◽  
Skin Grafting ◽  
Surgical Removal ◽  
Apocrine Glands ◽  
Reconstruction Methods ◽  
Thickness Skin ◽  
Split Thickness Skin Grafting ◽  
Topical Antibacterial ◽  
Systemic Antibiotics

AbstractHidradenitis suppurativa is a chronic, debilitating inflammatory disease of apocrine glands characterized with abscesses and nodular lesions. The treatment of Hidradenitis suppurativa consists of topical antibacterial or antiseptic solutions, systemic antibiotics, steroids, hormonal therapy, anti-tumor necrosis factor, and various surgical procedures. In this report, we present a series of 14 cases with severe Hidradenitis suppurativa. Surgical options are reviewed to show the best outcomes in the long term. A total of 14 patients (9 female, 5 male) were treated for advanced cases of Hidradenitis suppurativa. They underwent excision of the affected regions followed by reconstruction. The reconstruction methods consisted of split-thickness skin grafting and various cutaneous and myocutaneous flaps. There was no flap necrosis or dehiscence. One patient developed contracture in the axilla, for which he underwent release surgery. There were recurrences in 4 cases. There was no limitation of the arm movements in cases with flap reconstruction. In the long-term, they were satisfied with the results. In conclusion, incision and drainage should be avoided because it is of limited value. Surgical removal of the involved tissue should be the first treatment of choice. Depending on the defect following excision, local flaps should be preferred over the grafts for recurrence prevention.

scholarly journals Neonatal compartment syndrome

2016 ◽  
Vol 98 (7) ◽  
pp. e111-e113 ◽  
Author(s):  
B Martin ◽  
L Treharne
Keyword(s):  
Compartment Syndrome ◽  
Skin Grafting ◽  
Dermal Matrix ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Left Hand ◽  
Thickness Skin ◽  
Split Thickness Skin Grafting ◽  
Contracture Release

A term neonate was born with a grossly swollen and discoloured left hand and forearm. He was transferred from the local hospital to the plastic surgical unit, where a diagnosis of compartment syndrome was made and he underwent emergency forearm fasciotomies at six hours of age. Following serial debridements of necrotic tissue, he underwent split-thickness skin grafting of the resultant defects of his forearm, hand and digits. At the clinic follow-up appointment two months after the procedure, he was found to have developed severe flexion contractures despite regular outpatient hand therapy and splintage. He has had further reconstruction with contracture release, use of artificial dermal matrix, and K-wire fixation of the thumb and wrist. Despite this, the long term outcome is likely to be an arm with poor function. The key learning point from this case is that despite prompt transfer, diagnosis and appropriate surgical management, the outcome for neonatal compartment syndrome may still be poor.

scholarly journals Surgical Management and Reconstruction of Hoffman’s Disease (Dissecting Cellulitis of the Scalp)

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Justin M. Hintze ◽  
Brittany E. Howard ◽  
Carrlene B. Donald ◽  
Richard E. Hayden
Keyword(s):  
Surgical Treatment ◽  
Surgical Management ◽  
Medical Management ◽  
Skin Grafting ◽  
Sinus Tract ◽  
Complete Resection ◽  
Reconstruction Surgery ◽  
Disease Remission ◽  
Thickness Skin ◽  
Split Thickness Skin Grafting

Dissecting cellulitis of the scalp, or Hoffman’s disease, is a rare dermatologic condition characterized by recurrent pustules and sinus tract formation leading to scarring and alopecia. Medical management includes the use of corticosteroids, antibiotics, isotretinoin, and adalimumab. In cases where the disease is severe, refractory, and intractable, surgery is an option. We report two cases of Hoffman’s disease, where medical management failed to achieve remission. Surgical treatment was undertaken with complete resection of the affected scalp in staged procedures with subsequent split-thickness skin grafting for reconstruction. Surgery achieved both disease remission and excellent aesthetic outcomes in both patients.

scholarly journals Efficacy of ultrathin epidermal grafting followed by narrow band ultraviolet B therapy for stable vitiligo: a novel therapy

2020 ◽  
Vol 6 (2) ◽  
pp. 167
Author(s):  
Lakshmi Kamcharla ◽  
Sahitya Tadi ◽  
Rakesh Darla ◽  
Nageswaramma Sidhabathuni
Keyword(s):  
Narrow Band ◽  
Donor Site ◽  
Surgical Techniques ◽  
Ultraviolet B ◽  
Cosmetic Outcome ◽  
Novel Therapy ◽  
Recipient Site ◽  
Cosmetic Results ◽  
Thickness Skin ◽  
Split Thickness Skin Grafting

<p class="abstract"><strong><span lang="EN-US">Background: </span></strong>Different surgical techniques in the form of tissue or cellular grafting procedures are used alone or in combination with narrow band ultraviolet B (NBUVB) to treat stable vitiligo resistant to medical treatment. The aim of the study was to assess the cosmetic results obtained with combination therapy of ultrathin split-thickness skin grafts and adjuvant NBUVB therapy in resistant, stable vitiligo.</p><p class="abstract"><strong><span lang="EN-US">Methods: </span></strong>Forty patients of stable vitiligo were treated with ultrathin split-thickness grafting and the patients were then put on NBUVB therapy. Extent of repigmentation and final cosmetic outcome at the recipient as well as donor sites were assessed<span lang="EN-US">.<strong></strong></span></p><p class="abstract"><strong><span lang="EN-US">Results: </span></strong>The initial evidence of repigmentation was noted in the second week after starting NBUVB. Results showed 85% of patients had more than 90% repigmentation and the overall cosmetic results at the recipient site was good to excellent in 90% patients at the end of NBUVB treatment. Perigraft halo of depigmentation was seen in five patients (12%) on the recipient site. Hypertrophic scarring was seen in two patients at the donor site.</p><p class="abstract"><strong><span lang="EN-US">Conclusions: </span></strong>Ultrathin split-thickness skin grafting, when combined with NBUVB therapy, leads to better cosmetic outcome with faster onset of repigmentation in resistant and stable vitiligo.</p>

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