A combined protocol for improving reconstruction of scrotal skin avulsions: The experience of the University Hospital Center of Foggia

2021 ◽  
pp. 039156032110461
Author(s):  
Fedele Lembo ◽  
Liberato Roberto Cecchino ◽  
Domenico Parisi ◽  
Aurelio Portincasa
Keyword(s):  
Acellular Dermal Matrix ◽  
Functional Results ◽  
University Hospital ◽  
Split Thickness Skin Graft ◽  
Scrotal Skin ◽  
Reconstruction Procedure ◽  
Dermal Matrix ◽  
Retrospective Assessment ◽  
Critical Patients ◽  
Degloving Injuries

Objective: Scrotal degloving injuries are rare and constitute a challenge for reconstructive surgeons. The authors describe their successful experience with a combined reconstruction protocol using an acellular dermal matrix (ADM), negative pressure wound therapy (NPWT) and a split-thickness skin graft (STSG), and the retrospective assessment of overall morbidity and esthetic outcomes. Methods: Five consecutive patients underwent a wide excision of necrotic scrotal skin and a reconstruction procedure using a combined protocol with NPWT, Pelnac®, and STSG. The efficacy of this treatment was determined by assessing overall morbidity and esthetic outcomes with the Vancouver Scar Scale (VSS). Results: The combined protocol made it possible to create an environment that promoted wound healing, improved graft intake, and gage the reconstructed site a more natural look. No significant problems were observed. Satisfactory cosmetic and functional results were obtained in all patients as shown by VSS scores obtained. Conclusions: We believe that this combined protocol is a reliable alternative to flaps and should be considered an excellent option in scrotal reconstruction, especially in critical patients.

scholarly journals Outcome of the acellular dermal matrix and split thickness skin graft in release of post burn contractures in hand.

2021 ◽  
Vol 28 (02) ◽  
pp. 147-152
Author(s):  
Abdul Malik Mujahid ◽  
Husnain Khan ◽  
Yawer Sajjad ◽  
Kashif Mehmood Sheikh ◽  
Noor Ali ◽  
...  
Keyword(s):  
Skin Graft ◽  
Reconstructive Surgery ◽  
Case Series ◽  
Acellular Dermal Matrix ◽  
Split Thickness Skin Graft ◽  
Dermal Matrix ◽  
Thickness Skin ◽  
Acellular Dermal ◽  
Surgery Center ◽  
Burn Contractures

Objective: To determine the frequency of success of acellular dermal matrix and split thickness skin graft in release of post burn contractures in hand using Vancouver scar scale. Study Design: Descriptive Case Series. Setting: Department of Plastic Surgery, Jinnah Burn and Reconstructive Surgery Center, Lahore. Period: 1st March, 2019 to 30th October, 2019. Material & Method: A descriptive case series conducted at Plastic Surgery Department, Jinnah Burn and Reconstructive Surgery Center, Lahore. A sample size of 75 patients, who full filled the inclusion criteria, was selected through non probability consecutive sampling Informed consent was obtained from all the patients. Pre-operative photography was done to compare the post-operative results. After the release of contractures, coverage with acellular dermis and split thickness skin graft was performed. All the patients were followed up to 2 months and the outcome was assessed by Vancouver Scar Scale. The collected data was entered and analyzed by using SPSS version 20. Descriptive statistics were calculated. Quantitative variables like age, size of scar were presented as mean, ± standard deviation. Qualitative variables were presented as frequencies and percentages. Results: Mean age of patient was 30 ± 9 years. Among them 40 were males and 35 females. Vancouver scale showed successful outcome (score ≤4) in 70.66 % of the patients. Partial release of contracture was the major complication seen in 5.33% of cases. Conclusion: Acelluar dermal matrix followed by split thickness skin graft is a very reliable option for coverage after release of post-burn contractures in hand as it provides very pliable, thin and lax skin with good color match and better contour to surrounding tissue.

The Use of the PlasmaBlade and Acellular Dermal Matrix in Rhinophyma Surgery

2015 ◽  
Vol 20 (2) ◽  
pp. 155-158 ◽  
Author(s):  
Adem Özkan ◽  
Adem Topkara ◽  
Ramazan Hakan Özcan ◽  
Sadık Şentürk
Keyword(s):  
Skin Graft ◽  
Combined Treatment ◽  
Acellular Dermal Matrix ◽  
Split Thickness Skin Graft ◽  
Dermal Matrix ◽  
Severe Acne ◽  
Thickness Skin ◽  
Aesthetic Results ◽  
End Stage ◽  
Acellular Dermal

Background: Rhinophyma is a rare, disfiguring disease characterized by a slow progressive overgrowth of the soft tissue of the nose associated with end-stage severe acne rosacea. Objective: We present a case of severe rhinophyma treated successfully using PlasmaBlade and acellular dermal matrix with split-thickness skin graft. Methods: This procedure combines deep excision with PlasmaBlade followed by coverage with an acellular dermal matrix for dermal substitution and split-thickness skin graft. Results: Functional and aesthetic results were satisfactory. Conclusion: We offer a new approach to surgical treatment of rhinophyma. Total excision of phymatous tissue and single session replacement of epidermal-dermal components is an effective treatment for patients with severe rhinophyma, resulting in satisfactory functional and aesthetic outcome. This combined treatment modality prevents the recurrence of rhinophyma. It should be considered an appropriate alternative in cases of severe rhinophyma.

scholarly journals Treatment Strategy for an Electrical Burn Patient with Multiple Fourth-Degree Wounds

2020 ◽  
Vol 16 (2) ◽  
pp. 121-124
Author(s):  
Kun Yong Sung ◽  
Seung Je Lee ◽  
Hong Sil Joo
Keyword(s):  
High Voltage ◽  
Subcutaneous Fat ◽  
Acellular Dermal Matrix ◽  
Foot Drop ◽  
Split Thickness Skin Graft ◽  
Dermal Matrix ◽  
Fourth Degree ◽  
Thickness Skin ◽  
Electrical Burns

Electrical burns, especially high-voltage burns, usually cause necrosis of the subcutaneous fat, fascia, muscle, and bone. The reconstruction of electrical injuries often involves multiple surgeries. We present the case of a 56-year-old man who was injured by a high-voltage current resulting in multiple soft tissue defects on the left ankle and plantar area. The wounds on the malleolar and lateral plantar areas had burned the muscle, tendon, and bone. Because the patient had multiple wounds and unstable vessels, we took the strategy of operating in stages. The primary aim of treatment was wound healing and maintaining the support structure for mobility. Several rounds of wide debridement and negative-pressure wound therapy, followed by application of acellular dermal matrix and split-thickness skin graft were performed as part of the first stage. At the 1-year follow-up, the patient could walk independently wearing a splint to prevent foot drop. A second reconstructive surgery is possible, if necessary.

scholarly journals EP.TH.177Safety profile of SurgiMend Acellular Dermal Matrix and Mentor implant assisted immediate breast reconstruction – Our experience at the Princess Royal University Hospital

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Gamal Shaaban ◽  
Maryam Khan ◽  
Lilia Ragad ◽  
Carol Norman ◽  
Abdul Kasem ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Safety Profile ◽  
Acellular Dermal Matrix ◽  
Immediate Breast Reconstruction ◽  
University Hospital ◽  
Secondary Outcome ◽  
Type I ◽  
Dermal Matrix ◽  
Major Complications ◽  
Acellular Dermal

Abstract Background ADM (Acellular Dermal Matrix) assisted implant-based immediate breast reconstruction (IBR) is a common technique worldwide. Various ADMs are available manufactured from different sources. The Surgimend ADM (fetal bovine dermis) is fenestrated and rich in type I/III collagen; it is claimed to reduce fluid accumulation and promote healing. Methods Retrospective observational analysis exploring safety profile using combination of SurgiMend MacroPorous (MP)/SurgiMend PRS and Mentor CPG/Mentor Siltex implants between January 2018 to December 2019. Patients with unilateral/bilateral IBR following Nipple sparing (NSM) or Skin sparing mastectomy (SSM) were included. The primary outcome was minor complications (seroma (>100ml on USS), hematoma, wound infection and infected seromas). Secondary outcome was major complications (flap necrosis, capsular contracture, implant explantation and Red Breast Syndrome). Results Six (16.2%) bilateral and 31 (83.8%) unilateral IBR were performed in 37 patients. Mean age was 53.78 years. No major complications were recorded. Conclusions The Surgimend ADM and Mentor implant combination demonstrate a good safety profile. Higher rates of seroma in this study could be explained by overdiagnosis and treatment at our unit, which in turn might imply as a result that no major complications were detected and no implant loss.

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