Our Experience in Skin Grafting and Silver Dressing for Venous Leg Ulcers

Diabetic foot ulcerations are historically difficult to treat despite advanced therapeutic modalities. There are numerous modalities described in the literature ranging from noninvasive topical wound care to more invasive surgical procedures such as primary closure, skin flaps, and skin grafting. While skin grafting provides faster time to closure with a single treatment compared to traditional topical wound treatments, the potential risks of donor site morbidity and poor wound healing unique to the diabetic state have been cited as a contraindication to its widespread use. In order to garner clarity on this issue, a literature review was undertaken on the use of split-thickness skin grafts on diabetic foot ulcers. Search of electronic databases yielded four studies that reported split-thickness skin grafts as definitive means of closure. In addition, several other studies employed split-thickness skin grafts as an adjunct to a treatment that was only partially successful or used to fill in the donor site of another plastic surgery technique. When used as the primary closure on optimized diabetic foot ulcerations, split-thickness skin grafts are 78% successful at closing 90% of the wound by eight weeks.

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Our Experience in Chronic Wounds Care with Polyurethane Foam

Revista de Chimie ◽

10.37358/rc.18.3.6154 ◽

2018 ◽

Vol 69 (3) ◽

pp. 585-586 ◽

Cited By ~ 2

Author(s):

Laura Raducu ◽

Cristina Nicoleta Cozma ◽

Andra Elena Balcangiu Stroescu ◽

Adelaida Avino ◽

Maria Daniela Tanasescu ◽

...

Keyword(s):

Prospective Study ◽

Polyurethane Foam ◽

Wound Dressing ◽

Chronic Wounds ◽

Medical Field ◽

A Prospective Study

Polyurethane foam has numerous applications, from furniture to medical field. As a wound dressing creates a moisture environment that promotes epithelialization and diminishes pain. A prospective study was realized to evaluate polyurethane foam efficacy in treating chronic wounds due to venous, arterial or diabetic causes. Our evaluation showed good results with an accelerated epithelialization.

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A cross-sectional study of long-term satisfaction after surgery for congenital syndactyly: does skin grafting influence satisfaction?

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193418808183 ◽

2018 ◽

Vol 44 (3) ◽

pp. 296-303 ◽

Cited By ~ 3

Author(s):

Bien R. Ferrari ◽

Paul M.N. Werker

Keyword(s):

Donor Site ◽

Skin Grafting ◽

Cross Sectional Study ◽

Complication Rates ◽

Skin Grafts ◽

Sectional Study ◽

Level Of Evidence ◽

Cross Sectional ◽

Scar Assessment

Syndactyly correction without skin grafting is advocated because it prevents graft-related complications and donor site morbidity. In this cross-sectional study, we compared satisfaction among patients who underwent correction with and without skin grafting to determine preference based on subjective and objective parameters. Retrospective chart analysis was performed among 27 patients (49 webs) who were seen at follow-up after a median follow-up period of 7.4 years, at which the Patient and Observer Scar Assessment Scale, the Withey score and a satisfaction survey were used. Notably, there were no significant differences in complication rates or observer rated scar scores. Although the need for an additional surgical procedure was higher after skin grafting, patient-rated satisfaction scores were similar irrespective of the use of grafting. Our data suggest that corrections can best be performed without skin grafts if seeking to minimize the need for an additional procedure, but that the use of skin grafts does not appear to affect patient satisfaction. Level of evidence: IV

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Comparing hospital stay and patient satisfaction in a resource poor setting using conventional and locally adapted negative pressure wound dressing methods in management of leg ulcers with split skin grafts: a comparative prospective study

Pan African Medical Journal ◽

10.11604/pamj.2020.36.105.19961 ◽

2020 ◽

Vol 36 ◽

Author(s):

Charles Chidiebele Maduba ◽

Ugochukwu Uzodimma Nnadozie ◽

Victor Ifeanyichukwu Modekwe ◽

Ezekiel Uchechukwu Nwankwo

Keyword(s):

Patient Satisfaction ◽

Prospective Study ◽

Negative Pressure ◽

Wound Dressing ◽

Resource Poor Setting ◽

Leg Ulcers ◽

Skin Grafts ◽

Resource Poor ◽

Split Skin ◽

Comparative Prospective Study

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Management of the Burn Wound

10.2310/ps.2143 ◽

2019 ◽

Author(s):

Nicole S. Gibran ◽

Jose P. Sterling ◽

David M. Heimbach

Keyword(s):

Wound Care ◽

Donor Site ◽

Skin Grafting ◽

Wound Management ◽

Skin Substitutes ◽

Burn Wound ◽

Burn Wounds ◽

Initial Care ◽

Wound Excision ◽

Burn Depth

Current approaches to burn management are based on an understanding of the biology and physiology of human skin and the pathophysiology of the burn wound. The clinical evaluation and initial care of a burn wound is described and includes an assessment of burn depth, determining the need for escharatomy and daily burn wound care. Burns can be topical or surgical. Topical burn wounds require choice in the use of antibiotics. Considerations and techniques for surgical burn wound management are described and include early excision and grafting, wound excision, skin grafting, graft and donor-site dressings, postoperative wound care, biologic dressings and skin substitutes, allograft and xenograft skin, cultured epidermal autografts, and skin substitutes. Figures show the two distinct layers of the skin, various types of burns, and both fascial and tangential excision of burn wounds. This review contains 12 figures, 11 tables, and 61 references. Keywords: Burn wound, graft, partial-thickness, full-thickness, dermis, epidermis, sloughing, dressing

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Management of the Burn Wound

10.2310/surg.2143 ◽

2019 ◽

Author(s):

Nicole S. Gibran ◽

Jose P. Sterling ◽

David M. Heimbach

Keyword(s):

Wound Care ◽

Donor Site ◽

Skin Grafting ◽

Wound Management ◽

Skin Substitutes ◽

Burn Wound ◽

Burn Wounds ◽

Initial Care ◽

Wound Excision ◽

Burn Depth

Current approaches to burn management are based on an understanding of the biology and physiology of human skin and the pathophysiology of the burn wound. The clinical evaluation and initial care of a burn wound is described and includes an assessment of burn depth, determining the need for escharatomy and daily burn wound care. Burns can be topical or surgical. Topical burn wounds require choice in the use of antibiotics. Considerations and techniques for surgical burn wound management are described and include early excision and grafting, wound excision, skin grafting, graft and donor-site dressings, postoperative wound care, biologic dressings and skin substitutes, allograft and xenograft skin, cultured epidermal autografts, and skin substitutes. Figures show the two distinct layers of the skin, various types of burns, and both fascial and tangential excision of burn wounds. This review contains 12 figures, 11 tables, and 61 references. Keywords: Burn wound, graft, partial-thickness, full-thickness, dermis, epidermis, sloughing, dressing

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Split Thickness Skin Grafts for the Treatment of Non Healing Foot and Leg Ulcers in Patients with Diabetes: A Prospective Study

New Indian Journal of Surgery ◽

10.21088/nijs.0976.4747.9518.27 ◽

2018 ◽

Vol 9 (5) ◽

pp. 676-681

Author(s):

R.S. Teja Reddy ◽

◽

Muneendra Kumar M.S. ◽

Keyword(s):

Prospective Study ◽

Leg Ulcers ◽

Skin Grafts ◽

Thickness Skin ◽

Patients With Diabetes ◽

A Prospective Study

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Novel Surgical Treatment for Refractory Heel Ulcers in Werner’s Syndrome

Case Reports in Orthopedics ◽

10.1155/2013/287025 ◽

2013 ◽

Vol 2013 ◽

pp. 1-4

Author(s):

Keisuke Oe ◽

Masahiko Miwa ◽

Yoshitada Sakai ◽

Masahiro Kurosaka

Keyword(s):

Surgical Treatment ◽

Skin Graft ◽

Donor Site ◽

Skin Grafting ◽

Split Thickness Skin Graft ◽

Leg Ulcers ◽

Werner’S Syndrome ◽

Werner's Syndrome ◽

Thickness Skin ◽

Chronic Leg Ulcers

Patients with Werner’s syndrome frequently develop chronic leg ulcers that heal poorly. We present a patient who suffered from this rare syndrome and developed typical heel ulcers. Treatment of the ulcer is challenging, as flap options are limited over the lower third of the leg and skin grafting is not easy as there is a lack of healthy granulations. We successfully treated the ulcer with osteomyelitis by drilling the bone and applying an ultrathin split thickness skin graft with the thigh skin as the donor site.

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