A Composite Application Technique of Single-stage Dermal Templates to Improve Handling and Ease of Use.

Autor: Maitz J; From the Department of Burns and Reconstructive Surgery, Concord Repatriation General Hospital, Concord, New South Wales, Australia.; Burns and Reconstructive Surgery Research Group, Concord Repatriation General Hospital, Concord, New South Wales, Australia.; Faculty of Medicine and Health, University of Sydney, Camperdown, New South Wales, Australia., Carelli LG; From the Department of Burns and Reconstructive Surgery, Concord Repatriation General Hospital, Concord, New South Wales, Australia., Coady E; Faculty of Medicine and Health, University of Sydney, Camperdown, New South Wales, Australia., Loi D; From the Department of Burns and Reconstructive Surgery, Concord Repatriation General Hospital, Concord, New South Wales, Australia., Maitz P; From the Department of Burns and Reconstructive Surgery, Concord Repatriation General Hospital, Concord, New South Wales, Australia.; Burns and Reconstructive Surgery Research Group, Concord Repatriation General Hospital, Concord, New South Wales, Australia.; Faculty of Medicine and Health, University of Sydney, Camperdown, New South Wales, Australia.
Jazyk: angličtina
Zdroj: Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2024 Aug 23; Vol. 12 (8), pp. e6094. Date of Electronic Publication: 2024 Aug 23 (Print Publication: 2024).
DOI: 10.1097/GOX.0000000000006094
Abstrakt: The "work horse" for the treatment of full-thickness defects of any etiology, including chronic nonhealing wounds and traumatic injuries, is generally autologous split-thickness skin grafts (STSGs), meshed, hand-fenestrated, or a sheet graft. Advancements in skin tissue engineering have allowed for the integration of dermal substitutes to be combined with autologous STSGs, adding valuable options for restoring the skin's complex multilayered structure. Although dermal templates offer a promising avenue for more nuanced reconstruction in certain cases, their application is not without challenges, particularly when they are made from delicate materials. The following technique simplifies the application technique of single-stage dermal templates by using a composite approach. To demonstrate this technique, MatriDerm, a 1-mm-thick bovine collagen-elastin dermal template, is used to enable an STSG to be applied in a one-stage procedure.
Competing Interests: The authors have no financial interest to declare in relation to the content of this article.
(Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.)
Databáze: MEDLINE