Extra-wound fixation: a modified tie-over dressing technique for skin graft.
| Autor: | Quanmeng Liu, Xiaodong Liu, Idy HT Ho, Shibing Guan |
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| Předmět: |
PREVENTION of injury
ADIPOSE tissues BANDAGES & bandaging CHI-squared test COMPARATIVE studies CONFIDENCE intervals FISHER exact test PATIENT aftercare MEDICAL records SCIENTIFIC observation REGENERATION (Biology) STATISTICAL sampling SKIN grafting SURGICAL complications SURGICAL dressings SUTURING WOUND healing WOUND care TREATMENT effectiveness CROSS-sectional method RETROSPECTIVE studies DESCRIPTIVE statistics ACQUISITION of data methodology EVALUATION |
| Zdroj: | Journal of Wound Care; 2020 Supplement12, Vol. 29 Issue Sup12, pS23-S27, 5p |
| Abstrakt: | Objective: Tie-over dressing is the most frequently used technique of skin grafting. However, many deficiencies affecting the outcome have been reported. We hereby introduce a modified method, termed the 'extra-wound fixation technique', for skin dressing, and evaluate the complications and clinical outcomes. Method: In this retrospective cross-sectional study we analysed the medical records of patients treated between January 2012 and December 2017. All patients received full thickness skin grafts. Patients were divided equally into to groups: patients were treated using the extra-wound fixation technique, and the remaining, randomly selected patients treated using the traditional tie-over method. The extra-wound fixation technique uses the traditional tie-over dressing method followed by additional stitches made in healthy skin locating 0.5-1.0 cm laterally to the wound edge. The follow-up outcomes between the two groups were compared using the Chi-square test. Results: A total of 38 patients took part (19 patients in each group). The follow-up duration was 1--6 months. No raised edges were observed in any of the patients. Prolonged follow-up demonstrated that the grafted skin texture became soft with a thin layer of adipose tissue, and elasticity was gradually improved along with the regeneration of dermoelastic fibre. The colour was similar to the normal skin with a smooth surface. Compared with the traditional method, the extra-wound fixation technique significantly improved the survival of the grafted skin (p=0.008), reduced the risk of laceration of the skin (p=0.001), and eliminated crater rim-like appearances (p=0.020). Conclusion: The extra-wound fixation technique could be used for different skin grafts and improve clinical outcomes compared with the traditional tie-over dressing method. Declaration of interest: The authors have no conflicts of interest. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
| Externí odkaz: |
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