| Autor: |
Sarovath, Ajchariya, Chartdokmaiprai, Chalermpong, Kruavit, Arthi |
| Zdroj: |
Thai Journal of Surgery; Jan-Mar2005, Vol. 26 Issue 1, p32-38, 7p |
| Abstrakt: |
Background: The success of skin grafting procedure requires many factors and the most important ones are avoidance of fluid collection under the graft and immobilization to prevent shearing force between the graft itself and the recipient bed. Blood, serum, and purulent material collection under the graft will separate the skin graft from its wound bed, prevent vascularization, and thus cause loss of the graft. Objectives: To determine the effectiveness of the application of a vacuum-assigned closure (VAC) over the skin graft to obtain a secure skin graft immobilization and to prevent fluid collection under the graft. Materials and Methods: Prospective studies of VAC were done on 17 wounds of 14 consecutive patients, ages ranged from 2 to 74 years. A local made collapsible foam was sterilized and used to cover the wound and a non-collapsible nasogastric tube was used for suction of the air from the wound. The other end of the nasogastric tube was connected to the wall suction pump that provided 100-125 mmHg of continuous negative pressure, for a period of 4-7 days, without external immobilization with cast or K-wire fixation. The wound was observed for another two weeks after the VAC dressing had been removed. Results: Ninety to 100% of graft take was observed in all wounds in the first week and 100% of the wound completely healed in the third week. Conclusions: The technique of VAC with the skin grafting procedure is a simple and reliable method to secure the skin graft on the wound bed and to prevent fluid collection under the graft. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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