Negative Pressure Wound Therapy in Conjunction With Artificial Dermis for Burned Hand Reconstruction
| Autor: | Hung-Hui Liu, Kuang-Ling Ou, Chih-Hsin Wang, Yuan-Sheng Tzeng, Niann-Tzyy Dai, Chien-Ju Wu, Yu-yu Chou, Chun-Yu Chen, Kuo-Feng Hsu, Chun-Kai Chang |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment 030230 surgery Cicatrix 03 medical and health sciences Wound care 0302 clinical medicine Dermis Form and function Negative-pressure wound therapy medicine Humans Survival rate Skin Artificial Wound Healing Hand function integumentary system business.industry Hand reconstruction Standard treatment Hand Injuries Skin Transplantation Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Burns business Negative-Pressure Wound Therapy |
| Zdroj: | Annals of Plastic Surgery. 86:S13-S17 |
| ISSN: | 1536-3708 0148-7043 |
| Popis: | Introduction Proper wound care along with the use of skin grafts over deep burn wounds has been the standard treatment. However, the goal in burn wound care has shifted from achieving a satisfactory survival rate to improving long-term form and function of the healed wound, which is sometimes hindered by scar contracture. This has prompted surgeons to find alternative ways to treat burn wounds without compromising function. Among burn cases, hand injuries are the most problematic when it comes to delicate function recovery. Methods This study presents the results of conjunctive use of a bilayer artificial dermis, negative pressure wound therapy, and split-thickness skin grafts for grafting over acute burn wounds and scar-releasing defects after severe hand burns. Results Three months after the operation, the scar was soft and pliable, the aesthetic outcome was good, and the patients gained much improvement in hand function and quality oflife. Conclusions The combined technique achieved a good scar quality and aesthetic effect on burned hands as well as excellent functional outcome, which resulted in major improvements and an independent life for the patient. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|