Case Series »
Index: WOUNDS. 2013;25(11):324-327.
Abstract: Background. The use of negative pressure in the dressing of split-thickness skin grafts has been shown to promote healing by a variety of mechanisms, including a decrease in interstitial edema, an increase in perfusion, and a decrease in bacterial colonization. Methods. An observational study was performed on 52 patients at the Department of Plastic Surgery, University of Perugia in Perugia, Italy, undergoing split-thickness skin grafting for acute wounds after trauma and for chronic wounds, such as pressure ulcers and diabetic wounds. The dressing used consisted of a single foam sheet, a conventional disposable closed-system suction drain, and an adhesive dressing. Results. In all patients, there was a 95% take of the graft, with 5% of partial loss. There were no significant complications encountered. Conclusions. Negative pressure wound therapy is an innovative and commercially successful concept for the management of difficult-to-treat wounds of nearly every etiology, and the authors’ technique is an alternative to commercially available negative pressure dressings.
Key words: negative pressure skin graft, wound closure
Editorial Message »
I recently had the honor of having dinner with a surgeon from Africa. We actually met on the shuttle going from the airport to the hotel, where we were both attending a meeting of American surgeons who work in Africa. My wife and I had a delightful conversation with the gentleman on the way to the hotel and during dinner that evening, but it wasn’t until the next morning at the meeting that I found out what a truly remarkable man he is. Dr. David Thompson grew up in Cambodia and, at the age of 14, saw a man die from injuries because there was no one to help him; this was a catalyst in his decision to become a surgeon and spend his life helping others.1
Editor's Message »
This month’s issue of WOUNDS is focused on the operative approach to wounds. Today the treatment of wounds emphasizes the nonoperative approach. Most think that debridement is the only time something sharp should be brought near the wound. Even then, we have other options such as enzymes, biologic treatments such as maggots, and autolytic techniques. But as the Father of American Surgery, Sir William Osler, once said, “Many a wound ‘requires cold steel, not the folly of a physician.’” Truly, there are times when wounds require operative intervention, which can come in several forms. In this issue are 4 articles showing how operative intervention can improve the healing of difficult wounds.
Expert Recommendations For The Use of Mechanically-Powered Negative Pressure Wound Therapy
V.A.C.UltaTM Negative Pressure Wound Therapy System: Customizing Wound Healing
Expert Recommendations for Optimizing Outcomes Utilizing Apligraf® for Diabetic Foot Ulcers