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Negative pressure dressing in split-thickness skin grafts: experience with an alternative method.

Stefano Chiummariello¹, Giuseppe Del Torto², Marco Iera¹

¹Division of Plastic, Reconstructive, and Aesthetic Surgery, University of Perugia, Perugia, Italy.

Wounds : a Compendium of Clinical Research and Practice

|April 14, 2015

Summary

Negative pressure wound therapy (NPWT) significantly improves split-thickness skin graft success, achieving 95% graft take with minimal complications. This technique offers a viable alternative for managing challenging wounds.

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Area of Science:

Plastic Surgery
Wound Healing
Biomedical Engineering

Background:

Negative pressure wound therapy (NPWT) aids split-thickness skin graft healing through reduced edema, enhanced perfusion, and decreased bacterial load.
NPWT is a well-established method for managing complex wounds across various etiologies.

Purpose of the Study:

To evaluate the efficacy of a specific negative pressure dressing technique for split-thickness skin grafts.
To present an alternative method to existing commercial negative pressure wound therapy systems.

Main Methods:

An observational study involving 52 patients undergoing split-thickness skin grafting.
Application of a dressing system comprising a foam sheet, closed-system suction drain, and adhesive dressing.
Treatment of acute traumatic wounds and chronic wounds, including pressure ulcers and diabetic foot ulcers.

Main Results:

Achieved a 95% graft take rate across all patient cohorts.
Observed only 5% partial graft loss.
Encountered no significant complications during the study period.

Conclusions:

The described negative pressure wound therapy technique is effective and safe for split-thickness skin grafting.
This method presents a practical alternative to commercially available negative pressure wound therapy dressings.
Negative pressure wound therapy is a successful and innovative approach for treating challenging wounds.