The The Effect of Gauze-Based, Negative-Pressure Wound Dressing on Skin Graft Survival: A Comparative Study

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Sarut Chaisrisawadisuk MD, FRCST
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Published: Sep 25, 2020
DOI: https://doi.org/10.31524/bkkmedj.2020.21.007
Keywords:
Gauze-based; Negative pressure wound therapy; Skin graft

Main Article Content

SARUT CHAISRISAWADISUK
Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
Warakarn Tangjatuporn
Department of Surgery, Institute of Medicine, Suranaree University of Technology, Nakhon Ratchasima, Thailand
Apirag Chuangsuwanich
Division of Plastic Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

Abstract

OBJECTIVES: To compare the success rates of split-thickness skin graft (STSG) survival for gauze-based and foam-based Negative-Pressure Wound Dressing (NPWDs).


MATERIALS AND METHODS: A single-center, prospective, cohort study was conducted to compare the STSG survival rates of gauze-based and foam-based NPWDs at Days 7 and 30 post-surgery. Sixty-nine patients underwent STSG and NPWD procedures. In all, 79 wounds required dressing: 42 had a foam-based NPWD applied, while the remaining 37 wounds had a gauze-based NPWD. Wall-suctioned, continuously negative pressure was applied at -100 mmHg for 7 days.


RESULTS: At Day 7, the median graft survivals of the foam- and gauze-based NPWDs were 89.74% and 87.63%, respectively. At 30 days, the median graft survival for the foam- and gauze-based NPWDs were 95.2% and 92.01%, respectively. There was no statistical difference in the graft survival of the 2 groups. The success rate of graft survival for the gauze-based NPWD proved to not be inferior to that of foam-based NPWD.


CONCLUSION: Gauzed-based NPWD is non-inferior to foam-based NPWD in terms of STSG survival. Gauze can be used as an alternative NPWD for STSG immobilization.

Article Details

How to Cite
1.
CHAISRISAWADISUK S, Tangjatuporn W, Chuangsuwanich A. The The Effect of Gauze-Based, Negative-Pressure Wound Dressing on Skin Graft Survival: A Comparative Study. BKK Med J [Internet]. 2020 Sep. 25 [cited 2024 Dec. 27];16(2):153. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/242545
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Vol. 16 No. 2 (2020): September
Section
Original Article

This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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