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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.
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2. Grabski WJ, Giandoni MB, Anderson LL. Surgical pearl: hydrocolloid dressings for full-thickness skin grafts. J Am Acad Dermatol 1995;32(2 Pt 1):273–4.
3. Morykwas MJ, Argenta LC, Shelton-Brown EI, et al. Vacuum-assisted closure: a new method for wound control and treatment: animal studies and basic foundation. Ann Plast Surg 1997;38(6):553–62. 4. Llanos S, Danilla S, Barraza C, et al. Effectiveness of negative pressure closure in the integration of split thickness skin grafts: a randomized, double-masked, controlled trial. Ann Surg 2006;244(5):700–5.
4. Scherer LA, Shiver S, Chang M, et al. The vacuum assisted closure device: a method of securing skin grafts and improving graft survival. Arch Surg 2002;137(8):930–3; discussion 3–4.
5. Isago T, Nozaki M, Kikuchi Y, et al. Skin graft fixation with negative-pressure dressings. J Dermatol 2003;30(9):673–8.
6. Azzopardi EA, Boyce DE, Dickson WA, et al. Application of topical negative pressure (vacuum-assisted closure) to split-thickness skin grafts: a structured evidence-based review. Ann Plast Surg 2013;70(1):23–9.
7. Dunn RM, Ignotz R, Mole T, et al. Assessment of gauze-based negative pressure wound therapy in the split-thickness skin graft clinical pathway-an observational study. Eplasty 2011;11:e14.
8. Vidrine DM, Kaler S, Rosenthal EL. A comparison of negative-pressure dressings versus Bolster and splinting of the radial forearm donor site. Otolaryngol Head Neck Surg 2005;133(3):403–6.
9. Chang KP, Tsai CC, Lin TM, et al. An alternative dressing for skin graft immobilization: negative pressure dressing. Burns 2001;27(8):839–42.
10. Psoinos CM, Ignotz RA, Lalikos JF, et al. Use of gauze-based negative pressure wound therapy in a pediatric burn patient. J Pediatr Surg 2009;44(12):e23–6.
11. Borgquist O, Gustafson L, Ingemansson R, et al. Tissue ingrowth into foam but not into gauze during negative pressure wound therapy. Wounds 2009;21(11):302–9.
12. Malmsjo M, Ingemansson R. Green foam, black foam or gauze for NWPT: effects on granulation tissue formation. J Wound Care 2011;20(6):294–9.
13. Fraccalvieri M, Ruka E, Bocchiotti MA, et al. Patient’s pain feedback using negative pressure wound therapy with foam and gauze. Int Wound J 2011;8(5):492–9.
14. Fraccalvieri M, Zingarelli E, Ruka E, et al. Negative pressure wound therapy using gauze and foam: histological, immunohistochemical and ultrasonography morphological analysis of the granulation tissue and scar tissue. Preliminary report of a clinical study. Int Wound J 2011;8(4):355–64.
15. Fraccalvieri M, Zingarelli E, Ruka E, et al. Negative pressure wound therapy using gauze and foam: histological, immunohistochemical and ultrasonography morphological analysis of the granulation tissue and scar tissue. Preliminary report of a clinical study. Int Wound J 2011;8(4):355–64.