Negative Pressure Wound Therapy in Conjunction With Artificial Dermis for Burned Hand Reconstruction.

Abstract:

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.

journal_name

Ann Plast Surg

authors

Ou KL,Tzeng YS,Liu HH,Wu CJ,Chen CY,Chou YY,Hsu KF,Wang CH,Dai NT,Chang CK

doi

10.1097/SAP.0000000000002676

subject

Has Abstract

pub_date

2021-02-01 00:00:00

pages

S13-S17

issue

2S Suppl 1

eissn

0148-7043

issn

1536-3708

pii

00000637-202102001-00003

journal_volume

86

pub_type

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