Novel techniques to improve split-thickness skin graft viability during vulvo-vaginal reconstruction.

Abstract:

BACKGROUND:Split-thickness skin grafts are often utilized for vulvo-vaginal reconstruction. Unfortunately, infection and sloughing may occur in up to 22% of patients with standard techniques especially at irradiated recipient sites. CASES:We report seven cases of vulvo-vaginal reconstruction using split-thickness skin grafts. In this series, we used fibrin tissue adhesives with and without vacuum-assisted closure devices to augment graft adherence and viability. We briefly describe the clinical history, surgical techniques, and outcomes of the cohort. CONCLUSION:Fibrin tissue adhesives and wound vacuum-assisted closure devices may improve the viability of split-thickness skin grafts during vulvo-vaginal reconstruction.

journal_name

Gynecol Oncol

journal_title

Gynecologic oncology

authors

Dainty LA,Bosco JJ,McBroom JW,Winter WE 3rd,Rose GS,Elkas JC

doi

10.1016/j.ygyno.2005.03.021

subject

Has Abstract

pub_date

2005-06-01 00:00:00

pages

949-52

issue

3

eissn

0090-8258

issn

1095-6859

pii

S0090-8258(05)00199-X

journal_volume

97

pub_type

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