Suture-less Skin Graft Fixation Using Soft Silicon Contact Layer

• Hatano Takaharu

  Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka City University

• Mineo Mari

  Department of Plastic and Reconstructive Surgery, PL Hospital

• Ueno Marie

  Department of Plastic and Reconstructive Surgery, Osaka City General Hospital

• Deguchi Ayaka

  Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka City University

• Fujikawa Heishiro

  Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka City University

• Maeda Shusaku

  Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka City University

• Haraoka Goichi

  Department of Aesthetic Surgery, Kobe University Hospital

• Motomura Hisashi

  Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka City University

抄録

Introduction: The tie-over method is generally used for fixation after suturing of skin grafts. However, suturing and fixation of skin grafts for extensive burns and ulcers are time-consuming, and tissue damage may occur when there is scarring of the surrounding tissue. In addition, the removal of sutures takes time and is painful. Therefore, we developed a modified skin graft fixation method.<br>Here, we present the application of this modified skin graft fixation method in nine patients.<br>Material and methods: The study included nine patients (six males, three females) with age ranging from 34 to 70 years and mean age of 55 years. The cause of injury was burn in five cases, with heat press, necrosis due to infection, skin necrosis owing to hematoma, and electrical injury in one case each. This study included mesh skin grafting in three cases, sheet skin grafting in four, and both in two cases. The size of the skin grafts ranged from 30 cm²–400 cm² with a mean of 203 cm².<br>The skin graft was not sutured; instead, it was fixed with a silicon contact layer and negative pressure wound therapy (NPWT).<br>Results: This method was successful in all cases.<br>Conclusions: This simple and rapid method allows successful skin graft fixation without graft suturing.

収録刊行物

• International Journal of Surgical Wound Care

  International Journal of Surgical Wound Care 1 (3), 106-109, 2020

  一般社団法人 日本創傷外科学会

キーワード

• buried staples
• fixation
• NPWT
• silicon contact layer
• skin graft

詳細情報

• CRID: 1390004951546218624
• NII論文ID: 130007949379
• DOI: 10.36748/ijswc.1.3_106
• ISSN: 24352128
• Web Site: https://www.jstage.jst.go.jp/article/ijswc/1/3/1_20-00013/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2023145821
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
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