Effectiveness of negative pressure wound therapy as a fixator in split thickness skin graft applied diabetic patients: evaluation of 25 cases

Year 2024, , 67 - 71, 02.09.2024

Fatih Ceran , Emin Kapı , Mehmet Dokur

https://doi.org/10.17944/interdiscip.1458883

Abstract

Objective: Microangiopathies expose diabetic patients to lower extremity wounds at certain stages of their lives. Split-thickness skin grafting (STSG) has an important place in the surgical treatment of such wounds. The aim of the present study is to evaluate the effects of negative pressure wound therapy (NPWT) on STSG survival.
Methods: A total of 25 diabetic patients (M = 20, F = 5) with acute or chronic lower extremity open wounds were included in the study. All patients underwent wound debridement under regional anesthesia. STSG was applied after wound debridement. NPWT was applied to STSG to increase graft survival.
Results: The hospitalization times of the patients ranged from 1 to 2 weeks. The mean follow-up period of the patients was 6 months. All wounds healed on the 14th postoperative day. There was no recurrence in the 6-month follow-up period.
Conclusion: We objectively demonstrated the positive effects of NPWT application on STSG and graft survival.

Keywords

Diabetic foot, wound, negative pressure, therapy

Ethical Statement

Ethical permission was obtained from the University of Health Sciences, Adana City Hospital Clinical / Human Research Ethics Committee for this study with date 2022 and number 2321, and Helsinki Declaration rules were followed to conduct this study.

Thanks

As the research team, we would like to thank the staff of the Plastic and Reconstructive Surgery Service of Batman State Hospital for their contribution to this clinical study.

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