THE OUTCOMES OF LOWER EXTREMITY WOUNDS USING SKIN GRAFT COMBINED WITH NEGATIVE PRESSURE WOUND THERAPY ON THE SKIN GRAFTS

Tóm tắt

Background: Skin graft fixation is crucial for the success of skin grafting procedures. Negative pressure wound therapy can be employed to secure the skin graft, ensuring graft adherence and preventing fluid accumulation beneath the graft bed with continuous and uniform pressure. Additionally, negative pressure wound therapy eliminates the need for immobilizing splints, reducing patient discomfort associated with splint immobilization. Objectives: To assess the outcomes of lower extremity wounds using skin graft combined negative pressure wound therapy on the skin grafts. Materials and methods: A descriptive cross-sectional study was conducted on 32 patients with lower extremity soft tissue defects treated with skin graft combined negative pressure wound therapy on the skin grafts. Results: The ratio of male and female patients was 68.8% and 31.2%, respectively. For ages, the average age was 50.00 ± 15.37, the highest was 77 and the smallest was 18. About the underlying diseases, we recorded that diabetes was accounted for 34.4%, 12.5% of patients had gout and 6.3% had lower limb vascular disease. Using negative pressure wound therapy applied to mesh skin graft after five days of dressing change: good adherence is 81.3 %, moderate adherence is 15.6%. After 1 month, 93.7% skin grafts resulted in good wound coverage, 6.3% skin grafts resulted in moderate wound coverage. Conclusions: Skin grafts combined with negative pressure vacuums have given good results and effective treatments.