THE TREATMENT RESULTS OF SKIN GRAFT COMBINED VACUUM-ASSISTED WOUND CLOSURE ON THE SKIN GRAFTS AT CAN THO CENTRAL GENERAL HOSPITAL
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Abstract
Background: Nowadays, after skin grafts, a splint is also used to fix the limbs, which causes pain and discomfort for the patient, especially skin grafting on the head, neck, shoulders, chest, buttocks... it is too difficult to fix the grafted skin pieces. VAC (Vacuum-assisted wound closure) applied to the skin grafting area without using a splint has been involved in Korea to improve wound healing and patient care effectiveness. In Thailand, VAC is a safe technique that is reliable for the grafted skin in good take-graft and avoids fluid accumulation underneath the graft bed. Objectives: To evaluate the early results of skin grafts that combined vacuum-assisted wound closure. Materials and methods: A retrospective – descriptive research was conducted on 34 patients from January 2019 to December 2019 to find out about ages, genders, underlying diseases, causes of skin loss, locations of skin loss, duration of treatment, and the results of skin grafts. Results: The ratio of male and female patients was 70.6% and 29.4%, respectively. For ages, the average age was 47.68 ± 17.87, the highest was 83 and the smallest was 16. About the underlying diseases, we recorded that diabetes was accounted for 35.3%, 8.8% of patients had gout and 2.94% had lower limb vascular disease. Most cases have skin grafting on the upper and lower extremities. Using vacuum-assisted wound closure applied to mesh split-thickness skin graft after five days of dressing change: good take-graft is 79.4%, medium take-graft is 20.6% without an additional skin graft. Good results were accounted for 97.06% of skin grafted had good heal wound. Conclusions: Skin grafts combined with negative pressure vacuums have given good results and effective treatments.
Article Details
Keywords
Skin graft, negative pressure vacuum, vacuum-assisted wound closure
References
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