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- W2090333842 abstract "<h3>Hypothesis</h3> Use of the vacuum assisted closure device (VAC) for securing split-thickness skin grafts (STSGs) is associated with improved wound outcomes compared with bolster dressings. <h3>Design</h3> Consecutive case series. <h3>Patients and Setting</h3> Consecutive patients at a level I trauma center requiring STSG due to traumatic or thermal tissue loss during an 18-month period. <h3>Main Outcome Measure</h3> Repeated skin grafting due to failure of the initial graft. Secondary outcome measures included dressing-associated complications, percentage of graft take, and length of hospital stay. <h3>Results</h3> Sixty-one patients underwent STSG placement. Indications for STSG were burn injury (n = 32), soft tissue loss (n = 27), and fasciotomy-site coverage (n = 2). Patients were treated with the VAC (n = 34) or the bolster dressing (n = 27). The VAC group required significantly fewer repeated STSGs (1 [3%] vs 5 [19%];<i>P</i>= .04). Two additional graft failures occurred in the no-VAC group, but repeated STSGs were refused by these patients. No difference was seen between the groups in age, percentage of graft take, or hospital length of stay. The no-VAC group had significantly larger grafts (mean ± SD, 984 ± 996 vs 386 ± 573 cm<sup>2</sup>;<i>P</i>= .006). The patients requiring repeated STSGs (n = 6)did not have significantly larger grafts than those not requiring repeated STSGs (mean ± SD, 617 ± 717 vs 658 ± 857 cm<sup>2</sup>;<i>P</i>= .62). No dressing-associated complications occurred in the VAC group. <h3>Conclusions</h3> The VAC provides a safe and effective method for securing STSGs and is associated with improved graft survival as measured by a reduction in number of repeated STSGs." @default.
- W2090333842 created "2016-06-24" @default.
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- W2090333842 date "2002-08-01" @default.
- W2090333842 modified "2023-10-13" @default.
- W2090333842 title "The Vacuum Assisted Closure Device" @default.
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- W2090333842 doi "https://doi.org/10.1001/archsurg.137.8.930" @default.
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