Vacuum-sealing fixation of mesh grafts

Vacuum-sealing fixation of mesh grafts Between 1994 and 2001 we used the vacuum-sealing technique in 478 skin grafts. Indications included large soft-tissue defects resulting from trauma, skin loss due to degloving injuries, burns, and infected/contaminated wound surfaces. The technique involves direct placement of the white polyvinyl alcohol pad directly onto the transplanted skin. The necessary negative pressure is generated by redon flasks yielding a negative pressure of 60–80 kPa (high-pressure system). In extensive wounds a vacuum pump is used. The high pressure used does not result in necrosis. In 11 patients poor wound conditions resulted in only partial healing. Three patients with pseudomonas infections experienced complete loss of the graft. The vacuum-sealing technique permits a moderate moist and warm wound treatment with stable fixation of the transplant even in cases of large wounds or those with irregular contours. The method is not suitable in cases of infection or contamination with pseudomonas species. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Vacuum-sealing fixation of mesh grafts

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Publisher
Springer-Verlag
Copyright
Copyright © 2003 by Springer-Verlag
Subject
Medicine
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-003-0518-5
Publisher site
See Article on Publisher Site

Abstract

Between 1994 and 2001 we used the vacuum-sealing technique in 478 skin grafts. Indications included large soft-tissue defects resulting from trauma, skin loss due to degloving injuries, burns, and infected/contaminated wound surfaces. The technique involves direct placement of the white polyvinyl alcohol pad directly onto the transplanted skin. The necessary negative pressure is generated by redon flasks yielding a negative pressure of 60–80 kPa (high-pressure system). In extensive wounds a vacuum pump is used. The high pressure used does not result in necrosis. In 11 patients poor wound conditions resulted in only partial healing. Three patients with pseudomonas infections experienced complete loss of the graft. The vacuum-sealing technique permits a moderate moist and warm wound treatment with stable fixation of the transplant even in cases of large wounds or those with irregular contours. The method is not suitable in cases of infection or contamination with pseudomonas species.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Jul 1, 2003

References

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