Skin stretching for primary closure of acute burn wounds
| العنوان: | Skin stretching for primary closure of acute burn wounds |
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| المؤلفون: | Paul P. M. van Zuijlen, Adrianus F.P.M. Vloemans, Fenike R. H. Tempelman, G.I.J.M. Beerthuizen, Pauline D. H. M. Verhaegen, Monica C. T. Bloemen, Martijn B. A. van der Wal |
| المساهمون: | Plastic, Reconstructive and Hand Surgery, MOVE Research Institute |
| المصدر: | Verhaegen, P D H M, Bloemen, M C, van der Wal, M B, Vloemans, A F, Tempelman, F R, Beerthuizen, G I & van Zuijlen, P P M 2014, ' Skin stretching for primary closure of acute burn wounds ', Burns, vol. 40, no. 8, pp. 1727-1737 . https://doi.org/10.1016/j.burns.2014.03.014 Burns, 40(8), 1727-1737. Elsevier Limited |
| بيانات النشر: | Elsevier BV, 2014. |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, medicine.medical_treatment, Tissue Expansion, Critical Care and Intensive Care Medicine, law.invention, Cicatrix, Young Adult, Randomized controlled trial, law, medicine, Humans, Aged, Wound Healing, Burn wound, integumentary system, Skin stretch, business.industry, Skin stretching, Objective measurement, General Medicine, Middle Aged, Surgery, Emergency Medicine, Skin grafting, Female, Wound closure, Burns, business |
| الوصف: | Background In burn care, a well-acknowledged problem is the suboptimal scar outcome from skin grafted burn wounds. With the aim of improving this, we focused on a new technique: excision of the burn wound followed by primary closure, thereby using a skin-stretching device to stretch the adjacent healthy skin. The short- and long-term effect of Skin Stretch was compared to split skin grafting (SSG) in a randomized controlled trial. Methods Patients with burn wounds were randomized for SSG or primary wound closure using Skin Stretch. Follow-up was performed at 3 and 12 months postoperatively. The scar surface area was calculated and the scar quality was assessed, using subjective and objective measurement methods. Results No significant differences between the SSG and the Skin Stretch group were found for scar surface area. In the Skin Stretch group, a significant reduction of the surface area from 65.4 cm 2 (13.6–129.1) to 13.4 cm 2 (3.0–36.6) was found at 3 months ( p = 0.028) and at 12 months postoperatively (65.4 cm 2 (13.6–129.1) to 33.0 cm 2 (8.9–63.7), p = 0.046, Wilcoxon signed ranks test). Conclusions Skin Stretch for primary closure of acute burn wounds is a suitable technique and can be considered for specific circumscript full-thickness burn wounds. However, future research should be performed to provide additional scientific evidence. |
| تدمد: | 0305-4179 |
| DOI: | 10.1016/j.burns.2014.03.014 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9c02fb4fc10fe5ee4648f12bd47ec8ab https://doi.org/10.1016/j.burns.2014.03.014 |
| Rights: | RESTRICTED |
| رقم الانضمام: | edsair.doi.dedup.....9c02fb4fc10fe5ee4648f12bd47ec8ab |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 03054179 |
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| DOI: | 10.1016/j.burns.2014.03.014 |