Treatment of complex wounds with PVC prosthesis and autologous partial skin graft: Accelerated and low-cost third-intention healing protocol
Introduction: Complex wounds are serious tegumentary injuries that are difficult to resolve with conventional dressings. This study aimed to describe a third-intention wound healing technique, reproducible and low cost, applicable to complex wounds, using polyvinyl chloride (PVC) prosthesis temporar...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Plástica
2023-10-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/3334/1983-5175-rbcp-38-02-e0765-en.pdf |
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| author | Diego Ariel-de-Lima Lana Lacerda de-Lima Renata Clazzer Kêilerte Renes Gurgel Paiva Antônio Vicente Dias de-Andrade Jorge Edson Pinheiro dos-Santos João Firmino da Silva Neto |
| author_facet | Diego Ariel-de-Lima Lana Lacerda de-Lima Renata Clazzer Kêilerte Renes Gurgel Paiva Antônio Vicente Dias de-Andrade Jorge Edson Pinheiro dos-Santos João Firmino da Silva Neto |
| author_sort | Diego Ariel-de-Lima |
| collection | DOAJ |
| description | Introduction: Complex wounds are serious tegumentary injuries that are difficult to resolve with conventional dressings. This study aimed to describe a third-intention wound healing technique, reproducible and low cost, applicable to complex wounds, using polyvinyl chloride (PVC) prosthesis temporarily placed in the injured area to promote the protection and stimulate its “granulation,” followed by autologous partial-thickness skin grafting.
Method: Consecutively, 20 patients with complex wounds resulting from external causes were selected and divided into 2 groups: A - patients who underwent the coverage technique with PVC prosthesis, followed by grafting, and B - patients submitted to the care of the dressing team, with daily changes until wound granulation, standard in our institution. Patients were evaluated regarding length of stay; costs; local pain; complications; the time until medical discharge; and patient satisfaction.
Results: The length of hospital stay, its costs, and the time until medical discharge were shorter in group A (p<0.05). However, there was no statistically significant difference in local pain between techniques A and B.
Conclusion: The technique using PVC prosthesis and graft has good efficacy for treating complex wounds, being reproducible and inexpensive. |
| first_indexed | 2024-03-09T07:04:26Z |
| format | Article |
| id | doaj.art-a8ce9a946a944401be5b341b3a89c3b8 |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T07:04:26Z |
| publishDate | 2023-10-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-a8ce9a946a944401be5b341b3a89c3b82023-12-03T09:45:29ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352023-10-0138031710.5935/2177-1235.2023RBCP0765-ENTreatment of complex wounds with PVC prosthesis and autologous partial skin graft: Accelerated and low-cost third-intention healing protocolDiego Ariel-de-Lima0Lana Lacerda de-Lima1Renata Clazzer2Kêilerte Renes Gurgel Paiva3Antônio Vicente Dias de-Andrade4Jorge Edson Pinheiro dos-Santos5João Firmino da Silva Neto6Universidade Federal Rural do Semi-Árido, Departamento de Ciências da Saúde, Mossoró, RN, BrazilUniversidade Federal Rural do Semi-Árido, Departamento de Ciências da Saúde, Mossoró, RN, BrazilHospital Otávio de Freitas, Departamento de Ortopedia e Traumatologia, Recife, PE, BrazilHospital Tarcísio de Vasconcelos Maia, Departamento de Ortopedia e Traumatologia, Mossoró, RN, BrazilHospital Tarcísio de Vasconcelos Maia, Departamento de Ortopedia e Traumatologia, Mossoró, RN, BrazilUniversidade Federal Rural do Semi-Árido, Departamento de Ciências da Saúde, Mossoró, RN, BrazilHospital Tarcísio de Vasconcelos Maia, Departamento de Ortopedia e Traumatologia, Mossoró, RN, BrazilIntroduction: Complex wounds are serious tegumentary injuries that are difficult to resolve with conventional dressings. This study aimed to describe a third-intention wound healing technique, reproducible and low cost, applicable to complex wounds, using polyvinyl chloride (PVC) prosthesis temporarily placed in the injured area to promote the protection and stimulate its “granulation,” followed by autologous partial-thickness skin grafting. Method: Consecutively, 20 patients with complex wounds resulting from external causes were selected and divided into 2 groups: A - patients who underwent the coverage technique with PVC prosthesis, followed by grafting, and B - patients submitted to the care of the dressing team, with daily changes until wound granulation, standard in our institution. Patients were evaluated regarding length of stay; costs; local pain; complications; the time until medical discharge; and patient satisfaction. Results: The length of hospital stay, its costs, and the time until medical discharge were shorter in group A (p<0.05). However, there was no statistically significant difference in local pain between techniques A and B. Conclusion: The technique using PVC prosthesis and graft has good efficacy for treating complex wounds, being reproducible and inexpensive.http://www.rbcp.org.br/export-pdf/3334/1983-5175-rbcp-38-02-e0765-en.pdfwounds and injurieswound healingpolyvinyl chlorideskin transplantationtherapeutics |
| spellingShingle | Diego Ariel-de-Lima Lana Lacerda de-Lima Renata Clazzer Kêilerte Renes Gurgel Paiva Antônio Vicente Dias de-Andrade Jorge Edson Pinheiro dos-Santos João Firmino da Silva Neto Treatment of complex wounds with PVC prosthesis and autologous partial skin graft: Accelerated and low-cost third-intention healing protocol Revista Brasileira de Cirurgia Plástica wounds and injuries wound healing polyvinyl chloride skin transplantation therapeutics |
| title | Treatment of complex wounds with PVC prosthesis and autologous partial skin graft: Accelerated and low-cost third-intention healing protocol |
| title_full | Treatment of complex wounds with PVC prosthesis and autologous partial skin graft: Accelerated and low-cost third-intention healing protocol |
| title_fullStr | Treatment of complex wounds with PVC prosthesis and autologous partial skin graft: Accelerated and low-cost third-intention healing protocol |
| title_full_unstemmed | Treatment of complex wounds with PVC prosthesis and autologous partial skin graft: Accelerated and low-cost third-intention healing protocol |
| title_short | Treatment of complex wounds with PVC prosthesis and autologous partial skin graft: Accelerated and low-cost third-intention healing protocol |
| title_sort | treatment of complex wounds with pvc prosthesis and autologous partial skin graft accelerated and low cost third intention healing protocol |
| topic | wounds and injuries wound healing polyvinyl chloride skin transplantation therapeutics |
| url | http://www.rbcp.org.br/export-pdf/3334/1983-5175-rbcp-38-02-e0765-en.pdf |
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