Co-Graft of Acellular Dermal Matrix and Split Thickness Skin Graft—A New Reconstructive Surgical Method in the Treatment of Hidradenitis Suppurativa

Hidradenitis suppurativa is a chronic disease that significantly reduces patients’ quality of life. Patients are chronically treated with systemic therapies, which are often ineffective. Surgical treatment for severe cases of hidradenitis suppurativa is one option for affected patients. Surgical tre...

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Main Authors: Marcin Gierek, Wojciech Łabuś, Anna Słaboń, Karolina Ziółkowska, Gabriela Ochała-Gierek, Diana Kitala, Karol Szyluk, Paweł Niemiec
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Bioengineering
Subjects:
Online Access:https://www.mdpi.com/2306-5354/9/8/389
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author Marcin Gierek
Wojciech Łabuś
Anna Słaboń
Karolina Ziółkowska
Gabriela Ochała-Gierek
Diana Kitala
Karol Szyluk
Paweł Niemiec
author_facet Marcin Gierek
Wojciech Łabuś
Anna Słaboń
Karolina Ziółkowska
Gabriela Ochała-Gierek
Diana Kitala
Karol Szyluk
Paweł Niemiec
author_sort Marcin Gierek
collection DOAJ
description Hidradenitis suppurativa is a chronic disease that significantly reduces patients’ quality of life. Patients are chronically treated with systemic therapies, which are often ineffective. Surgical treatment for severe cases of hidradenitis suppurativa is one option for affected patients. Surgical treatment has its limitations, and wound closure may be particularly problematic. This requires the use of reconstructive techniques. The methods of choice for wound closure are split-thickness skin grafts or local flaps reconstructions. However, each method has its limitations. This is a presentation of a new reconstructive surgical method in hidradenitis suppurativa surgery: the use of a co-graft of Acellular dermal matrix and split thickness skin graft as a novel method in wound closure after wide excisions, based on two cases. The results of this method are very promising: we achieved very fast wound closure with good aesthetic results regarding scar formation. In this paper, we used several examinations: laser speckle analysis, cutometer tests, and health-related quality of life (QoL) questionnaire to check the clinical impact of this method. Our initial results are very encouraging. ADM with STSG as a co-graft could be widely used in reconstructive surgery. This is a preliminary study, which should be continued in further, extended research.
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spelling doaj.art-b378dfeaa0cc424d8ee1ecc45e02a2c62023-11-30T23:12:25ZengMDPI AGBioengineering2306-53542022-08-019838910.3390/bioengineering9080389Co-Graft of Acellular Dermal Matrix and Split Thickness Skin Graft—A New Reconstructive Surgical Method in the Treatment of Hidradenitis SuppurativaMarcin Gierek0Wojciech Łabuś1Anna Słaboń2Karolina Ziółkowska3Gabriela Ochała-Gierek4Diana Kitala5Karol Szyluk6Paweł Niemiec7Center for Burns Treatment, ul. Jana Pawła II 2, 41-100 Siemianowice Śląskie, PolandCenter for Burns Treatment, ul. Jana Pawła II 2, 41-100 Siemianowice Śląskie, PolandCenter for Burns Treatment, ul. Jana Pawła II 2, 41-100 Siemianowice Śląskie, PolandCenter for Burns Treatment, ul. Jana Pawła II 2, 41-100 Siemianowice Śląskie, PolandDermatology Department, City Hospital in Sosnowiec, ul. Zegadłowicza 3, 41-200 Sosnowiec, PolandCenter for Burns Treatment, ul. Jana Pawła II 2, 41-100 Siemianowice Śląskie, PolandDepartment of Physiotherapy, Faculty of Health Sciences in Katowice, Medical University of Silesia in Katowice, 40-752 Katowice, PolandDepartment of Biochemistry and Medical Genetics, Faculty of Health Sciences in Katowice, Medical University of Silesia in Katowice, 40-752 Katowice, PolandHidradenitis suppurativa is a chronic disease that significantly reduces patients’ quality of life. Patients are chronically treated with systemic therapies, which are often ineffective. Surgical treatment for severe cases of hidradenitis suppurativa is one option for affected patients. Surgical treatment has its limitations, and wound closure may be particularly problematic. This requires the use of reconstructive techniques. The methods of choice for wound closure are split-thickness skin grafts or local flaps reconstructions. However, each method has its limitations. This is a presentation of a new reconstructive surgical method in hidradenitis suppurativa surgery: the use of a co-graft of Acellular dermal matrix and split thickness skin graft as a novel method in wound closure after wide excisions, based on two cases. The results of this method are very promising: we achieved very fast wound closure with good aesthetic results regarding scar formation. In this paper, we used several examinations: laser speckle analysis, cutometer tests, and health-related quality of life (QoL) questionnaire to check the clinical impact of this method. Our initial results are very encouraging. ADM with STSG as a co-graft could be widely used in reconstructive surgery. This is a preliminary study, which should be continued in further, extended research.https://www.mdpi.com/2306-5354/9/8/389acellular dermal matrixhidradenitis suppurativasurgical treatmentsplit thickness skin graft
spellingShingle Marcin Gierek
Wojciech Łabuś
Anna Słaboń
Karolina Ziółkowska
Gabriela Ochała-Gierek
Diana Kitala
Karol Szyluk
Paweł Niemiec
Co-Graft of Acellular Dermal Matrix and Split Thickness Skin Graft—A New Reconstructive Surgical Method in the Treatment of Hidradenitis Suppurativa
Bioengineering
acellular dermal matrix
hidradenitis suppurativa
surgical treatment
split thickness skin graft
title Co-Graft of Acellular Dermal Matrix and Split Thickness Skin Graft—A New Reconstructive Surgical Method in the Treatment of Hidradenitis Suppurativa
title_full Co-Graft of Acellular Dermal Matrix and Split Thickness Skin Graft—A New Reconstructive Surgical Method in the Treatment of Hidradenitis Suppurativa
title_fullStr Co-Graft of Acellular Dermal Matrix and Split Thickness Skin Graft—A New Reconstructive Surgical Method in the Treatment of Hidradenitis Suppurativa
title_full_unstemmed Co-Graft of Acellular Dermal Matrix and Split Thickness Skin Graft—A New Reconstructive Surgical Method in the Treatment of Hidradenitis Suppurativa
title_short Co-Graft of Acellular Dermal Matrix and Split Thickness Skin Graft—A New Reconstructive Surgical Method in the Treatment of Hidradenitis Suppurativa
title_sort co graft of acellular dermal matrix and split thickness skin graft a new reconstructive surgical method in the treatment of hidradenitis suppurativa
topic acellular dermal matrix
hidradenitis suppurativa
surgical treatment
split thickness skin graft
url https://www.mdpi.com/2306-5354/9/8/389
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