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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MDPI AG
2022-08-01
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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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id | doaj.art-b378dfeaa0cc424d8ee1ecc45e02a2c6 |
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issn | 2306-5354 |
language | English |
last_indexed | 2024-03-09T11:53:37Z |
publishDate | 2022-08-01 |
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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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