Mid- to Long-term Outcomes After Split-thickness Skin Graft vs. Skin Extension by Multiple Incisions

Skin extension by multiple incisions (SEMI) may be superior to split-thickness skin graft (STSG) for closure of large soft tissue defects. Twenty-six patients who had undergone STSG were compared to 29 patients who had undergone SEMI on the extremities. Patient and Observer Scar Assessment Scale (PO...

Full description

Saved in:

Bibliographic Details
Published in:	In vivo (Athens) Vol. 33; no. 2; pp. 453 - 464
Main Authors:	Kern, Jette Nicoline, Weidemann, Friederike, O'Loughlin, Padhraig F, Krettek, Christian, Gaulke, Ralph
Format:	Journal Article
Language:	English
Published:	Greece International Institute of Anticancer Research 01-03-2019
Subjects:	Adult Aged Aged, 80 and over Cicatrix - physiopathology Dermatologic Surgical Procedures - adverse effects Dermatologic Surgical Procedures - methods Female Follow-Up Studies Humans Male Middle Aged Skin - physiopathology Skin Transplantation - methods Soft Tissue Injuries - physiopathology Soft Tissue Injuries - surgery Surgical Wound - physiopathology Transplantation, Autologous Treatment Outcome Wound Healing SEMI skin transplantation Split-thickness skin graft skin quality skin extension by multiple incisions
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Skin extension by multiple incisions (SEMI) may be superior to split-thickness skin graft (STSG) for closure of large soft tissue defects. Twenty-six patients who had undergone STSG were compared to 29 patients who had undergone SEMI on the extremities. Patient and Observer Scar Assessment Scale (POSAS), Dermatology Life Quality Index, Wound QoL (Quality of Life) and Short Form Health Survey 36 were used. Elasticity, thickness and skin sensation were compared between the treated and contralateral extremity. Range of motion in adjacent joints was measured. Complication rates were compared. A total of 55 patients with a mean follow-up of 5.5 years (range=2-9 years) were examined. Patients with STSG had significantly worse scores in POSAS. The scar was thinner, less elastic and did not provide intact sensibility. Other scores, ROM and complication rates did not differ significantly. SEMI was superior to STSG regarding patient satisfaction and scar quality.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0258-851X 1791-7549 1791-7549
DOI:	10.21873/invivo.11494