Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
2006-3-31
pubmed:abstractText
Vacuum-assisted closure (V.A.C.) is an established therapeutic option in the management of acute and chronic granulating wounds. In recent years, little data has been published concerning skin graft transplantation and postoperative V.A.C. therapy. We report a consecutive case series of 54 patients with chronic leg ulcer who received a total of 74 mesh grafts. A postoperative V.A.C. therapy was performed in 28 mesh grafts, and 46 mesh grafts were treated with standard gauze therapy. In the V.A.C. group, 92.9 % grafts showed complete healing. In the treatment group without postoperative V.A.C. therapy, 67.4 % of the mesh grafts had taken. Differential analysis revealed a correlation in patients over 70 years of age or in patients suffering from diabetes mellitus or dermato-lipo-sclerosis. Particularly patients with diabetes mellitus and of greater age exhibited improved take rates in the V.A.C. group. The results of our study demonstrate for the first time the significant benefit of V.A.C. therapy after mesh-graft-transplantation in chronic leg ulcer patients as evaluated in a clinical trial with a control group.
pubmed:language
ger
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0044-409X
pubmed:author
pubmed:issnType
Print
pubmed:volume
131 Suppl 1
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
S165-7
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:16575672-Aged, pubmed-meshheading:16575672-Chronic Disease, pubmed-meshheading:16575672-Combined Modality Therapy, pubmed-meshheading:16575672-Debridement, pubmed-meshheading:16575672-Female, pubmed-meshheading:16575672-Follow-Up Studies, pubmed-meshheading:16575672-Graft Survival, pubmed-meshheading:16575672-Humans, pubmed-meshheading:16575672-Male, pubmed-meshheading:16575672-Middle Aged, pubmed-meshheading:16575672-Occlusive Dressings, pubmed-meshheading:16575672-Polyvinyls, pubmed-meshheading:16575672-Postoperative Care, pubmed-meshheading:16575672-Reoperation, pubmed-meshheading:16575672-Retrospective Studies, pubmed-meshheading:16575672-Silicones, pubmed-meshheading:16575672-Skin Transplantation, pubmed-meshheading:16575672-Surgical Mesh, pubmed-meshheading:16575672-Surgical Sponges, pubmed-meshheading:16575672-Vacuum, pubmed-meshheading:16575672-Varicose Ulcer, pubmed-meshheading:16575672-Wound Healing
pubmed:year
2006
pubmed:articleTitle
[Take of mesh grafts in chronic leg ulcer patients improves by vacuum-assisted closure device].
pubmed:affiliation
Dermatologische Klinik und Poliklinik, Universitätsklinikum Essen. joachimdissemond@hotmail.com
pubmed:publicationType
Journal Article, Comparative Study, English Abstract