Combined Treatment of a Alloderm<SUP>Ⱂ</SUP> and Aquacel Ag<SUP>Ⱂ </SUP>Dressing in Extensive Skin Defects of Lower Leg

J Korean Wound Management Soc > Volume 3(1); 2007 > Article

Original

Journal of the Korean Wound Management Society 2007;3(1): 29-32.

Aquacel Ag^Ⱂ 드레싱과 Alloderm^Ⱂ을 이용한 광범위한 하지 피부 결손의 재건

허찬영ㆍ이상우ㆍ은석찬ㆍ김정윤ㆍ장 학ㆍ백롱민ㆍ민경원

서울대학교 의과대학 성형외과학교실

Combined Treatment of a Alloderm^Ⱂ and Aquacel Ag^ⰒDressing in Extensive Skin Defects of Lower Leg

Chan Yeong Heo, Sang Woo Lee, Seok Chan Eun, Jung Yoon Kim, Hak Chang, Rong Min Baek, Kyung Won Minn

Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea

Published online: 30 May 2007.

ABSTRACT

Extensive soft-tissue defects of lower leg caused by traumatic injury often require coverage by skin grafts. It allows rapid and reliable coverage of defects without significant functional donor-site morbidity. However, the take of the of the skin grafts is limited by the infection. Scarring and contracture are major long-term sequele of meshed split-thickness autograft for full-thickness skin injury. We performed a graft with a acellular human dermal graft material (AlloDerm^Ⱂ; LifeCell Corporation, The Woodlands, TX) overlying meshed split-thickness skin autograft in 5 patients for the treatment extensive traumatic lower leg skin defects between January 2004 and October 2005. Before the skin grafts, wound bed preparation had been carried with silver-containing hydrofiber dressing (Aquacel Ag^Ⱂ; Convatec^Ⱂ, London, UK) including surgical debridement. All donor sites were dressed with 2 layers of Aquacel Ag^Ⱂ and floppy gauze on the top of the primary dressing. The mean age of the patients was 32.2 years. The overall Aquacel Ag^Ⱂ treatment period was 10.3 days. In all patients, AlloDerm^Ⱂ exhibited a complete take . There was no incidence of graft failure and partial loss related with infection. Donor site infection and other complications were not sure. Inevitable serious hypertrophic scar could be averted. This study presents that Alloderm^Ⱂ successfully can be used in reconstructions for large, complicated lower leg skin defects. Aquacel Ag^Ⱂ dressing provides and promotes appropriate environment for surgical wound preparation and is shown to help reduce pain associated with wound dressing. Also it seems to be related to a low incidence of scar formation on donor site. (J Korean Wound Care Soc 2007;3:29-32)

Key Words: Alloderm, Aquacel Ag