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Novel techniques to improve split-thickness skin graft viability during vulvo-vaginal reconstruction

2005; Elsevier BV; Volume: 97; Issue: 3 Linguagem: Inglês

10.1016/j.ygyno.2005.03.021

1095-6859

Louis A. Dainty, J.J. Bosco, John W. McBroom, William E. Winter, G. Scott Rose, John C. Elkas,

Wound Healing and Treatments

Split-thickness skin grafts are often utilized for vulvo-vaginal reconstruction. Unfortunately, infection and sloughing may occur in up to 22% of patients with standard techniques especially at irradiated recipient sites.We report seven cases of vulvo-vaginal reconstruction using split-thickness skin grafts. In this series, we used fibrin tissue adhesives with and without vacuum-assisted closure devices to augment graft adherence and viability. We briefly describe the clinical history, surgical techniques, and outcomes of the cohort.Fibrin tissue adhesives and wound vacuum-assisted closure devices may improve the viability of split-thickness skin grafts during vulvo-vaginal reconstruction.