KMID : 0363220120500010025
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Korean Journal of Dermatology 2012 Volume.50 No. 1 p.25 ~ p.33
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Reconstruction with Sutureless Burow`s Graft Using Adhesive Skin Tape (Steri-strip(R)) for Cutaneous Defect after Skin Surgery
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Cho Yong-Sun
Lee Ju-Hyung Yi Ji-Hyun Park Jin Yun Seok-Kweon Kim Han-Uk
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Abstract
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Background: There are various methods of reconstruction of cutaneous surgical defect after removal of skin tumor, and skin graft is frequently used. Classically, in full-thickness skin graft (FTSG), nylon basting sutures with a tie-over bolster dressing are used in securing skin graft to the recipient wound bed, but this method is complicated, time-consuming, and may cause complications.
Objective: The aim of this study was to evaluate the usefulness of an adhesive skin tape (Steri-strip(R)) for securing a graft without suture when performing a Burow¡¯s skin graft, one of the types of FTSG.
Methods: We conducted a case-controlled retrospective study. A total of 45 patients (total 46 cases) treated with Burow¡¯s skin graft after removal of skin tumor between May 2006 and August 2010 were enrolled in this study, and grafts were secured with Steri-strip(R) (case, n=26) or conventional tie-over bolster dressings (control, n=20). The cosmetic results were scored at 1, 3, and 6 months after the operation. Also, the size and depth of the defect were measured and the run-time of the operation for the skin graft was checked.
Results: The operation time for the Steri-strip(R) group was significantly less than for the conventional tie-over bolster dressing group (p<0.001). No significant differences were observed between the groups with regards to age, sex, location, size, depth of the defect, prevalence of complications, and scored cosmetic results at 6 months after operation (p>0.05).
Conclusion: Sutureless Burow¡¯s graft with skin tape required less time than the conventional method with a similar cosmetic result. Thus we suggest that sutureless Burow¡¯s graft with skin tape may be an easy and useful method to reconstruct the defect after skin surgery.
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KEYWORD
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Graft, Reconstructive surgical procedures, Surgical tape
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