Pinch Grafts Versus Second Intention Wound Healing for Mohs Micrographic Surgery Defects Below the Knee: A Prospective Randomized Trial.

IF 2.5 3区医学 Q2 DERMATOLOGY Dermatologic Surgery Pub Date : 2024-11-01 Epub Date: 2024-08-01 DOI:10.1097/DSS.0000000000004272

Tyler J Willenbrink, David G Brodland

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Abstract

Background: The surgical management of leg wounds following skin cancer extirpation is challenging. Pinch grafting (PG) is a technique that has been rarely described in the reconstruction of acute surgical wounds.

Objective: The purpose of this study was to evaluate whether PG resulted in faster healing times for below the knee wounds following Mohs micrographic surgery (MMS) when compared with second intention healing (SIH).

Materials and methods: This was a prospective randomized trial of patients with post-Mohs micrographic surgical wounds of the lower extremity who were randomized either to receive pinch grafts or to heal by second intention. Patients were followed through a combination of in-person and virtual visits until their wounds were completely reepithelialized.

Results: Median time to wound healing was 36 days in the PG group versus 56 days for the SIH group, representing a 56% improvement in healing time. There were no differences in complications between the 2 groups with trends toward decreased rates of pain and infection in the PG group.

Conclusion: PG is an effective simple method to hasten the healing of lower extremity wounds following MMS.

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膝下莫氏显微手术缺损的捏合移植与第二意向伤口愈合：一项前瞻性随机试验。

背景：皮肤癌切除术后腿部伤口的手术治疗具有挑战性。捏合移植术（PG）是一种在重建急性手术伤口方面鲜有描述的技术：本研究的目的是评估莫氏显微外科手术（MMS）后膝下伤口的愈合时间，与第二意向愈合（SIH）相比，PG 是否更快：这是一项前瞻性随机试验，对象是莫氏显微手术后下肢伤口的患者，他们被随机分配接受夹植或第二意向愈合。患者将通过亲临现场和虚拟访问相结合的方式接受随访，直至伤口完全再上皮化：PG组伤口愈合的中位时间为36天，而SIH组为56天，伤口愈合时间缩短了56%。两组的并发症没有差异，PG 组的疼痛和感染率呈下降趋势：结论：PG 是一种有效的简单方法，可加速 MMS 术后下肢伤口的愈合。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Dermatologic Surgery 医学-皮肤病学

CiteScore

3.10

自引率

16.70%

发文量

547

期刊介绍： Exclusively devoted to dermatologic surgery, the Dermatologic Surgery journal publishes the most clinically comprehensive and up-to-date information in its field. This unique monthly journal provides today’s most expansive and in-depth coverage of cosmetic and reconstructive skin surgery and skin cancer through peer-reviewed original articles, extensive illustrations, case reports, ongoing features, literature reviews and correspondence. The journal provides information on the latest scientific information for all types of dermatologic surgery including: -Ambulatory phlebectomy- Blepharoplasty- Body contouring- Chemical peels- Cryosurgery- Curettage and desiccation- Dermabrasion- Excision and closure- Flap Surgery- Grafting- Hair restoration surgery- Injectable neuromodulators- Laser surgery- Liposuction- Microdermabrasion- Microlipoinjection- Micropigmentation- Mohs micrographic surgery- Nail surgery- Phlebology- Sclerotherapy- Skin cancer surgery- Skin resurfacing- Soft-tissue fillers. Dermatologists, dermatologic surgeons, plastic surgeons, oculoplastic surgeons and facial plastic surgeons consider this a must-read publication for anyone in the field.