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Abstract

Objectives To evaluate the outcomes of skin grafts in diabetic patients following the implementation of Vacuum-Assisted Closure (VAC). Background Skin grafting is a procedure that involves the transplantation of skin from one location to another on the same individual. VAC was implemented in this investigation to evaluate the outcomes of skin grafts in diabetic patients. Methods This prospective study included 21 participants with diabetes and skin defects, selected from the outpatient clinic of Menoufia University. An informed written consent was obtained from the patients. All patients underwent a general and local examination, as well as laboratory investigations. Results In terms of outcome, 16 patients (80%) achieved a graft take of over 95% and healed entirely by primary intention. However, 4 patients (20%) lost between 6% and 20% of the graft surface, and they healed by secondary intention. Overall, all patients 20, 100%) healed without further operative intervention. The healing period ranged from 3 to 10 weeks with a mean of 5.85±2.13 weeks and a median (IQR) of 6 (3.75 - 7.25) weeks. Regarding scar formation, 16 (80%) patients had fine, linear scars, and 4 (20%) patients had slightly hypertrophic scars. Conclusion VAC wound treatment has emerged as a potentially efficacious therapeutic alternative in the field of wound management, enhancing split-thickness skin grafting outcomes by improving graft take and reducing healing duration in diabetic patients

Subject Area

Surgery

Article Type

Original Study

Creative Commons License

Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License
This work is licensed under a Creative Commons Attribution-NonCommercial-Share Alike 4.0 International License.

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