155 - Single-stage Biomatrix and Skin Graft Technique on 10 Consecutive Cases Using a Portable NPWT Device Delivers Positive Clinical Outcomes
Clinical Issue: This study highlights the efficacy of using a single patient, portable NPWT* device over an advanced biomatrix and split thickness skin graft (STSG) in a single-stage. NPWT is a clinically proven therapy to assist in the healing of a STSG or a bi-layer biomatrix***. The biomatrix (collagen-glycosaminoglycan/polysiloxane) adds dermal thickness and provides a scaffold for dermal cells under the STSG and has become a standard in complex wounds/burns. STSG or biomatrix is normally placed on a wound in separate stages; however, this study elucidates the efficacy of using NPWT over both biological layers in a single stage over a large surgical wound. Description of Team: Charles K Lee, MD; Nakyung Kim, MD; Gina Restani, ORT; Tina Lin, RNPreparation and Planning: Biomatrix**, STSG, and NPWT* (-125mmHg) and interface layer**** were used to reconstruct large radial forearm flap donor sites.
Assessment: Wound and Graft Size, STSG/biomatrix take, therapy duration, hospital length of stay (LOS), and infection rate were assessed.Implementation: A series of 10 consecutive patients were evaluated using the single stage technique of Biomatrix**, STSG, and NPWT* (-125mmHg) and interface layer****. Outcome: Average wound size was 150 sq cm. STSGS/biomatrix take range of 90%-100%, with a mean of 98%. Hospital LOS was 5 days, there were 0 infections, and therapy duration range was 10-14, mean 12 days.Implications for Perioperative Nursing: Portable NPWT positively affects the take of single-stage STSG and biomatrix. The success of this technique provides strong evidence that is can become a powerful tool for reconstructive surgery for complex, acute wounds for radial forearm donor sites. Additional benefits include: shortening LOS, decreased costs, improved clinical outcomes and patient satisfaction.
Disclosure(s): Charles Lee - Medela - Employee and Consultant/Speakers' Bureau