ePlasty: Vol. 11
Assessment of Gauze-Based Negative Pressure Wound Therapy in the Split-Thickness Skin Graft Clinical Pathway—An Observational Study
Raymond M. Dunn, MD,a Ron Ignotz, PhD,a Trevor Mole, PhD,b John Cockwill, CCRP,b and Jennifer M. Smith, PhDb

aDivision of Plastic Surgery, UMASS Medical School, Worcester, Massachusetts, USA; and bSmith & Nephew Wound Management, Hull, United Kingdom


Correspondence: Jennifer.smith@smith-nephew.com

Objectives: Negative pressure wound therapy (NPWT) is a useful therapy in the preparation of wounds prior to application of a split-thickness skin graft (STSG) both “pregraft” and “postgraft” on top of the STSG. Customarily, a foam-based NPWT has been used, but gauze-based therapy is finding an increasing use. Gauze is easy to apply and forgiving of complicated wound geometries so it can be an ideal material in this indication. The aim of this study was to quantitatively assess the clinical efficacy of gauze-based NPWT as an adjunctive therapy to STSG procedures. Methods: A prospective, noncomparative, multicenter evaluation was carried out to assess the performance of gauze-based NPWT. Twenty-one patients had NPWT applied prior to definitive closure by STSG or flap techniques (pregraft group). A further 21 patients underwent an STSG procedure and had gauze-based NPWT placed immediately on top of the STSG (p .......