Use of a Novel Silicone-Acrylic Drape with Negative Pressure Wound Therapy to Bolster Skin Grafts and Flaps

Lead Presenter

Contact Information: 

Presented At

Abstract

Traditionally, negative pressure wound therapy (NPWT*) has utilized an adhesive acrylic drape to cover the foam dressing and create a seal. However, removal of this drape can be painful. A novel silicone-acrylic hybrid drape has been developed for use with NPWT to allow for re-positioning upon initial placement and easier removal. This three-patient case study reports on the use of the silicone-acrylic hybrid drape with NPWT as a bolster over skin grafts or flaps in 4 wounds. Following wound closure with skin grafts or flaps, NPWT was applied as a bolster using the silicone-acrylic hybrid drape and negative pressure of -125 mmHg. A non-adherent protective layer was applied over the skin grafts before the NPWT dressing was applied. Two males and 1 female received NPWT following the skin graft (n=3) or skin flap (n=1) procedure over 4 wounds (hand, right lower extremity, right calf, and right medial thigh). Common patient comorbidities included tobacco use, coronary heart disease, peripheral vascular disease, obesity, and diabetes. NPWT was used for a total of 7 days. Patient pain was assessed after drape removal using the visual analog scale. The patient reported pain averaged 1 (range 0-2) on a 10-point scale. All skin grafts and flaps showed complete take without any complications. Use of the silicone-acrylic hybrid drape with NPWT supported graft and flap take and resulted in little to no pain in these 3 patients.

*V.A.C.® Therapy, V.A.C.® Drape; V.A.C. DERMATAC™ Drape; KCI, now part of 3M Company, San Antonio, TX

Important Notice: The contents of the website such as text, graphics, images, and other materials contained on the website ("Content") are for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. The content is not intended to substitute manufacturer instructions. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or product usage. Refer to the Legal Notice for express terms of use.