Negative‐pressure wound therapy for donor‐site closure in radial forearm free flap: A systematic review and meta‐analysis
Negative‐pressure wound therapy (NPWT) is often used for skin graft site dressing, and several studies have reported that its use improves skin graft failure in the forearm flap donor site. The present systematic review aimed to evaluate the efficacy of NPWT with skin graft for donor‐site closure in...
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| Veröffentlicht in: | International wound journal 2022-02, Vol.19 (2), p.316-325 |
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| creator | Shimada, Kazuki Ojima, Yosuke Ida, Yukiko Komiya, Takako Matsumura, Hajime |
| description | Negative‐pressure wound therapy (NPWT) is often used for skin graft site dressing, and several studies have reported that its use improves skin graft failure in the forearm flap donor site. The present systematic review aimed to evaluate the efficacy of NPWT with skin graft for donor‐site closure in radial forearm free flap (RFFF) reconstruction. A systematic search in PubMed, Web of Science, and Cochrane Library databases was conducted. The search terms used for PubMed were ([radial forearm]) AND ([donor]) AND ([negative pressure or vacuum]). This review was registered in the International Prospective Register of Systematic Reviews and performed in accordance with the preferred reporting items for systematic reviews and meta‐analyses statement. Three prospective randomised controlled trials and three retrospective comparative studies were included. Compared with conventional bolster dressing, the use of NPWT dressing did not lead to significant improvements in partial skin graft loss, tendon exposure, and other complications. NPWT improved hand functionality earlier; nonetheless, the cost of the device and dressings was a disadvantage. The use of NPWT for skin graft fixation in the RFFF donor site is not generally recommended. |
| doi_str_mv | 10.1111/iwj.13632 |
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The present systematic review aimed to evaluate the efficacy of NPWT with skin graft for donor‐site closure in radial forearm free flap (RFFF) reconstruction. A systematic search in PubMed, Web of Science, and Cochrane Library databases was conducted. The search terms used for PubMed were ([radial forearm]) AND ([donor]) AND ([negative pressure or vacuum]). This review was registered in the International Prospective Register of Systematic Reviews and performed in accordance with the preferred reporting items for systematic reviews and meta‐analyses statement. Three prospective randomised controlled trials and three retrospective comparative studies were included. Compared with conventional bolster dressing, the use of NPWT dressing did not lead to significant improvements in partial skin graft loss, tendon exposure, and other complications. NPWT improved hand functionality earlier; nonetheless, the cost of the device and dressings was a disadvantage. The use of NPWT for skin graft fixation in the RFFF donor site is not generally recommended.</description><identifier>ISSN: 1742-4801</identifier><identifier>EISSN: 1742-481X</identifier><identifier>DOI: 10.1111/iwj.13632</identifier><identifier>PMID: 34101358</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Bias ; Collaboration ; Comparative studies ; donor‐site closure ; dressing ; Forearm - surgery ; Free Tissue Flaps ; Humans ; Negative-Pressure Wound Therapy ; Original ; Plastic surgery ; radial forearm free flap ; Reconstructive Surgical Procedures ; Retrospective Studies ; Skin & tissue grafts ; skin graft ; Skin Transplantation ; Software ; Systematic review</subject><ispartof>International wound journal, 2022-02, Vol.19 (2), p.316-325</ispartof><rights>2021 The Authors. published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd.</rights><rights>2021 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd.</rights><rights>2022. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4432-ae5a7528d2a62434132ad3152818dc75890bf1c0d62315ed5555898d2c995e3</citedby><cites>FETCH-LOGICAL-c4432-ae5a7528d2a62434132ad3152818dc75890bf1c0d62315ed5555898d2c995e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8762548/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8762548/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,1411,11541,27901,27902,45550,45551,46027,46451,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34101358$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shimada, Kazuki</creatorcontrib><creatorcontrib>Ojima, Yosuke</creatorcontrib><creatorcontrib>Ida, Yukiko</creatorcontrib><creatorcontrib>Komiya, Takako</creatorcontrib><creatorcontrib>Matsumura, Hajime</creatorcontrib><title>Negative‐pressure wound therapy for donor‐site closure in radial forearm free flap: A systematic review and meta‐analysis</title><title>International wound journal</title><addtitle>Int Wound J</addtitle><description>Negative‐pressure wound therapy (NPWT) is often used for skin graft site dressing, and several studies have reported that its use improves skin graft failure in the forearm flap donor site. The present systematic review aimed to evaluate the efficacy of NPWT with skin graft for donor‐site closure in radial forearm free flap (RFFF) reconstruction. A systematic search in PubMed, Web of Science, and Cochrane Library databases was conducted. The search terms used for PubMed were ([radial forearm]) AND ([donor]) AND ([negative pressure or vacuum]). This review was registered in the International Prospective Register of Systematic Reviews and performed in accordance with the preferred reporting items for systematic reviews and meta‐analyses statement. Three prospective randomised controlled trials and three retrospective comparative studies were included. Compared with conventional bolster dressing, the use of NPWT dressing did not lead to significant improvements in partial skin graft loss, tendon exposure, and other complications. NPWT improved hand functionality earlier; nonetheless, the cost of the device and dressings was a disadvantage. The use of NPWT for skin graft fixation in the RFFF donor site is not generally recommended.</description><subject>Bias</subject><subject>Collaboration</subject><subject>Comparative studies</subject><subject>donor‐site closure</subject><subject>dressing</subject><subject>Forearm - surgery</subject><subject>Free Tissue Flaps</subject><subject>Humans</subject><subject>Negative-Pressure Wound Therapy</subject><subject>Original</subject><subject>Plastic surgery</subject><subject>radial forearm free flap</subject><subject>Reconstructive Surgical Procedures</subject><subject>Retrospective Studies</subject><subject>Skin & tissue grafts</subject><subject>skin graft</subject><subject>Skin Transplantation</subject><subject>Software</subject><subject>Systematic review</subject><issn>1742-4801</issn><issn>1742-481X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kc9u1DAQhy1ERcvCgRdAlrjAYVv_iROHA1JVQWlVwQEkuFnTeNJ65cTBTnaVEzwCz9gnwe2WFSAxF1sznz7N6EfIM84Oea4jt1kdcllK8YAc8KoQy0Lzrw93f8b3yeOUVoyJWqnqEdmXBWdcKn1Avn_AKxjdGm9-_BwipjRFpJsw9ZaO1xhhmGkbIrWhDzEjyY1IGx_uMNfTCNaBv0UQYkfbiEhbD8NrekzTnEbssryhEdcONxSytcMRsgh68HNy6QnZa8EnfHr_Lsind28_n7xfXnw8PTs5vlg2RSHFElBBpYS2AkpR5PWlACt57nBtm0rpml22vGG2FLmLVuXSdcabulYoF-TN1jpMlx3aBvsxgjdDdB3E2QRw5u9J767NVVgbXZVCFToLXt4LYvg2YRpN51KD3kOPYUpGKFkLznVdZ_TFP-gqTDGfm4xkNSuZFvmCBXm1pZoYUorY7pbhzNyGanKo5i7UzD7_c_sd-TvFDBxtgY3zOP_fZM6-nG-VvwBRybB0</recordid><startdate>202202</startdate><enddate>202202</enddate><creator>Shimada, Kazuki</creator><creator>Ojima, Yosuke</creator><creator>Ida, Yukiko</creator><creator>Komiya, Takako</creator><creator>Matsumura, Hajime</creator><general>Blackwell Publishing Ltd</general><general>John Wiley & Sons, Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>202202</creationdate><title>Negative‐pressure wound therapy for donor‐site closure in radial forearm free flap: A systematic review and meta‐analysis</title><author>Shimada, Kazuki ; Ojima, Yosuke ; Ida, Yukiko ; Komiya, Takako ; Matsumura, Hajime</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4432-ae5a7528d2a62434132ad3152818dc75890bf1c0d62315ed5555898d2c995e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Bias</topic><topic>Collaboration</topic><topic>Comparative studies</topic><topic>donor‐site closure</topic><topic>dressing</topic><topic>Forearm - surgery</topic><topic>Free Tissue Flaps</topic><topic>Humans</topic><topic>Negative-Pressure Wound Therapy</topic><topic>Original</topic><topic>Plastic surgery</topic><topic>radial forearm free flap</topic><topic>Reconstructive Surgical Procedures</topic><topic>Retrospective Studies</topic><topic>Skin & tissue grafts</topic><topic>skin graft</topic><topic>Skin Transplantation</topic><topic>Software</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shimada, Kazuki</creatorcontrib><creatorcontrib>Ojima, Yosuke</creatorcontrib><creatorcontrib>Ida, Yukiko</creatorcontrib><creatorcontrib>Komiya, Takako</creatorcontrib><creatorcontrib>Matsumura, Hajime</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International wound journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shimada, Kazuki</au><au>Ojima, Yosuke</au><au>Ida, Yukiko</au><au>Komiya, Takako</au><au>Matsumura, Hajime</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Negative‐pressure wound therapy for donor‐site closure in radial forearm free flap: A systematic review and meta‐analysis</atitle><jtitle>International wound journal</jtitle><addtitle>Int Wound J</addtitle><date>2022-02</date><risdate>2022</risdate><volume>19</volume><issue>2</issue><spage>316</spage><epage>325</epage><pages>316-325</pages><issn>1742-4801</issn><eissn>1742-481X</eissn><abstract>Negative‐pressure wound therapy (NPWT) is often used for skin graft site dressing, and several studies have reported that its use improves skin graft failure in the forearm flap donor site. The present systematic review aimed to evaluate the efficacy of NPWT with skin graft for donor‐site closure in radial forearm free flap (RFFF) reconstruction. A systematic search in PubMed, Web of Science, and Cochrane Library databases was conducted. The search terms used for PubMed were ([radial forearm]) AND ([donor]) AND ([negative pressure or vacuum]). This review was registered in the International Prospective Register of Systematic Reviews and performed in accordance with the preferred reporting items for systematic reviews and meta‐analyses statement. Three prospective randomised controlled trials and three retrospective comparative studies were included. Compared with conventional bolster dressing, the use of NPWT dressing did not lead to significant improvements in partial skin graft loss, tendon exposure, and other complications. NPWT improved hand functionality earlier; nonetheless, the cost of the device and dressings was a disadvantage. 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| subjects | Bias Collaboration Comparative studies donor‐site closure dressing Forearm - surgery Free Tissue Flaps Humans Negative-Pressure Wound Therapy Original Plastic surgery radial forearm free flap Reconstructive Surgical Procedures Retrospective Studies Skin & tissue grafts skin graft Skin Transplantation Software Systematic review |
| title | Negative‐pressure wound therapy for donor‐site closure in radial forearm free flap: A systematic review and meta‐analysis |
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