Title

EP064 FRACTIONAL EPIDERMAL SKIN GRAFTS IN HARD TO HEAL WOUNDS.

Authors

Janowska, Agata; Dini, Valentina; Michelucci, Alessandra; Granieri, Giammarco; Romanelli, Marco

Abstract

Aim: Cellutome™ is a non invasive, automated system for harvesting fractional epidermal micrografts without the use of anesthesia. This therapy is indicated for granulating, small size, poor exuding acute and chronic wounds. The aim of our study was to evaluate the healing rate of 15 typical and atypical chronic lower leg ulcers using this treatment. Methods: We enrolled 15 patients with 9 venous leg ulcers and 6 atypical ulcers. We scheduled 3 weekly visits for the change of the secondary dressings and multilayer bandage and for clinical assessment (Wound Bed Score, pain assessment and healing rate). The lesions were measured with the Silhouette Star™ system, a software that allows to measure perimeter and area from a digital image. Results: The only symptom during the procedure was a sensation of warmth. The donor area healed in 2 weeks in all patients (n=15). We reported an area reduction of 24.30% in typical ulcers and 38.82% in atypical ulcers after 3 weeks. The average Wound Bed Score improved in all ulcers from 13.06 to 14.93. The average healing rate was 0.19 mm/day both in typical and atypical ulcers. Conclusion: Consequently, in our small case series fractionated epidermal graft treatment significantly promoted healing rate in all chronic ulcer regardless of etiology.

Subjects

ITALY; WOUND healing; CHRONIC wounds & injuries; SKIN grafting; SYSTEMATIC reviews; CONFERENCES & conventions

Publication

Journal of Wound Management, 2023, Vol 24, Issue 2, p67

ISSN

2788-5771

Publication type

Academic Journal