Use of a novel lipido-colloid contact layer* with negative pressure wound therapy for skin grafts in burn patients: Case Reports

Background: Skin grafts are more vulnerable to shear and loss in areas of tension and motion like the neck and axilla. A novel lipido-colloid contact layer* is used to manage complex acute burn and trauma wounds. It has been shown to reduce infection and promote epithelialization. Herein, we report two burn cases grafted and subsequently placed in negative pressure wound therapy (NPWT) using this novel lipido-colloid contact layer*.

Case 1. A 27 y.o. female sustained a 12% TBSA flame burn on her face, neck, and chest. She underwent burn excision and debridement on hospital day (HD) 4 and split thickness skin graft to the neck, chest, bilateral breasts and upper extremities with autograft on HD12. A novel lipido-colloid contact layer* was used as a contact layer on her neck skin autograft for NPWT. Dressings were taken down on HD17, post op day 5, to reveal a very well adhered and incorporated graft. She was discharged on HD18. Follow-up clinic notes indicated a closed wound, healed, without signs of infection, no graft loss, and no restriction in her neck range of motion.
 

Case 2. A 18 y.o. female sustained a 7% TBSA flame burn to her left hand, axilla/arm, and chest. She underwent burn excision and debridement with skin allograft to her left axilla on HD 3 and split thickness skin graft of left upper extremity, breast, and abdomen on HD 8. Her axilla was placed in a skin substitute. The patient was discharged on HD 12 and readmitted on HD 17 for delamination of skin substitute and split thickness skin graft to left axilla. A novel lipido-colloid contact layer* was utilized as the contact layer for NPWT. Follow-up clinic notes indicated a closed and healed wound without restriction in range of motion.

Conclusion. The use of this novel lipido-colloid contact layer* for NPWT was associated with no infection, good graft take, and preservation of graft in areas vulnerable to shear.

Trademarked Items (if applicable): * UrgoTul

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