Use of collagen powder in secondary intention healing after Mohs surgery or excisional surgery: a retrospective study.

IF 1.4 4区医学 Q3 DERMATOLOGY

Wounds : a compendium of clinical research and practice Pub Date : 2024-07-01

Lauren Kendall, Demetrius Hurst, John Monahan, Sidney P Smith Iii

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引用次数: 0

Abstract

Background: Little is known about the usefulness of collagen powder in secondary intention healing in patients undergoing cutaneous surgery.

Objective: To investigate the clinical outcomes associated with application of collagen powder in cutaneous surgery and patients' perceptions of the procedure.

Methods: A retrospective chart review of 266 patients who underwent Mohs surgery or excisional surgery at a single institution between January 2020 and January 2022, and who had secondary intention healing of wounds assisted by powdered collagen was conducted. Personal interviews were conducted with 63 of those patients (23.7%). Tumor characteristics, estimated healing times, and patient satisfaction were scored. The Vancouver Scar Scale and the Patient and Observer Scar Assessment Scale were used to assess the resulting wound bed. All data underwent statistical analysis.

Results: Of 266 granulating wounds with an average defect size of 6.0 cm2, excisional surgery was performed in 143 (54%) and Mohs surgery in 123 (46%). Most procedures (92.1%) were undertaken for nonmelanoma skin cancers. The average healing time was 6.3 weeks. The mean patient score for ease of use and overall impression of collagen application was 8.2 on a scale of 1 to 10, with 10 being most favorable.

Conclusion: When clinically appropriate, granulation assisted by collagen powder should be considered for augmenting secondary intention healing.

本刊更多论文

在莫氏手术或切除手术后的二次意向性愈合中使用胶原蛋白粉：一项回顾性研究。

背景：人们对胶原蛋白粉在皮肤手术患者二次意向愈合中的作用知之甚少：调查在皮肤手术中应用胶原蛋白粉的相关临床结果以及患者对手术的看法：对2020年1月至2022年1月期间在一家机构接受莫氏手术或切除手术的266名患者进行了回顾性病历审查，这些患者的伤口在胶原蛋白粉的辅助下进行了二次意向性愈合。对其中 63 名患者（23.7%）进行了个人访谈。对肿瘤特征、估计愈合时间和患者满意度进行了评分。温哥华疤痕量表》和《患者与观察者疤痕评估量表》用于评估最终的伤口床。所有数据均经过统计分析：在平均缺损面积为 6.0 平方厘米的 266 例肉芽肿伤口中，143 例（54%）进行了切除手术，123 例（46%）进行了莫氏手术。大多数手术（92.1%）是针对非黑色素瘤皮肤癌进行的。平均愈合时间为 6.3 周。患者对胶原蛋白应用的易用性和总体印象的平均评分为 8.2 分（1 至 10 分），10 分为最满意：结论：在临床合适的情况下，应考虑使用胶原蛋白粉辅助肉芽形成，以增强二次意向愈合。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Wounds : a compendium of clinical research and practice 医学-皮肤病学

CiteScore

1.50

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： Wounds is the most widely read, peer-reviewed journal focusing on wound care and wound research. The information disseminated to our readers includes valuable research and commentaries on tissue repair and regeneration, biology and biochemistry of wound healing, and clinical management of various wound etiologies. Our multidisciplinary readership consists of dermatologists, general surgeons, plastic surgeons, vascular surgeons, internal medicine/family practitioners, podiatrists, gerontologists, researchers in industry or academia (PhDs), orthopedic surgeons, infectious disease physicians, nurse practitioners, and physician assistants. These practitioners must be well equipped to deal with a myriad of chronic wound conditions affecting their patients including vascular disease, diabetes, obesity, dermatological disorders, and more. Whether dealing with a traumatic wound, a surgical or non-skin wound, a burn injury, or a diabetic foot ulcer, wound care professionals turn to Wounds for the latest in research and practice in this ever-growing field of medicine.