Novel techniques to improve split-thickness skin graft viability during vulvo-vaginal reconstruction.
BACKGROUND
Split-thickness skin grafts are often utilized for vulvo-vaginal reconstruction. Unfortunately, infection and sloughing may occur in up to 22% of patients with standard techniques especially at irradiated recipient sites.


METHODS
We report seven cases of vulvo-vaginal reconstruction using split-thickness skin grafts. In this series, we used fibrin tissue adhesives with and without vacuum-assisted closure devices to augment graft adherence and viability. We briefly describe the clinical history, surgical techniques, and outcomes of the cohort.


CONCLUSIONS
Fibrin tissue adhesives and wound vacuum-assisted closure devices may improve the viability of split-thickness skin grafts during vulvo-vaginal reconstruction.
Dainty
Louis A
LA
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Walter Reed Army Medical Center, 6900 Georgia Avenue NW, Washington, DC 20307, USA.
Bosco
Jason J
JJ
McBroom
John W
JW
Winter
William E
WE
Rose
G Scott
GS
Elkas
John C
JC
D000328:Adult; D000368:Aged; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use; D006801:Humans; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation; D014621:Vagina / Q000601:surgery*; D014844:Vulva / Q000601:surgery*
D015718:Fibrin Tissue Adhesive