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Bolstering Skin Grafts With a Surgical Scrub Brush: A Cost-effective Solution
Objective: The objective of this article is to review the methods currently used for the bolstering of skin grafts and compare their advantages and disadvantages with those of the dry, sterile surgical scrub brush. We report a series of cases performed at a single institution and compare the cost-ef...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Open Science Company, LLC
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5502216/ https://www.ncbi.nlm.nih.gov/pubmed/28702109 |
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author | Buller, Mitchell Lee, Thomas J. Davis, Jared Wilhelmi, Bradon J. |
author_facet | Buller, Mitchell Lee, Thomas J. Davis, Jared Wilhelmi, Bradon J. |
author_sort | Buller, Mitchell |
collection | PubMed |
description | Objective: The objective of this article is to review the methods currently used for the bolstering of skin grafts and compare their advantages and disadvantages with those of the dry, sterile surgical scrub brush. We report a series of cases performed at a single institution and compare the cost-effectiveness, application, and limitations of this method with other options for skin graft bolstering. Methods: A PubMed search using the parameters “(bolster) AND skin graft” was conducted, yielding 85 results. A total of 40 publications met the criteria for our literature review. The costs of the foam bolsters utilized as stents for skin grafts were obtained from the Central Supply and Resource Division of the University of Louisville Hospital for a cost analysis. The cost per square centimeter of each bolster material was calculated. Results: At $0.003/cm(2), the 3M Reston foam is the most inexpensive of the 3 bolster materials analyzed. The dry, sterile surgical scrub brush has a similar cost at $0.006/cm(2) but carries the advantage of sterility. The material cost of negative pressure wound therapy is $0.47/cm(2), and the cost of the system as a whole makes it a much more expensive alternative. In 6 patients with defects of varying size and location, the scrub brush bolster showed a near 100% graft take and no complications. Conclusions: The dry, sterile surgical scrub brush presents a readily available and low-cost option for the stenting of small skin grafts and should be considered a viable method in the armamentarium of available skin graft bolsters. |
format | Online Article Text |
id | pubmed-5502216 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Open Science Company, LLC |
record_format | MEDLINE/PubMed |
spelling | pubmed-55022162017-07-12 Bolstering Skin Grafts With a Surgical Scrub Brush: A Cost-effective Solution Buller, Mitchell Lee, Thomas J. Davis, Jared Wilhelmi, Bradon J. Eplasty Journal Article Objective: The objective of this article is to review the methods currently used for the bolstering of skin grafts and compare their advantages and disadvantages with those of the dry, sterile surgical scrub brush. We report a series of cases performed at a single institution and compare the cost-effectiveness, application, and limitations of this method with other options for skin graft bolstering. Methods: A PubMed search using the parameters “(bolster) AND skin graft” was conducted, yielding 85 results. A total of 40 publications met the criteria for our literature review. The costs of the foam bolsters utilized as stents for skin grafts were obtained from the Central Supply and Resource Division of the University of Louisville Hospital for a cost analysis. The cost per square centimeter of each bolster material was calculated. Results: At $0.003/cm(2), the 3M Reston foam is the most inexpensive of the 3 bolster materials analyzed. The dry, sterile surgical scrub brush has a similar cost at $0.006/cm(2) but carries the advantage of sterility. The material cost of negative pressure wound therapy is $0.47/cm(2), and the cost of the system as a whole makes it a much more expensive alternative. In 6 patients with defects of varying size and location, the scrub brush bolster showed a near 100% graft take and no complications. Conclusions: The dry, sterile surgical scrub brush presents a readily available and low-cost option for the stenting of small skin grafts and should be considered a viable method in the armamentarium of available skin graft bolsters. Open Science Company, LLC 2017-07-07 /pmc/articles/PMC5502216/ /pubmed/28702109 Text en Copyright © 2017 The Author(s) http://creativecommons.org/licenses/by/2.0/ This is an open-access article whereby the authors retain copyright of the work. The article is distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Journal Article Buller, Mitchell Lee, Thomas J. Davis, Jared Wilhelmi, Bradon J. Bolstering Skin Grafts With a Surgical Scrub Brush: A Cost-effective Solution |
title | Bolstering Skin Grafts With a Surgical Scrub Brush: A Cost-effective Solution |
title_full | Bolstering Skin Grafts With a Surgical Scrub Brush: A Cost-effective Solution |
title_fullStr | Bolstering Skin Grafts With a Surgical Scrub Brush: A Cost-effective Solution |
title_full_unstemmed | Bolstering Skin Grafts With a Surgical Scrub Brush: A Cost-effective Solution |
title_short | Bolstering Skin Grafts With a Surgical Scrub Brush: A Cost-effective Solution |
title_sort | bolstering skin grafts with a surgical scrub brush: a cost-effective solution |
topic | Journal Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5502216/ https://www.ncbi.nlm.nih.gov/pubmed/28702109 |
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