J Reconstr Microsurg 2011; 27(2): 103-108
DOI: 10.1055/s-0030-1268208
© Thieme Medical Publishers

The Use of Glycerol-Preserved Skin Allograft in Conjunction with Reconstructive and Flap Surgery: Seven Years of Experience

Arman Zaharil Mat Saad1 , Ahmad Sukari Halim1 , Teng Lye Khoo1
  • 1Reconstructive Sciences Department, Hospital Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia
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Publikationsverlauf

Publikationsdatum:
25. Oktober 2010 (online)

ABSTRACT

Major reconstructive surgery may be extensive and prolonged, and it may cause edema and compromise the flap pedicle if closed under tension. Glycerol-preserved skin allograft (GPA) can provide a means for tension-free closure and temporary cover of the wound. Seven years of analysis on GPA used in conjunction with major reconstruction was undertaken to highlight its indications, results, and outcomes. Forty-seven patients were included, aged between 9 and 73 years. Majority of patients had reconstruction following tumor resection and trauma. The main indication for use of GPA was temporary, loose cover of the wound in 44% of cases; flap pedicle protection in 31% of cases; donor site wound cover in 10%; flap monitoring in one case; and management of flap-related complications in 6% of cases. Free flap reconstruction was performed in 72% of cases. In conclusion, GPA is a useful adjunct in reconstructive surgery. It can be used temporarily to allow tension-free wound closure, as well as to protect the flap pedicle until edema subsides and the pedicle becomes stable. This latter approach allows secondary wound closure and good esthetic outcome.

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Ahmad Sukari HalimF.C.C.P. 

Reconstructive Sciences Department, Hospital Universiti Sains Malaysia

Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia

eMail: ashalim@kb.usm.my