Health Condition 1: L989- Disorder of the skin and subcutaneous tissue, unspecified
Conditions
Interventions
None listed
Sponsors
Kasturba medical college
Eligibility
Inclusion criteria
Inclusion criteria: All patients with complex defects, of any age group scheduled for plastic reconstruction. Patient willing to follow protocol and giving positive consent. ii. Patient profile includes: a. Complex wounds which are non-graftable following serial dressings and thorough surgical debridement. b. Patients in whom multiple procedures were already done for trauma or where the potential recipient vessels come within the trauma zone and not feasible for free flap. c. Patients in whom flap failure has occurred and simple methods of local tissue transfer are not feasible. d. Non infective wounds confirmed by gram staining and negative culture. e. Areas where chances of post-operative scarring and /or contractures are greater, owing to location, nature and etiology of injury.
Exclusion criteria
Exclusion criteria: Exclusion criteriai. Patients whose defect does not fit the criteria for dermal template ii. Patients not giving positive consent or not following protocol iii. Patients who are lost for follow up and who developed systemic infections will be secondarily excluded. iv. Deranged liver, kidney, lung, cardiac functions v. Patients in whom waiting for 3 weeks before grafting is not feasible in case of IDRT®and waiting for a minimum of 5 days not feasible in case of Matriderm® .
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of wound healing by area of defect covered after dermal template reconstruction.Timepoint: 1 year | — |
Secondary
| Measure | Time frame |
|---|---|
| Proportion of patients with IDRT failure. ii. Proportion of patients needing other tissue transfer like flap in case of DRT failure iii. Proportion of patients with immediate postoperative complications. iv. Mean POSA score of patients at follow up. v. Proportion of patients with poor functional outcomes and delayed postoperative complications. vi. Comparison of reconstruction outcomes of dermal template with flap reconstructionTimepoint: 1 year | — |
Countries
India
Contacts
Public ContactNeha Mookim
Kasturba medical college, MANIPAL
Outcome results
None listed