Skin Tumor
Conditions
Brief summary
This randomized controlled non-sponsored trial on 60 patients evaluates if a portable negative-pressure device improves graft-take and decrease the risk of surgical complications for skin-cancer surgeries below the knee.
Detailed description
Annually, 12 000 skin cancers are diagnosed in Finland. This randomized controlled non-sponsored trial evaluate if a portable negative-pressure device improves graft-take and decrease the risk of surgical complications. 60 patients over 18 years of age are included and randomly assigned to either the negative pressure-treatment group or the conventional treatment group. At the control appointment one-week postsurgery, graft take is documented as a primary outcome and any complications (necrosis, infection, hematoma/seroma) and adverse events (pain, skin reactions) as secondary outcomes. Adverse events are evaluated by a phone call 3 weeks postsurgery and based on medical records 3 months postsurgery.
Interventions
Negative-pressure therapy postoperatively on the full-thickness skin graft
Conventional dressing postoperatively on the full-thickness skin graft
Sponsors
Study design
Intervention model description
controlled study
Eligibility
Inclusion criteria
* from referrals received by the Unit, or from patients undergoing follow-up who have skin cancer (basal cell carcinoma, squamous cell carcinoma or melanoma) or suspected skin cancer below the knee
Exclusion criteria
* Toe lesion, bleeding disorder, severe dementia, critical peripheralischemia, or skin disease that is expected to impair wound healing, such as pyoderma gangrenosum
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Graft take | 3 months | good, partial or poor graft take (%) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adverse events | 3 months | Necrosis, infection, hematoma/seroma (%) |
Countries
Finland