Comparisons of Surgical Skin Stretching and Surgical Skin Flap Transplantation for Treatment of Stage 4 Pressure Injuries of the Hip Region: A Randomized Controlled Trial

Duan L1, Peng X1, Li H2, Zhang C1, Xiao J1, Qin R1 and Sun G1*

1Department of Burns and Plastic Surgery, Second Affiliated Hospital of Zunyi Medical University, China
2Department of Burns and Plastic Surgery, Affiliated Hospital of Zunyi Medical University, China

^*Correspondance to: Guangfeng Sun 

 PDF  Full Text DOI: 10.25107/2474-1647.3636

Abstract

Aim: To compare the effectiveness, safety, and economic benefits of surgical skin stretching with surgical skin flap transplantation for the treatment of stage 4 pressure injuries of the hip region. Design: Prospective, randomized controlled trial. Setting: Hospital Inpatient Department. Methods: The participants were collected in inpatient department, who were stage 4 pressure injuries and Braden’s scores were not greater than 14. Patients with uncontrolled diabetes and other severe metabolic disorders, stage 1, 2, or 3 pressure injuries, with severe heart, lung, kidney dysfunction or mental disorders, and BMI ≤ 15 were excluded. 18 and 36 patients were randomly assigned to surgical skin stretching group and surgical skin flap transplantation group respectively. The data were collected between March 2019 and February 2023. Result: The length of hospital stays, cost, drainage volume at 24 h post-surgery, and time required for healing were less in the experimental group than in the control group. The vascular obstruction rate and re-repair of incision rate were higher in the control group than in the experimental group. The improvement of anxiety and quality of life in the experimental group were better than that in the control group. All differences were statistically significant (P<0.05). Conclusion: Surgical skin stretching were more effective than surgical skin flap transplantation in the treatment of stage 4 pressure injuries. These findings suggest that surgical skin stretching should be considered as a preferred option for stage 4 pressure injuries. However, further studies with larger sample sizes and longer follow-up periods are needed to confirm these findings and establish the long-term efficacy and safety of these procedures.

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Cite the article

Duan L, Peng X, Li H, Zhang C, Xiao J, Qin R, et al. Comparisons of Surgical Skin Stretching and Surgical Skin Flap Transplantation for Treatment of Stage 4 Pressure Injuries of the Hip Region: A Randomized Controlled Trial. Clin Surg. 2023; 8: 3636..