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Article Dans Une Revue Plastic and Reconstructive Surgery, Global Open Année : 2020

Alginate versus npwt in the preparation of surgical excisions for an stsg: atec trial

Résumé

A calcium alginate dressing (ALGINATE) and negative pressure wound therapy (NPWT) are frequently used to treat wounds which heal by secondary intention. This trial compared the healing efficacy and safety of these 2 treatments. This randomized, non-inferiority trial enrolled patients who underwent skin excision (>30 cm2 ALGINATE and NPWT were applied to 47 and 48 patients, respectively. The mean time to optimal granulation was 19.98 days (95% CI, 17.7-22.3) with ALGINATE and 20.54 (95% CI, 17.6-23.5) with NPWT. Between group difference was -0.56 days (95% CI -4.22 to 3.10). The non-inferiority of ALGINATE versus NPWT was demonstrated. No AE related to the treatment occurred with ALGINATE versus 14 AEs with NPWT. There was no difference in the impact of the treatments on the patient's daily life. This trial demonstrates that ALGINATE has a similar healing efficacy to that of NPWT and that is markedly better with regard to patient safety.
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Dates et versions

hal-04474376 , version 1 (23-02-2024)

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Paternité - Pas d'utilisation commerciale - Pas de modification

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Dominique Casanova, Pierre Guerreschi, Raphael Sinna, Nicolas Bertheuil, Cecile Philandrianos, et al.. Alginate versus npwt in the preparation of surgical excisions for an stsg: atec trial. Plastic and Reconstructive Surgery, Global Open, 2020, Plastic and Reconstructive Surgery, Global Open, 8, pp.e2691. ⟨10.1097/GOX.0000000000002691⟩. ⟨hal-04474376⟩
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