Evidence map›Paper›PMID 36836820›Full record

ArticleLife (Basel, Switzerland)2023

Wound Healing after Acellular Dermal Substitute Positioning in Dermato-Oncological Surgery: A Prospective Comparative Study.

Alessia Paganelli, Andrea Giovanni Naselli, Laura Bertoni, Elena Rossi, Paola Azzoni, Alessandra Pisciotta, Anna Maria Cesinaro, Luisa Benassi, Shaniko Kaleci, Federico Garbarino and 4 more

Open access · goldAbstract read
In one paragraph

Article in Life (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 1 institution in 1 country.

Alessia PaganelliDermatologic Surgery Unit, Modena University Hospital, Via del Pozzo 71, 41124 Modena, Italy.ORCID 0000-0002-0916-7769
Andrea Giovanni NaselliDermatologic Surgery Unit, Modena University Hospital, Via del Pozzo 71, 41124 Modena, Italy.
Laura BertoniDepartment of Surgery, Medicine, Dentistry and Morphological Sciences with Interest in Transplant, Oncology and Regenerative Medicine, 41124 Modena, Italy.ORCID 0000-0002-8994-8791
Elena RossiDepartment of Surgery, Medicine, Dentistry and Morphological Sciences with Interest in Transplant, Oncology and Regenerative Medicine, 41124 Modena, Italy.
Paola AzzoniDepartment of Surgery, Medicine, Dentistry and Morphological Sciences with Interest in Transplant, Oncology and Regenerative Medicine, 41124 Modena, Italy.
Alessandra PisciottaDepartment of Surgery, Medicine, Dentistry and Morphological Sciences with Interest in Transplant, Oncology and Regenerative Medicine, 41124 Modena, Italy.ORCID 0000-0001-7818-0003
Anna Maria CesinaroDepartment of Anatomic Pathology, Modena University Hospital, 41124 Modena, Italy.ORCID 0000-0001-6807-8152
Luisa BenassiDepartment of Surgery, Medicine, Dentistry and Morphological Sciences with Interest in Transplant, Oncology and Regenerative Medicine, 41124 Modena, Italy.
Shaniko KaleciDepartment of Surgery, Medicine, Dentistry and Morphological Sciences with Interest in Transplant, Oncology and Regenerative Medicine, 41124 Modena, Italy.ORCID 0000-0002-1166-2961
Federico GarbarinoDermatologic Surgery Unit, Modena University Hospital, Via del Pozzo 71, 41124 Modena, Italy.ORCID 0000-0002-3958-5718
Barbara FerrariDermatologic Surgery Unit, Modena University Hospital, Via del Pozzo 71, 41124 Modena, Italy.
Chiara FiorentiniDermatologic Surgery Unit, Modena University Hospital, Via del Pozzo 71, 41124 Modena, Italy.
Camilla ReggianiDermatologic Surgery Unit, Modena University Hospital, Via del Pozzo 71, 41124 Modena, Italy.
Cristina MagnoniDermatologic Surgery Unit, Modena University Hospital, Via del Pozzo 71, 41124 Modena, Italy.
University of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMatriDerm and Integra are both widely used collagenic acellular dermal matrices (ADMs) in the surgical setting, with similar characteristics in terms of healing time and clinical indication. The aim of the present study is to compare the two ADMs in terms of clinical and histological results in the setting of dermato-oncological surgery.

methodsTen consecutive patients with medical indications to undergo surgical excision of skin cancers were treated with a 2-step procedure at our Dermatologic Surgery Unit. Immediately after tumor removal, both ADMs were positioned on the wound bed, one adjacent to the other. Closure through split-thickness skin grafting was performed after approximately 3 weeks. Conventional histology, immunostaining and ELISA assay were performed on cutaneous samples at different timepoints.

resultsNo significant differences were detected in terms of either final clinical outcomes or in extracellular matrix content of the neoformed dermis. However, Matriderm was observed to induce scar retraction more frequently. In contrast, Integra was shown to carry higher infectious risk and to be more slowly reabsorbed into the wound bed. Sometimes foreign body-like granulomatous reactions were also observed, especially in Integra samples.

conclusionsEven in the presence of subtle differences between the ADMs, comparable global outcomes were demonstrated after dermato-oncological surgery.

Indexed as

collagendermal substitutedermatologic surgeryskin cancerwound healing

Identifiers

PMID36836820
PMCPMC9967245
OpenAlexW4319598380

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.