Silicone Gel Sheet Dressings for Prevention of Post-Minigraft Cobblestoning in Vitiligo

Authors: Agarwal U.S.¹; Jain D.¹; Gulati R.¹; Bhargava P.¹; Mathur N.K.^{1, *}

Source: Dermatologic Surgery, Volume 25, Number 2, February 1999 , pp. 102-104(3)

Publisher: Blackwell Publishing

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Abstract:

Punch grafting was performed in 15 patients using punches varying in size from 2 to 3 mm in diameter. Silicone gel sheets were used as a post-operative dressing. Removal of the dressings after 7 days revealed no lifting of grafts in 13 patients. A minimally raised surface seen in two patients flattened after 6 to 8 weeks of continuous use of the dressing. At two months of follow-up, no cobblestoning or any other untoward effect was evident. Firm pressure provided by silicone gel sheets probably prevents cobblestoning by counteracting forces which tend to lift the grafts. Additionally, the sheets act as a brace preventing graft dislocation, provide a sterile atmosphere underneath the grafts, facilitate periodic observation due to their transparency, and are easily removed at the time of follow-up.

Language: English

Document Type: Research article

Affiliations: 1: Department of Dermatology, STD, and Leprosy, SMS Medical College, Jaipur, India *

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