Rekonstrüktif Cerrahide Sığır Kaynaklı Aselüler Dermal Matriks (MatriDerm®) Kullanımı

Yıl 2019, Cilt: 2 Sayı: 2, 75 - 81, 31.08.2019

Omer Kokacya

Öz

Amaç: Bu makalede MatriDerm®’in farklı etiyojilere sahip çeşitli anatomik
bölgelerdeki defektlerin onarımında başarılı bir şekilde kullanılabildiğinin
ortaya koyulması amaçlanmıştır.

Gereç ve Yöntemler:  Pubmed’de anahtar kelimeler tarandı ve son on yılda MatriDerm® ve kısmı
kalınlıkta deri grefti kullanılarak tek seanste onarılan defektlerin
bildirildiği raporlar çalışmaya dahil edildi. Etiyolojik faktör ve anatomik
bölge bilgisi olmayan vakalar ve yazı dili İngilizce olmayan makaleler
çalışmaya dahil edilmedi. 24 ayrı çalışmadaki toplam 299 vakanın verileri
değerlendirildi.

Bulgular: Matridermin büyük oranda travma (n:68, % 22,7), yanık (n:63, % 21),
diyabetik ayak (n:62, % 20,7) ve flep donör alanlarında (n:50, % 16,7)
kullanılmaktadır. Çoğunlukla alt ekstremite (n:58, % 52,8) ve üst ekstremite
(n:118, % 39,5)deki defektlerin onarımında kullanılmaktadır.

Sonuç: Matriderm ve kısmi kalınlıkta deri grefti akut yanık, travma ve konjenital
anomalilerde;  kontraktür açılmasına,
tümör eksizyonuna, nekrotizan fasit gibi enfeksiyonlara sekonder yaralarda;  kronik ülserler ve diyabetik ayak yaralarında;  vücudun her bölgesindeki tam kat deri
defekleri için güvenle kullanılabilir.

Anahtar Kelimeler

dermal matriks, matriderm, deri grefti, rekonstrüksiyon, flep

Bovine Derived Acellular Dermal Matrix (MatriDerm®) Applications in Reconstructive Surgery

Öz

Aim:  Pointing out that MatriDerm® can be applied to
defects with wide range of etiologic factors at various anatomical regions is
aimed.

Material and Methods: Keywords were searched at Pubmed and articles that
report defects which were repaired at a single stage using MatriDerm® and split
thickness skin graft are included. Cases that do not have etiologic factor and
anatomical region information and articles whose main texts language are not
English are excluded. Total of 299 cases from 24 reports are considered.

Findings: It is seen that MatriDerm® is applied mostly for trauma (n:68, 22.7 %),
burn (n:63, 21 %), diabetic foot (n:62, 20.7 %) and flap donor area (n:50,  16 %). 
It is used mainly for defects at 
lower extremity (n:58, 52.8 %) and upper extremity (n:118,  39.5 %).

Conclusion
: MatriDerm® with split thickness skin graft can be
applied to trauma, burn, , diabetic foot 
wounds, chronic ulsers, defects secondary to  necrotising fasciitis and scar contracture  release, tumor excision and congenital
anomaly surgeries for reparing full thickness skin defects at any region of the
body

Anahtar Kelimeler

dermal matrix, matriderm, skin graft, reconstruction, flap

Kaynakça

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