IP International Journal of Aesthetic and Health Rejuvenation

Simple but effective blister forming trick in suction blister technique (SBT)

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Article Type : Original Article

Author Details: Sandeep Mahapatra*,Rohit Kumar Sharma

Volume : 3

Issue : 1

Online ISSN : XXXX

Print ISSN : XXXX

Article First Page : 9

Article End Page : 12

Abstract

Introduction: Vitiligo is a common skin disorder of our country. Many of the patients are refractory to medical treatment. Dermato-Surgery is very rewarding in these cases. Thus proper selection of technique will play a major role in achieving good therapeutic and end cosmetic results. Suction blister technique is convenient and cost effective, less time consuming, pure epidermal graft, excellent colour match, pigment spread from the graft to surrounding area- upto 46% and maximum pigmentation within 3-4 months happens without any scar.
Materials and Method & Results: Suction Blister Technique: The in vivo separation of epidermis from rest of the skin by production of a suction blister resulting in complete physiological dermoepidermal split was possible using this technique.
The piston of 10c.c. syringe is removed and instead of 3 way connector, an assembly line consisting of polyvinyl tubing (I.V. Line) cut both ends is attached. One end of the cut IV tube to its needle end piece of 10 c.c. and 50 c.c. syringe in the other end. The basal rim of this 10 c.c. syringe is then applied to the fully stretched donor site. Suction is then given by 50 c.c. syringe to create negative pressure. After the blister formation, the 50 c.c syringe is withdrawn after securing that end with an artery forceps. Both ends of the IV tube is now tied with Mersilk Suture material and artery forceps is with dawn. Due to the negative pressure inside the basal rim of syringe, it remains adherent to the donor site in a vertical position along with the portion of IV tube properly secured, not to allow any air leak. Multiple such 10c.c. syringes (8-10 or more) can be applied similarly next to each other as per the area of recipient site requirement. Time required for separation is 45 mins to 2 hours. Blister is cut all along its border with curved iris scissors and its roof is everted over glass slide.
Using 50 ml syringe as a vacuum creating device instead of the expensive and cumbersome vacuum devices as the time taken for the blister formation is the same. We don’t use any manometer or even 3 way connectors in this method. In this method we needn’t inject intradermal saline into the blisters as blisters formed are appropriate and chances of small or improper blisters is very rare.
Conclusion: The use of IV polyvinyl tubing and securing the ends with suture instead of 3 way connectors or any vacuum creating devices is very cost effective and promising method to create intact and proper blisters in Suction Blister Technique.
Suction blister grafting is a cost effective procedure, with a slight modificaton it can be done in a minor o.t with satisfactory outcome and or lip vitiligo, it is the procedure of choice.

Keywords: Vitiligo occur.

Doi No:-10.18231