{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T17:02:10Z","timestamp":1776186130700,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,5,24]],"date-time":"2018-05-24T00:00:00Z","timestamp":1527120000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Suction blister grafting (<jats:styled-content style=\"fixed-case\">SBG<\/jats:styled-content>) is a technique where the pigmented epidermis is harvested from the donor site by induction of a blister using different suction methods as syringes, Chinese cups, suction device, etc. However, pain, time consumption, incomplete blister formation, and failure of blister development are the main limitations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare between cups and syringes of similar diameter in inducing suction blisters.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and methods<\/jats:title><jats:p>In 30 patients with stable nonsegmental vitiligo, 2\u2010cm\u2010diameter (20 ml) syringe was applied on the anterolateral aspect of one thigh and a 2\u2010cm\u2010diameter cup on the corresponding site of the other thigh where right and left sides were chosen randomly. Patients were observed untill complete blister development or for a maximum of 3 hours. Suction blister induction time (<jats:styled-content style=\"fixed-case\">SBIT<\/jats:styled-content>) and the blister diameter were recorded for each patient. Pain during the process of induction was evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Incomplete blister development was noted in 9 out of 30 (30%) with 2 cm syringes and 6 out of 30 (20%) with the similar diameter cups with no significant difference (<jats:italic>P<\/jats:italic> = 0.49). No significant difference was found between <jats:styled-content style=\"fixed-case\">SBIT<\/jats:styled-content> induced by the 2 cm syringes and the similar size cups (101.17 \u00b1 68.14 minutes, 98 \u00b1 56.84 minutes, respectively) (<jats:italic>P<\/jats:italic> = 0.85). Meanwhile, blister diameter induced by either syringe or cup was not significantly different (<jats:italic>P<\/jats:italic> = 0.37). Anesthesia was for short duration with xylocaine, and pain was intolerable in both sides in the first seven patients. A combination of xylocaine and bupivacaine was used with prolonged loss of pain in 17 of the remaining 23 patients and tolerable pain in six patients similarly in both sides.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>According to present results, the differences in <jats:styled-content style=\"fixed-case\">SIBT<\/jats:styled-content>, diameter of blisters, and number of complete blister formation induced by either syringes or cups of similar size were not significant. Therefore, whatever the available and feasible technique for the surgeon will be the ideal choice. A combination of xylocaine and bupivacaine is recommended to overcome the accompanying pain of the procedure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijd.14040","type":"journal-article","created":{"date-parts":[[2018,5,25]],"date-time":"2018-05-25T06:36:03Z","timestamp":1527230163000},"page":"1249-1252","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Syringes versus Chinese cups in harvesting suction\u2010induced blister graft: a randomized split\u2010body study"],"prefix":"10.1111","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9563-2761","authenticated-orcid":false,"given":"Tag S.","family":"Anbar","sequence":"first","affiliation":[{"name":"Department of Dermatology, STD's and Andrology Minia University Minia Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nayera H.","family":"Moftah","sequence":"additional","affiliation":[{"name":"Dermatology and Venereology Department Faculty of Medicine for Girls Al Azhar University Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad A.M.","family":"El\u2010Khayyat","sequence":"additional","affiliation":[{"name":"Department of Dermatology, STD's and Andrology Minia University Minia Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hasan M.","family":"El\u2010Fakahany","sequence":"additional","affiliation":[{"name":"Department of Dermatology, STD's and Andrology Minia University Minia Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amal T.","family":"Abdel\u2010Rahman","sequence":"additional","affiliation":[{"name":"Department of Dermatology, STD's and Andrology Minia University Minia Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enas K.","family":"Saad","sequence":"additional","affiliation":[{"name":"Department of Dermatology, STD's and Andrology Matay Central Hospital Minia Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,5,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5154.53196"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200010000-00062"},{"key":"e_1_2_7_4_1","first-page":"55","article-title":"Treatment of vitiligo with blister grafting technique","volume":"11","author":"Maleki M","year":"2008","journal-title":"Iran J Dermatol"},{"key":"e_1_2_7_5_1","first-page":"1186","article-title":"Chinese cupping: a simple method to obtain epithelial grafts for the management of resistant localized vitiligo","volume":"34","author":"Awad S","year":"2007","journal-title":"Dermatol Surg"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1524-4725.2000.00050.x"},{"key":"e_1_2_7_7_1","first-page":"S37","article-title":"IADVL dermato\u2010surgery task force. Standard guidelines of care for vitiligo surgery","volume":"74","author":"Parsad D","year":"2008","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2004.06.041"},{"key":"e_1_2_7_9_1","first-page":"78","article-title":"Peri\u2010 operative care series","volume":"94","author":"French J","year":"2012","journal-title":"Ann R Coll Surg Engl"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.4103\/0378-6323.16781"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(97)70184-1"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-4362.1999.00702.x"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdermsci.2008.02.001"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2006.02486.x"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1979.01020010049012"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/229255031302100112"}],"container-title":["International Journal of Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fijd.14040","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ijd.14040","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,17]],"date-time":"2023-09-17T18:31:04Z","timestamp":1694975464000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ijd.14040"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5,24]]},"references-count":15,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2018,10]]}},"alternative-id":["10.1111\/ijd.14040"],"URL":"https:\/\/doi.org\/10.1111\/ijd.14040","archive":["Portico"],"relation":{},"ISSN":["0011-9059","1365-4632"],"issn-type":[{"value":"0011-9059","type":"print"},{"value":"1365-4632","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,5,24]]},"assertion":[{"value":"2017-10-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-04-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-05-24","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}