Evaluation of Six Split-Thickness Skin Graft Donor Site Dressing Materials in a Swine Model

Masella, Pamela C.; Balent, Eric M.; Carlson, Terri L.; Lee, Karen W.; Pierce, Lisa

doi:10.1097/01.prs.0000435918.28945.45

Cited by 5 publications

(6 citation statements)

References 22 publications

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“…26,27 CMC-based hydrofiber dressing has been introduced as costly, more painful, and not easy to use compared with other split-thickness skin graft donor site dressings. 28,29 We have previously shown that NFC-based wound dressing is a promising material in clinical use for skin graft donor site treatment as it provides good attachment and adherence to the wound bed, and smooth automatic detachment after skin reepithelialization. 30 In this study, we aimed at evaluating more closely the effectiveness of NFC wound dressing in skin graft donor site treatment compared with a polylactide-based copolymer dressing, which we use as a standard treatment.…”

Section: Introductionmentioning

confidence: 99%

Clinical Study of Nanofibrillar Cellulose Hydrogel Dressing for Skin Graft Donor Site Treatment

Koivuniemi

Hakkarainen

Kiiskinen

et al. 2020

Advances in Wound Care

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Co-last responsibility. Objective: Skin graft donor site management is a concern particularly for elderly patients and patients with poor wound healing competence, and also because donor sites are a source of pain and discomfort. Although different types of dressings exist, there is no consensus regarding optimal dressing type on donor site care to promote healing, reduce pain, and improve patients' comfort. Approach: This prospective, single-center clinical trial evaluated the performance of nanofibrillar cellulose (NFC) wound dressing (FibDex Ò by UPM-Kymmene Corporation) for treatment of donor sites compared with a polylactide-based copolymer dressing. The study enrolled 24 patients requiring skin grafting with mean age of 49-18. The primary outcome measure was wound healing time. Secondary outcomes, the epithelialization, subjective pain, the scar appearance assessed using the Patient and Observer Scar Assessment Scale (POSAS), and skin elasticity and transepidermal water loss (TEWL), were evaluated at 1 and 6 months postoperatively. Results: No statistically significant differences were observed between NFC and copolymer dressings regarding wound healing time, epithelialization, experience of pain, or TEWL. Significant differences were observed in the POSAS results for thickness and vascularity in the Observer score, in the favor of NFC over copolymer dressing. Moreover, skin elasticity was significantly improved with NFC dressing in terms of viscoelasticity and elastic modulus at 1 month postoperatively. Innovation: NFC dressing is a new, green sustainable product for wound treatment without animal or human-origin components. Conclusion: NFC dressing provides efficient wound healing at skin graft donor sites and is comparable or even preferable compared with the copolymer dressing.

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Section: Introductionmentioning

confidence: 99%

Clinical Study of Nanofibrillar Cellulose Hydrogel Dressing for Skin Graft Donor Site Treatment

Koivuniemi

Hakkarainen

Kiiskinen

et al. 2020

Advances in Wound Care

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“…Use of split-thickness skin grafts (SSG) is common in plastic and reconstructive surgeries to cover a wide range of defects (1). This is mainly because of the availability of donor sites (2).…”

Section: Introductionmentioning

confidence: 99%

“…It should also be sterile, resistant to infection, comfortable for the patient, easily applied and removed from the wound, and cost effective. (1). Such a dressing is yet to be developed.…”

Section: Introductionmentioning

confidence: 99%

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Comparing Banana Leaf Dressing and Vaseline Gauze Dressing for Split-Thickness Skin Graft Donor Sites in a Ugandan Hospital

Kekisa¹,

Galiwango²,

Hodges³

2021

Ann Afr Surg.

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Introduction: This study compared the effectiveness of banana leaf dressing (BLD) with the commonly used Vaseline gauze dressing (VGD) on split-thickness skin graft (SSG) donor sites. VGD is not completely nonadherent and is associated with pain on removal. BLD is smooth, non-adherent, pain-free and available. Methods: In this prospective study, consecutive patients were dressed with either BLD or VGD. Ease of applying and removing the dressings was scored. Pain scores were taken on postoperative days 3, 5, 7, 9 and 10. On day 10, the dressing was changed, epithelialization recorded and a swab taken for microbial culture. Average cost of each dressing was calculated. Results: There was no significant difference between postoperative pain scores with either dressing (p=0.992). BLD patients had less pain on dressing change (p=0.006). Both dressings were easy to apply; BLD was easier to remove (p=0.000). Wounds with BLD re-epithelialized faster (p=0.0158). 40% of wounds grew no organism on microbial culture, 25% grew Staphylococcus aureus and 35% grew unusual organisms (p=0.482). VGD was 4 times more expensive than BLD (p=0.000). Conclusion: Banana leaf dressing is effective and highly recommended for dressing SSG donor sites.Keywords: Split-thickness skin graft, Donor sites, Banana leaf dressing, Vaseline gauze dressing

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“…Split-thickness auto-grafts are harvested by excising the epidermis and part of the dermis, leaving a donor-site wound which will vary in thickness. Donor-site wounds heal by re-epithelialization in 7-14 days, although the rate may be affected by the local wound environment (Argirova, Hadjiski, and Victorova, 2007 [1]; Demirtas , Yagmur , and Soylemez, 2010 [2]; Masella, Balent, Carlson, Lee, and Pierce ,2013) [3].…”

Section: Introductionmentioning

confidence: 99%

Effect of Hydrocolloid Dressing versus Paraffin Gauze Dressing on Wound Healing and Pain for Split Thickness Skin Graft Donor Site

Hassan

Mohammed

2018

IJND

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Ideal wound care for split-thickness skin graft donor sites should include dressings that promote healing, prevent complications, and are cost-effective. The aim of this study is to evaluate the effect of hydrocolloid dressing versus paraffin gauze dressing for split thickness skin grafting donor sites in terms of pain and wound healing. Methods: quasi-experimental design was conducted over period of one year for 35 patients who admitted for skin graft. The participants were recruited from one of the big teaching hospitals in Cairo at Egypt. The Numeric Rating Scale (NRS) and Bates Wound Assessment Tool (BWAT) were used alongside a background/medical data sheet to collect the data. The selected two dressing material were changed for three to four times. Result it was observed that there was a gradual decrement in the Bates Wound Assessment Tool scores during 4 th ,7 th ,10 th ,and 14 th days during changing the dressing at duoderm /hydrocolloid and paraffin gauze dressing sites, But, decrement at the duoderm sites was greater and faster than paraffin gauze dressing sites with a mean and standard deviation equal to(23.34±.998, 16.20±2.03, and 13.77±1.13 versus 25.80±1.53, 23.14±2.15,and 18.85±1.61)respectively. The mean healing time for complete re-epithelialization was equal to 8.6 day ±1.08, for hydrocolloid sites versus 15.2 day± 3.02 for paraffin gauze site)respectively. Also, there were a statistical significance difference between the three durations of changing the dressing at the paraffin and duoderm sites for the same subjects with F/ratio/P value equal to(17783.959 / .000*).As regards to pain subjects exhibited lesser pain intensity during ,7 th ,10 th ,and 14 th days during changing duoderm dressing sites in comparison with paraffin gauze sites. Conclusion: Hydrocolloid dressing resulted in shorter healing time, faster re-epithelialization, fewer dressing changes and reduced pain when compared with paraffin gauze dressing. Recommendation Hydrocolloid dressing is recommended dressing for partial split thickness skin grafting donor sites. A larger randomized study is required to generalize the findings.

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Evaluation of Six Split-Thickness Skin Graft Donor Site Dressing Materials in a Swine Model

Cited by 5 publications

References 22 publications

Clinical Study of Nanofibrillar Cellulose Hydrogel Dressing for Skin Graft Donor Site Treatment

Clinical Study of Nanofibrillar Cellulose Hydrogel Dressing for Skin Graft Donor Site Treatment

Comparing Banana Leaf Dressing and Vaseline Gauze Dressing for Split-Thickness Skin Graft Donor Sites in a Ugandan Hospital

Effect of Hydrocolloid Dressing versus Paraffin Gauze Dressing on Wound Healing and Pain for Split Thickness Skin Graft Donor Site

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