Management of Split Skin Graft Donor Sites–Results of a National Survey

Geary, P.M.; Tiernan, E.

doi:10.1016/j.cps.2011.09.012

Cited by 21 publications

(22 citation statements)

References 15 publications

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“…The utility of various STSG management techniques has been widely reported . Similar surveys have been conducted and reported in the plastic surgery literature, mirroring the results of our survey and showing a wide variation in the harvesting and donor site management techniques . Given the increasing complexity of cases dealt with by dermatological surgeons in the U.K., it is surprising that only a minority (31%) perform STSG.…”

supporting

confidence: 83%

‘Skimming the surface’: a review of split-thickness skin grafting practices and preferences among U.K. dermatological surgeons

Shareef

Hussain

2013

Br J Dermatol

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supporting

confidence: 83%

‘Skimming the surface’: a review of split-thickness skin grafting practices and preferences among U.K. dermatological surgeons

Shareef

Hussain

2013

Br J Dermatol

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“…A recent systematic review stipulates that no dressing is superior to another with regard to time to complete wound healing [13]. A majority of surgeons seem to use a calcium alginate dressing as a standard dressing for donor sites [14]. Alginates are easy to apply, can absorb large amounts of exudate and have hemostatic properties which make them ideally suited for this type of superficial but sometimes heavily exuding wound.…”

Section: Introductionmentioning

confidence: 99%

Management of Split-Thickness Skin Graft Donor Sites: A Randomized Controlled Trial of Calcium Alginate versus Polyurethane Film Dressing

et al. 2013

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Background: Split-thickness skin graft (STSG) donor sites sometimes cause more postoperative morbidity for patients than the wound covered with the graft. Yet, there is no consensus on which dressings are best suited to treat these donor sites. Objective: To evaluate two commonly used modern wound dressings in the postoperative healing of STSG donor sites in a prospective randomized controlled trial. Methods: 38 patients were randomly assigned to treatment of an STSG donor site with an alginate dressing or a polyurethane film dressing. The primary outcome measures were postoperative pain scores, secondary outcome variables were time to epithelialization, dressing changes and complications. Results: Postoperative pain on day 1 was significantly lower in the polyurethane film group (2.05 vs. 0.79, p = 0.035) as compared to the alginate group. This difference was not detected on day 5 (0.89 vs. 0.53, p = 0.52). Time to epithelialization did not differ significantly between the two dressing groups. There were more dressing changes in the polyurethane film group and problems with leakage. Conclusion: Whereas film dressings resulted in initially lower pain scores, alginate dressings caused fewer additional dressing changes and less leakage.

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“…However, donor site management after skin graft harvesting is an important issue in reconstructive surgery [1]. The ideal dressing accelerates the healing process, prevents infectious complications and is easy to apply and cost effective [2, 3].…”

Section: Introductionmentioning

confidence: 99%

The effects of Alkanna tinctoria Tausch on split-thickness skin graft donor site management: a randomized, blinded placebo-controlled trial

Kheiri

Amini

Javidan

et al. 2017

BMC Complement Altern Med

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BackgroundA prospective, randomized, placebo-controlled clinical trial was conducted to compare the healing effectiveness of Alkanna tinctoria (L.) Tausch (Boraginaceae) with standard dressing on wound healing at the donor site after removal of the skin graft.MethodsEnrolled patients were randomly allocated to receive topicalA. tinctoria extract ointment (20%) or standard dressing (dressing with base ointment) daily. Wound healing was assessed using the Bates-Jenson assessment tool at the 2nd and 4th weeks after intervention.ResultsDecreases in wound score were significantly greater in the A. tinctoria group compared with the placebo group (P <0.05). The surface areas of graft donor sites in the A. tinctoria group were significantly reduced as compared with the control group at day 28 of the intervention (P < 0.05). The proportion of patients in the A. tinctoria group achieving complete wound healing within 2 to 4 weeks was 50% and 96.66%, respectively, significantly higher than in patients receiving standard care: 0% and 23.3%, respectively.ConclusionsThis clinical study showed that A. tinctoria dressing accelerates wound healing after graft harvesting.Trial registrationIRCT ID: IRCT201511165781N2.

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Management of Split Skin Graft Donor Sites–Results of a National Survey

Cited by 21 publications

References 15 publications

‘Skimming the surface’: a review of split-thickness skin grafting practices and preferences among U.K. dermatological surgeons

‘Skimming the surface’: a review of split-thickness skin grafting practices and preferences among U.K. dermatological surgeons

Management of Split-Thickness Skin Graft Donor Sites: A Randomized Controlled Trial of Calcium Alginate versus Polyurethane Film Dressing

The effects of Alkanna tinctoria Tausch on split-thickness skin graft donor site management: a randomized, blinded placebo-controlled trial

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