Split-thickness skin graft donor site care: a quantitative synthesis of the research

Rakel, Barbara A.; Bermel, Margaret A.; Abbott, Linda; Baumler, Sharon; Burger, M.; Dawson, Cindy; Heinle, Jacqueline A.; I, Ocheltree

doi:10.1016/s0897-1897(98)80296-6

Cited by 89 publications

(54 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…İncelenen çalışmala-rın yarıya yakınında ağrı şiddeti VAS ile tanımlanmış ve en yüksek ağrı şiddetinin 4.59, en düşük ağrı şid-detinin ise 2.65 olduğu bildirilmiştir. [21] Bu sonuçlar bizim araştırma bulgularımızla benzerlik göster-mektedir. Donör alanının yer aldığı bölgeler ile ağrı şiddeti arasındaki ilişki incelendiğinde; alt ekstremite bölgesi donör alanı ağrı şiddetinin, üst ekstremite bölgesi ağrı şiddetinden daha fazla olduğu görüldü (p=0.0299).…”

Section: Discussionunclassified

The donor site pain assessment of the Patients who were reconstructed Split-Thickness Graft

Ulus¹

2015

Agri

View full text Add to dashboard Cite

EKİM -OCTOBER 2015 205Özet Amaç: Bu çalışmada doku defekti nedeniyle, kısmi kalınlıkta deri grefti (KKDG) uygulanan hastalarda donör alanı ağrı şiddeti incelendi. Anahtar sözcükler: Donör alan ağrısı; kısmi kalınlıkta deri grefti. SummaryObjectives: İn this study we examined the donor site pain intensity of the patients who were reconstructed by split thickness skin graft (STSG) due to tissue defect. Methods: This descriptive study was performed in a Plastic and Reconstructive Surgery Clinic of a State Hospital in Istanbul. Sampling selection wasn't made, all (31) cases were studied with STSG in 2013. As data collection forms, we used Patient Information Form and Visual Analog Scale (VAS). In the analysis of the data percentage, Kruskal-Wallis and Mann-Whitney-U tests were used. Results: 38.71% of the patients were female and 61.29% were male. It was determined that grafting application was mostly made in the lower extremity and 61% of the patients were able to perform individual functions independently. It was observed that pain intensity increased as the donor area expanded. It was also determined that semi-dependent patients' pain intensity was higher than independent patients' . In 64.52% of the patients graft donor area was wider than 10cm². The postoperative pain intensity of the patients who were reconstructed by STSG in the lower extremity was higher than patients who were reconstructed by STSG in the upper extremity area. Conclusion: It was observed that the donor area pain intensity of patients was the most severe on the first day after surgery and the least severe on the sixth day after surgery. In conclusion, the pain evaluation of the donor area has to be assessed by the nurse on the first day after surgery.Keywords: Donor site pain; split thickness skin graft. Kısmi kalınlıkta deri grefti uygulanan hastalarda donör alanı ağrısının değerlendirilmesiThe donor site pain assessment of the patients who were reconstructed split-thickness graft

show abstract

Section: Discussionunclassified

The donor site pain assessment of the Patients who were reconstructed Split-Thickness Graft

Ulus¹

2015

Agri

View full text Add to dashboard Cite

show abstract

“…Despite universal consensus in the applied dressing for graft recipient site, the ideal management for split-thickness skin graft donor site still remains under debate [1][2][3][4]. The applied materials and methods for wound dressing should provide adequate coverage to the donor site so that the wound rapidly reepithelializes spontaneously and to prevent the development of complications while giving the patient a state of physical and mental well-being during the healing process [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

“…Although many experts have already tried different dressing materials for treatment of split-thickness skin graft donor site [1][2][3][4][5][6][7], efficacy of amniotic membrane has not already been well documented. Our study, hence, aimed to compare the effectiveness of amniotic membrane with routine methods of wound dressing for split-thickness skin graft donor site in victims of skin burn injuries.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Amniotic Membrane Effectiveness in Skin Graft Donor Site Dressing in Burn Patients

et al. 2013

View full text Add to dashboard Cite

Although the recipient site in burn wounds is dressed with universally accepted materials, the ideal management of split-thickness skin donor sites remains controversial. The aim of our study is to compare two methods of wound dressing in donor sites of split-thickness skin graft in patients undergoing burn wound reconstructive surgery. Forty-two consecutive patients with second-and thirddegree burns with a total body surface area between 20 and 40 % were enrolled in this randomized clinical trial conducted in Motahari Burn Hospital in Tehran, Iran. In each patient, two anatomic areas with similar features were randomly selected as intervention and control donor sites. The intervention site was dressed with amniotic membrane, whereas the control site was treated with Vaselineimpregnated gauze. Wounds were examined daily by expert surgeons to measure the clinical outcomes including duration of healing, severity of pain, and infection rate. The

show abstract

“…3,12,15,16 To date, 4 systematic reviews on the most effective donor-site dressings have been completed. 7,10,17,18 These reviews were based mainly on small trials comparing a limited number of dressing types. Aggregate clinical evidence suggests that hydrocolloids and films may be superior to other materials, to include Xeroform; however, the authors agree that more conclusive evidence is needed.…”

mentioning

confidence: 99%

“…Aggregate clinical evidence suggests that hydrocolloids and films may be superior to other materials, to include Xeroform; however, the authors agree that more conclusive evidence is needed. 7,10,17,18 The largest randomized clinical trial evaluating 6 commonly used dressings was published in 2013 by the Recognizing Effective Materials By Randomizing and Assessing New Donorsite Treatments (REMBRANDT) study group. 8 The authors reported that the use of hydrocolloid dressings resulted in the fastest healing of donor-site wounds, while gauze dressings were accompanied by a higher infection rate.…”

mentioning

confidence: 99%

Evaluation of Six Split-thickness Skin Graft Donor-site Dressing Materials in a Swine Model

Masella

Balent

Carlson

et al. 2013

Plastic and Reconstructive Surgery Global Open

View full text Add to dashboard Cite

Background:Numerous dressings for split-thickness skin graft donor sites are commercially available with no conclusive evidence-based consensus regarding the optimal dressing choice. This study was conducted to identify which of 5 commonly used materials promotes wound healing most effectively for use on split-thickness donor sites in comparison with our standard dressing, Xeroform (petrolatum gauze).Methods:Twenty-four partial-thickness wounds were created on the backs of 4 pigs using a dermatome. Wounds (n = 4 per dressing type per pig) were treated with Xeroform, Opsite (polyurethane film), Kaltostat ( calcium sodium alginate), DuoDERM (hydrocolloid), Aquacel (hydrofiber), and Mepilex (silicone foam). Full-thickness skin samples were excised at 3 or 5 days and evaluated histologically for reepithelialization and inflammation. Comparisons also included incidence of infection, ease of use, and cost analyses.Results:DuoDERM elicited the greatest percent reepithelialization (81%) and Mepilex the lowest (33%) after 3 days (P = 0.004). All dressings demonstrated complete reepithelialization except Mepilex (85%) at 5 days. There were no infections and inflammation was mild among all treatments. Mepilex was easiest to use, whereas Aquacel, Kaltostat, and Opsite were most difficult (P = 0.03). Xeroform was most cost-effective and Aquacel most expensive. Combined scoring revealed DuoDERM = Xeroform > Opsite = Mepilex > Kaltostat > Aquacel.Conclusions:DuoDERM and Xeroform were most effective overall. DuoDERM tended to outperform all dressings in reepithelialization at 3 days, while Xeroform was least expensive, easy to use, and demonstrated rapid reepithelialization. These findings suggest that Xeroform may be preferred for use on large donor-site areas. DuoDERM may be more appropriate for small donor sites when healing time is a priority.

show abstract

Split-thickness skin graft donor site care: a quantitative synthesis of the research

Cited by 89 publications

References 23 publications

The donor site pain assessment of the Patients who were reconstructed Split-Thickness Graft

The donor site pain assessment of the Patients who were reconstructed Split-Thickness Graft

Evaluation of Amniotic Membrane Effectiveness in Skin Graft Donor Site Dressing in Burn Patients

Evaluation of Six Split-thickness Skin Graft Donor-site Dressing Materials in a Swine Model

Contact Info

Product

Resources

About