Split-thickness skin graft donor sites: a comparative study of two absorbent dressings

Terrill, Patricia; Goh, Raymond C.W.; Bailey, Michael

doi:10.12968/jowc.2007.16.10.27912

Cited by 29 publications

(43 citation statements)

References 21 publications

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“…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. However, the gel formed by the alginate dressing with the wound exudate tends to dry out after a few days which can lead to some pain and discomfort [15]. There are indications in the literature that a more occlusive dressing which keeps the wound bed continuously moist may be associated with faster healing and less pain [16].…”

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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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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“…However, this method has its deficiencies as well. Secondary shrinkage of the transplant occurs with usage of thin split grafts for wound covering; besides fatty tissue does not grow under this type of transplant [6,8,13].…”

Section: Resultsmentioning

confidence: 99%

“…In certain cases there is no close contact between the smooth surface of a skin graft and granulation tissue; there are gaps and voids, where discharge from the wound collects, colonies of microorganisms form, which may cause hematomas or seromas and local inflam matory complications [4,8,9,11].…”

Section: Introductionmentioning

confidence: 99%

Embossed Autodermotransplants: Theoretical Substantiation and Practical Usage

Koptiukh¹,

Galaychuk²

2017

IJMMR

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“…For example, some dressing products have adhesive borders and have shown positive results for donor site healing and exudate management in adults. 35 However, the integrity of these products is compromised if cut to size, which is frequently required in children's wound care because of the smaller surface area of children's wounds. Ongoing research is required to evaluate the effectiveness and safety of wound care products to reliably inform children's wound care.…”

Section: Discussionmentioning

confidence: 99%

“…[4][5][6][7] In addition, the integrity of wound care products may be compromised, if they are cut to size, which is frequently required in children's wound care. This means that there is limited knowledge on which products successfully absorb exudate and enhance epithelialization in donor site healing in children.…”

mentioning

confidence: 99%

Management of Pediatric Skin-Graft Donor Sites

Brenner

Hilliard

Peel

et al. 2015

Journal of Burn Care & Research

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Skin grafts are used to treat many types of skin defects in children, including burns, traumatic wounds, and revision of scars. The objective of this prospective randomized controlled trial was to compare the effectiveness of three dressing types for pediatric donor sites: foam, hydrofiber, and calcium alginate. Children attending a pediatric Burns & Plastics Service from October 2010 to March 2013, who required a split-skin graft, were recruited to the trial. Patients were randomly assigned to the two experimental groups, foam or hydrofiber, and to the control group, calcium alginate. Data were gathered on the management of exudate, assessment of pain, time to healing, and infection. Fifty-seven children aged 1 to 16 years (mean = 4.9 years) were recruited to the trial. Fifty-six patients had evaluable data and one participant from the control group was lost to follow-up. Most children required skin grafting for a burn injury (78%). The median size of the donor site was 63.50 cm (8-600 cm). There was a statistically significant difference in time to healing across the three dressing groups (x [2, n = 56] = 6.59, P = .037). The calcium alginate group recorded a lower median value of days to healing (median = 7.5 days) compared to the other two groups, which recorded median values of 8 days (hydrofiber) and 9.5 days (foam). The greatest leakage of exudate, regardless of dressing type, occurred on day 2 after grafting. No statistically significant difference was found in leakage of exudate, pain scores, or infection rates across the three groups. Calcium alginate emerged as the optimum dressing for pediatric donor site healing in this trial.

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Split-thickness skin graft donor sites: a comparative study of two absorbent dressings

Abstract: Tegaderm Absorbent provides a significant improvement in terms of donor-site pain, healing and ease of management.

Cited by 29 publications

References 21 publications

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

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

Embossed Autodermotransplants: Theoretical Substantiation and Practical Usage

Management of Pediatric Skin-Graft Donor Sites

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