The use of “composite dressing” for covering split-thickness skin graft donor sites

Wang, Tien‐Hsiang; Ma, Hsu; Yeh, Fa-Lai; Lin, Jin-Teh; Shen, Bing-Hwei

doi:10.1016/j.burns.2009.04.003

Cited by 10 publications

(9 citation statements)

References 12 publications

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“…Six studies did not identify the type of secondary dressing used by researchers. Eight studies used semi‐occlusive film dressings as secondary dressings . Seven studies concluded that the experimental dressing in combination with a film dressing was effective in reducing pain and discomfort in comparison with a dry dressing approach.…”

Section: Resultsmentioning

confidence: 99%

“…Two studies resolved the issue of exudate accumulation under a film (which was used as a secondary dressing over a hydrofibre) by creating fenestrations within the film to facilitate excess exudate drainage onto a layer of gauze. The study by Argirova et al did not report additional exudate leakage from under the secondary film dressing.…”

Section: Resultsmentioning

confidence: 99%

“…Eight studies used semi-occlusive film dressings as secondary dressings. 12,24,28,37,39,42,49 Seven studies concluded that the experimental dressing in combination with a film dressing was effective in reducing pain and discomfort in comparison with a dry dressing approach. One 28 found no significant difference in patients' experience of pain between a secondary dressing of gauze (over paraffin gauze) and film (over an alginate).…”

Section: Secondary Dressings and Painmentioning

confidence: 99%

“…Five of seven studies that used a secondary film dressing 12,24,28,39 reported an increase in dressing changes because of exudate leakage from under the secondary film dressing, which was associated with discomfort; however, there was no reported increase in pain. Two studies 42,49 resolved the issue of exudate accumulation under a film (which was used as a secondary dressing over a hydrofibre) by creating fenestrations within the film to facilitate excess exudate drainage onto a layer of gauze. The study by Argirova et al 37 did not report additional exudate leakage from under the secondary film dressing.…”

Section: Secondary Dressings and Painmentioning

confidence: 99%

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An evidence‐based review of split‐thickness skin graft donor site dressings

Brown

Holloway

2018

International Wound Journal

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This evidence-based review aimed to identify and evaluate current existing evidence relating to the efficacy of dressing materials for spit-thickness skin graft donor site wounds in relation to promoting rapid healing and reducing patient pain. A comprehensive systematic search of the literature between 2006 and 2016 identified 35 publications that were included in the review. Based on the results of the review, it was found that moist wound-healing products have a clear advantage over non-moist products in the reduction of pain and increased healing rates. This review concluded that moist wound-healing products are more effective than non-moist wound-healing products in reducing pain and promoting healing in split-thickness skin graft donor site wounds. A recommendation based on this review is that further research examine the role of secondary dressing usage in donor site wound management, and the consideration of using more than one primary dressing product during the donor site wound-healing process should be undertaken.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Secondary Dressings and Painmentioning

confidence: 99%

Section: Secondary Dressings and Painmentioning

confidence: 99%

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An evidence‐based review of split‐thickness skin graft donor site dressings

Brown

Holloway

2018

International Wound Journal

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“…Less pain sensation during removal of wound dressing has also been pointed out in the literature [24,25] with special emphasis on the fact that an open wound coverage loses its pliability when it dries, imposing more pain [24]. In contrast, a moist environment in an occlusive dressing facilitates feasible removal of the wound coverage accompanied by milder trauma to the newly formed delicate epithelial layer.…”

Section: Discussionmentioning

confidence: 98%

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

et al. 2013

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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

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Surgical dressings

Crawford¹

2012

Lower Extremity Soft Tissue &Amp; Cutaneous Plastic Surgery

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The use of “composite dressing” for covering split-thickness skin graft donor sites

Cited by 10 publications

References 12 publications

An evidence‐based review of split‐thickness skin graft donor site dressings

An evidence‐based review of split‐thickness skin graft donor site dressings

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

Surgical dressings

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