Document Detail

Alginate Dressing and Polyurethane Film Versus Paraffin Gauze in the Treatment of Split-Thickness Skin Graft Donor Sites: A Randomized Controlled Pilot Study.
MedLine Citation:
PMID:  23337646     Owner:  NLM     Status:  Publisher    
OBJECTIVES:: To compare postoperative healing of split-thickness skin graft (STSG) donor sites using traditional dressings (paraffin gauze) or modern wound dressings (alginate dressing and polyurethane film) in a randomized controlled trial. METHOD:: Thirty patients were randomly assigned to treatment of an STSG donor site with an alginate dressing and a polyurethane film or nonadherent paraffin gauze. Outcome variables were pain (measured with a visual analog scale), amount of dressing changes, healing time, cosmetic outcome, treatment costs, and overall satisfaction with the procedure. RESULTS:: There was no significant difference in pain (postoperative day 1: 2.1 vs 1.2, P = .26; postoperative days 5-7: 1.0 vs 0.9, P = .47; final removal: 1.9 vs 1.0, P = .19) and time to healing (18.1 vs 15.4 days, P = .29) between alginate/polyurethane film dressing and nonadherent paraffin gauze. The semiocclusive dressings with polyurethane film required multiple dressing changes, whereas the nonadherent paraffin gauze could be left in place until complete epithelialization. Treatment costs were substantially lower for paraffin gauze. CONCLUSIONS:: Semiocclusive dressings with alginate dressings and polyurethane film showed no advantages over treatment with paraffin gauze. With lower costs and better patient acceptance, paraffin gauze dressings were the preferred treatment for STSG donor sites.
Dominik Kaiser; Jürg Hafner; Dieter Mayer; Lars E French; Severin Läuchli
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Publication Detail:
Journal Detail:
Title:  Advances in skin & wound care     Volume:  26     ISSN:  1538-8654     ISO Abbreviation:  Adv Skin Wound Care     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-1-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100911021     Medline TA:  Adv Skin Wound Care     Country:  -    
Other Details:
Languages:  ENG     Pagination:  67-73     Citation Subset:  -    
Dominik Kaiser, MD, is General Surgeon, Hospital Schaffhausen, Schaffhausen, Switzerland. Jürg Hafner, MD, is Professor and Physician, Dermatological Clinic, University of Zurich, Switzerland. Dieter Mayer, MD, FEBVS, FAPWCA, is Assistant Professor, Vascular Surgery and Head of Wound Care, University Hospital of Zurich, Switzerland. Lars E. French, MD, is Director and Chairman, Department of Dermatology, University Hospital of Zurich, Switzerland. Severin Läuchli, MD, is Faculty and Head of Dermatologic Surgery and Wound Care, Department of Dermatology, University of Zurich, Switzerland. Drs Kaiser, Hafner, Mayer, and French have disclosed that they have no financial relationships related to this article.
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