| The Biobrane glove in burn wounds of the hand. Evaluation of the functional and aesthetic outcome and comparison of costs with those of conventional wound management | |
| | |
MedLine Citation:
|
PMID: 19946834 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: While use of biocomposite temporary dressings in burn wounds is common practice, the complex anatomic structures of the hand make this treatment option challenging. For this reason, the Biobrane ((R)) Glove (Smith&Nephew) has been developed. However, limited information regarding burn treatment with Biobrane ((R)) Gloves can be found in the literature. PATIENTS AND METHODS: Functional and cosmetic outcomes of 13 second degree burn wounds of the hand in 10 patients treated with Biobrane ((R)) Gloves were evaluated using the Vancouver scar scale (VSS) and the DASH-score (disabilities of the arm, shoulder and hand). We evaluated wound healing times and questioned patients about pain related to Biobrane ((R)) Glove treatment in comparison to conventionally managed second degree burn wounds in other parts of the body and about acceptance of Biobrane ((R)) Glove treatment. In addition, we estimated the costs for use and wound management time for both Biobrane ((R)) Glove treatment and conventional wound management for 14 days. RESULTS: Burn wounds treated with Biobrane ((R)) Gloves had excellent functional and cosmetic outcomes [DASH score median of 0 (min. 0; max. 3.33) and VSS median of 3 (min. 0; max. 5)]. Wound healing times were lower (mean 9 days). According to patients' response to overall acceptance, 90% responded as being "very satisfied" with Biobrane ((R)) Glove treatment and 75% responded that Biobrane ((R)) Glove treatment was "much less painful" compared to conventional burn management. The material costs of the Biobrane ((R)) Glove treatment, over 14 days, were approx. double compared to conventional wound management costs. In contrast, the time required for conventional wound management over 14 days was four times longer than for treatment with Biobrane ((R)) Gloves. Thus, taking personnel expenses into consideration, total costs of Biobrane ((R)) Glove treatment are comparable to those of conventional wound management. CONCLUSION: Biobrane ((R)) Glove treatment of hand burns resulted in excellent functional and cosmetic outcomes, reduced pain compared to conventional wound management and high overall patient satisfaction. In conjunction with a significant reduction in wound management time, the Biobrane ((R)) Glove is an important and cost neutral tool in the treatment of second degree burn wounds of the hand. |
| | |
Authors:
|
M N Busche; C Herold; A Schedler; K Knobloch; P M Vogt; H-O Rennekampff |
Related Documents
:
|
15227314 - Management of high-risk sternotomy wounds with retention sutures. 16116414 - Urgosorb[tm] dressing: management of acute and chronic wounds. 3974974 - Self-inflicted gunshot wound to the pregnant uterus: report of two cases. 21289664 - Prescribing in family practice: a method of data collection. 2270634 - The downward spiral of cattle veterinary practice. 16934984 - International guidance on the establishment of quality assurance programmes for radioac... |
Publication Detail:
|
Type: English Abstract; Journal Article Date: 2009-11-27 |
Journal Detail:
|
Title: Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft f?r Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft f?r Mikrochirurgie der Peripheren Nerven und Gef?sse : Organ der Vereinigung der Deutschen Plastischen Chirurgen Volume: 41 ISSN: 1439-3980 ISO Abbreviation: Handchir Mikrochir Plast Chir Publication Date: 2009 Dec |
Date Detail:
|
Created Date: 2009-12-21 Completed Date: 2010-03-15 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8302815 Medline TA: Handchir Mikrochir Plast Chir Country: Germany |
Other Details:
|
Languages: ger Pagination: 348-54 Citation Subset: IM |
Affiliation:
|
Medizinische Hochschule Hannover, Klinik f?r Plastische, Hand- und Wiederherstellungschirurgie, Zentrum f?r Schwerbrandverletzte, Hannover, Germany. marcbusche@web.de |
Vernacular Title:
|
Der Biobrane-Handschuh bei Verbrennungen der Hand. Bewertung des funktionellen und kosmetischen Ergebnisses und Kostenvergleich zur konventionellen Therapie. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Burns / economics*, therapy* Cicatrix / economics, prevention & control Coated Materials, Biocompatible / economics* Cost-Benefit Analysis Esthetics* Female Germany Hand Injuries / economics*, therapy* Humans Male Middle Aged Occlusive Dressings / economics* Patient Satisfaction Wound Healing / physiology Young Adult |
| Chemical | |
Reg. No./Substance:
|
0/Biobrane; 0/Coated Materials, Biocompatible |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Real-time sonoelastography: findings in patients with symptomatic achilles tendons and comparison to...
Next Document: Notice of Retraction.