|Split-thickness skin graft donor sites: a comparative study of two absorbent dressings.|
|PMID: 18065019 Owner: NLM Status: MEDLINE|
|OBJECTIVE: To identify the optimal dressing for split-thickness skin graft (SSG) donor sites. METHOD: This prospective randomised controlled trial compared two dressings - a new absorbent form of a polyurethane film dressing (Tegaderm Absorbent, 3M) and our standard alginate dressing (Kaltostat, ConvaTec) - on SSG donor sites in 40 patients. Primary outcome measures were: reduced time to full healing; reduced postoperative pain; reduced leakage rates from the dressing. Secondary outcome measures related to acceptability of the dressings to the patient. RESULTS: On removal of the dressings at the first assessment, 79% of the Tegaderm Absorbent donor sites had healed completely, compared with 16% of the Kaltostat ones (p<0.001).A significantly greater median area had healed with Tegaderm Absorbent (100%), when compared with Kaltostat (89%) (p<0.001). Mean time to complete healing was also significantly faster for Tegaderm Absorbent than Kaltostat (14 versus 21 days) (p<0.001). Significantly fewer subjects experienced postoperative pain with Tegaderm Absorbent on both day 1 (21% versus 67%, p=0.006, NNT=3) and day 2 (17% versus 75%, p<0.001, NNT=2). Leakage rates reduced by 48% with Tegaderm Absorbent, with no leakage in the smaller donor sites. Tegaderm Absorbent was significantly easier to apply than Kaltostat (89% versus 27% found it'very easy') as was ease of removal (84% versus 11% found it'very easy') (p<0.0001). Patients found Tegaderm Absorbent dressings significantly more convenient to manage and bathe with. At one month post-surgery, Vancouver scar scores showed thatTegaderm Absorbent donor sites were less red, flatter, softer and less itchy. CONCLUSION: Tegaderm Absorbent provides a significant improvement in terms of donor-site pain, healing and ease of management.|
|P J Terrill; R C W Goh; M J Bailey|
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|Type: Comparative Study; Journal Article; Randomized Controlled Trial|
|Title: Journal of wound care Volume: 16 ISSN: 0969-0700 ISO Abbreviation: J Wound Care Publication Date: 2007 Nov|
|Created Date: 2007-12-10 Completed Date: 2008-02-01 Revised Date: 2009-11-03|
Medline Journal Info:
|Nlm Unique ID: 9417080 Medline TA: J Wound Care Country: England|
|Languages: eng Pagination: 433-8 Citation Subset: N|
|Department of Surgery, Monash University, Melbourne, Australia. firstname.lastname@example.org|
|APA/MLA Format Download EndNote Download BibTex|
Aged, 80 and over
Alginates / adverse effects, therapeutic use*
Clinical Nursing Research
Exudates and Transudates
Glucuronic Acid / adverse effects, therapeutic use
Hexuronic Acids / adverse effects, therapeutic use
Occlusive Dressings / adverse effects, standards*
Patient Acceptance of Health Care
Postoperative Care / instrumentation, nursing
Skin Care / instrumentation*, nursing
Skin Transplantation / adverse effects*
Thigh / surgery
Transplantation, Autologous / adverse effects
|0/Alginates; 0/Hexuronic Acids; 0/Polyurethanes; 576-37-4/Glucuronic Acid; 9005-32-7/alginic acid|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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