Disorder of Skin Donor Site, Skin Graft Disorder, Wound Healing Disturbance of
Conditions
Keywords
the split-thickness skin graft （STSG） donor site, regraft, wound healing
Brief summary
Split-thickness skin grafting remains fundamental treatment of patients with deep burns and other traumatic injuries. However, the split-thickness skin graft (STSG) donor site dressing has been controversial until now. Our study here aimed to assess patient comfort and wound-healing efficacy with the application of thin split-thickness grafting on STSG donor sites.
Detailed description
Background：Split-thickness skin grafting remains fundamental treatment of patients with deep burns and other traumatic injuries. However, the split-thickness skin graft (STSG) donor site dressing has been controversial until now. Our study here aimed to assess patient comfort and wound-healing efficacy with the application of thin split-thickness grafting on STSG donor sites. Methods: 192 consecutive patients undergoing split-thickness skin grafting were included in the study and the participants were randomly divided into three groups: Group A was regrafted with thin STSG, while, Group B and Group C were covered with the occlusive hydrocellular dressing and paraffin gauze, respectively. The three groups were compared regarding to the time of epithelialization, pain sensed by the patients and the scar formation.
Interventions
PROCEDUREregrafted with thin split-thickness skin graft
Group A (the treatment group) were regrafted with thin split-thickness skin graft
PROCEDUREcovered with the occlusive hydrocellular dressing
group B covered with the occlusive hydrocellular dressing (Allevyn Adhesive, Smith & Nephew)
PROCEDUREcovered with paraffin gauze
Group C covered with paraffin gauze
Sponsors
Tang-Du Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
5 Years to 56 Years
Healthy volunteers
No
Inclusion criteria
* patients who continuously received an STSG from January 2002 to December 2010 in Department of Burn and Plastic Surgery, Tangdu Hospital, Fourth Military Medical University
Exclusion criteria
* The patients who were significant psychiatric, hypersensitive to silver, and not be followed up were excluded
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The time of epithelialization | up to 4 weeks | The time of epithelialization was observed every 3 days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain sensed by the patients | up to 6 months | Pain sensed by the patients was assessed by Wong-Baker FACES Pain Rating Scale on day 2 and 5 after surgery |
Other
| Measure | Time frame | Description |
|---|---|---|
| Scar formation of skin donor site | 1 year | Scar formation of skin donor sites was evaluated by Vancouver scar scale in terms of colour, vascular distribution, thickness and scratchability 6-12 months after surgery |
Outcome results
None listed