Effects of a silicone-coated polyamide net dressing and calcium alginate on the healing of split skin graft donor sites: a prospective randomised trial.

Hdl Handle:
http://hdl.handle.net/10147/209121
Title:
Effects of a silicone-coated polyamide net dressing and calcium alginate on the healing of split skin graft donor sites: a prospective randomised trial.
Authors:
O'Donoghue, J M; O'Sullivan, S T; O'Shaughnessy, M; O'Connor, T P
Affiliation:
Department of Plastic Surgery, Cork University Hospital, Wilton, Ireland.
Citation:
Acta Chir Plast. 2000;42(1):3-6.
Journal:
Acta chirurgiae plasticae
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209121
PubMed ID:
10815307
Abstract:
An open randomised prospectively controlled trial was performed to assess the healing efficacy, slippage rate and degree of discomfort on removal of calcium alginate and a silicone-coated polyamide net dressing on split skin graft donor sites. Sixteen patients were randomised to the calcium alginate group and 14 to the silicone-coated group. The donor sites were assessed at days 7, 10, 14 and up to day 21. The mean time to healing in the calcium alginate group was 8.75 +/- 0.78 days (range 7 to 14 days) compared to 12 +/- 0.62 days (range 7 to 16 days) for the silicone-coated group (p < 0.01). Although more silicone-coated dressings slipped (5 versus 1), the difference was not statistically significant. Pain during the first dressing change was assessed using a visual analogue pain scale. Although no significant differences were found between the groups, it was necessary to change the dressing protocol in the silicone-coated arm of the trial after entering the first two patients. Overlaid absorbent gauze adhered to the donor site through the fenestrations in the dressing necessitating the placement of paraffin gauze between the experimental dressing and the overlying cotton gauze. There was one infection in the study, occurring in the alginate group. Based on these results we recommend calcium alginate as the dressing of choice for split skin graft donor sites.
Language:
eng
MeSH:
Adult; Alginates/*therapeutic use; Female; Glucuronic Acid; Hexuronic Acids; Humans; Male; Middle Aged; *Occlusive Dressings; Prospective Studies; Silicones/*therapeutic use; *Skin Transplantation; *Wound Healing
ISSN:
0001-5423 (Print); 0001-5423 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorO'Donoghue, J Men_GB
dc.contributor.authorO'Sullivan, S Ten_GB
dc.contributor.authorO'Shaughnessy, Men_GB
dc.contributor.authorO'Connor, T Pen_GB
dc.date.accessioned2012-02-03T15:12:49Z-
dc.date.available2012-02-03T15:12:49Z-
dc.date.issued2012-02-03T15:12:49Z-
dc.identifier.citationActa Chir Plast. 2000;42(1):3-6.en_GB
dc.identifier.issn0001-5423 (Print)en_GB
dc.identifier.issn0001-5423 (Linking)en_GB
dc.identifier.pmid10815307en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209121-
dc.description.abstractAn open randomised prospectively controlled trial was performed to assess the healing efficacy, slippage rate and degree of discomfort on removal of calcium alginate and a silicone-coated polyamide net dressing on split skin graft donor sites. Sixteen patients were randomised to the calcium alginate group and 14 to the silicone-coated group. The donor sites were assessed at days 7, 10, 14 and up to day 21. The mean time to healing in the calcium alginate group was 8.75 +/- 0.78 days (range 7 to 14 days) compared to 12 +/- 0.62 days (range 7 to 16 days) for the silicone-coated group (p < 0.01). Although more silicone-coated dressings slipped (5 versus 1), the difference was not statistically significant. Pain during the first dressing change was assessed using a visual analogue pain scale. Although no significant differences were found between the groups, it was necessary to change the dressing protocol in the silicone-coated arm of the trial after entering the first two patients. Overlaid absorbent gauze adhered to the donor site through the fenestrations in the dressing necessitating the placement of paraffin gauze between the experimental dressing and the overlying cotton gauze. There was one infection in the study, occurring in the alginate group. Based on these results we recommend calcium alginate as the dressing of choice for split skin graft donor sites.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshAlginates/*therapeutic useen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshGlucuronic Aciden_GB
dc.subject.meshHexuronic Acidsen_GB
dc.subject.meshHumansen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.mesh*Occlusive Dressingsen_GB
dc.subject.meshProspective Studiesen_GB
dc.subject.meshSilicones/*therapeutic useen_GB
dc.subject.mesh*Skin Transplantationen_GB
dc.subject.mesh*Wound Healingen_GB
dc.titleEffects of a silicone-coated polyamide net dressing and calcium alginate on the healing of split skin graft donor sites: a prospective randomised trial.en_GB
dc.contributor.departmentDepartment of Plastic Surgery, Cork University Hospital, Wilton, Ireland.en_GB
dc.identifier.journalActa chirurgiae plasticaeen_GB
dc.description.provinceMunster-

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