Abstract
A prospective randomised trial examining the effectiveness, comparative comfort and ease of care of two different split skin graft donor site dressings was performed. One of the dressings was an alginate (Kaltostat), and the other an adhesive retention tape (Mefix). Alginates are the standard plastic surgical dressing, whereas the use of adhesive retention tapes as a donor site dressing presents a novel use of a readily available product. A total of 30 consecutive patients requiring split skin grafts were randomised to receive either alginate or retention donor site dressings. Dressings were assessed by interview and questionnaire at 24 h and 48 h and at 2 weeks, and by wound review at 2 weeks. Retention dressings were found to be more comfortable. They also required less nursing care and attention. The retention dressings allowed the patients easier mobility and a greater range of daily activities, especially washing. There was no significant difference in wound healing nor in complications. Adhesive retention tape applied directly to the split skin graft donor site wound is an effective, cheap and comfortable dressing requiring little postoperative care.
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Selected References
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- Basse P., Siim E., Lohmann M. Treatment of donor sites--calcium alginate versus paraffin gauze. Acta Chir Plast. 1992;34(2):92–98. [PubMed] [Google Scholar]
- Bettinger D., Gore D., Humphries Y. Evaluation of calcium alginate for skin graft donor sites. J Burn Care Rehabil. 1995 Jan-Feb;16(1):59–61. doi: 10.1097/00004630-199501000-00011. [DOI] [PubMed] [Google Scholar]
- Butler P. E., Eadie P. A., Lawlor D., Edwards G., McHugh M. Bupivacaine and Kaltostat reduces post-operative donor site pain. Br J Plast Surg. 1993 Sep;46(6):523–524. doi: 10.1016/0007-1226(93)90229-5. [DOI] [PubMed] [Google Scholar]
- Giele H. Retention dressings: a new option for donor site dressings. Australas J Dermatol. 1997 Aug;38(3):166–166. doi: 10.1111/j.1440-0960.1997.tb01140.x. [DOI] [PubMed] [Google Scholar]
- Lawrence J. E., Blake G. B. A comparison of calcium alginate and scarlet red dressings in the healing of split thickness skin graft donor sites. Br J Plast Surg. 1991 May-Jun;44(4):247–249. doi: 10.1016/0007-1226(91)90065-r. [DOI] [PubMed] [Google Scholar]
- O'Donoghue J. M., O'Sullivan S. T., Beausang E. S., Panchal J. I., O'Shaughnessy M., O'Connor T. P. Calcium alginate dressings promote healing of split skin graft donor sites. Acta Chir Plast. 1997;39(2):53–55. [PubMed] [Google Scholar]
- Porter J. M. A comparative investigation of re-epithelialisation of split skin graft donor areas after application of hydrocolloid and alginate dressings. Br J Plast Surg. 1991 Jul;44(5):333–337. doi: 10.1016/0007-1226(91)90144-9. [DOI] [PubMed] [Google Scholar]
- Steenfos H. H., Agren M. S. A fibre-free alginate dressing in the treatment of split thickness skin graft donor sites. J Eur Acad Dermatol Venereol. 1998 Nov;11(3):252–256. [PubMed] [Google Scholar]
- Vanstraelen P. Comparison of calcium sodium alginate (KALTOSTAT) and porcine xenograft (E-Z DERM) in the healing of split-thickness skin graft donor sites. Burns. 1992 Apr;18(2):145–148. doi: 10.1016/0305-4179(92)90014-l. [DOI] [PubMed] [Google Scholar]