Decreased pain in split-thickness skin graft donor sites with the use of a non-adherent polyurethane dressing

García Salinas, A. S. y Mecott, Gabriel Ángel y García Pérez, Mauricio y Castro Govea, Yanko y Pérez Porras, Sergio y Chacón Moreno, Hernán y Montemayor Jáuregui, María del Carmen y Guerra Leal, Jesús Dante y Chacón Martínez, Hernán (2015) Decreased pain in split-thickness skin graft donor sites with the use of a non-adherent polyurethane dressing. Medicina universitaria, 17 (69). pp. 196-202. ISSN 1665-5796

Vista previa

Texto S1665579615000708_S300_en.pdf - Versión Publicada Available under License Creative Commons Attribution Non-commercial No Derivatives. Download (327kB) | Vista previa

Resumen

Donor sites of split-thickness skin grafts (STSGs) are painful and limit patient rehabilitation. We conducted this study to assess the efficacy of a non-adherent polyurethane dressing in reducing pain and its effect on the epithelialization rate of donor sites of STSGs. Methods: Fifteen patients requiring an STSG were included. In 10 patients the donor sites were randomly divided into two halves and covered with either a non-adherent polyurethane dressing or a standard non-adherent gauze. In five patients with bilateral donor sites, one side was covered with the non-adherent polyurethane dressing and the other with non-adherent gauze. The pain was assessed with a visual analog scale and epithelialization was also assessed, calculating non-epithelialized areas with image software by a blinded surgeon. Epithelialization of the wounds covered with the non-adherent polyurethane dressing was assessed at day 8 and 10 and those with non-adherent gauze at day 10. Results: Postoperative pain significantly decreased with the non-adherent polyurethane dressing during the length of the study (6.07 ± 1.46 vs. 1.72 ± 1.6) and at each time point (p < 0.001). Epithelialization was not affected with the polyurethane dressing, compared to the standard method.

Actions (login required)

Ver elemento