A prospective comparative study on the effectiveness of two different non-adherent polyurethane dressings on split-thickness skin graft donor sites |
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| Institution: | 1. Nursing Division, Singapore General Hospital, Outram Road, 169608, Singapore;2. Department of Plastic, Reconstructive & Aesthetic Surgery, Singapore General Hospital, Outram Road, 169608, Singapore;1. Department of Dermatology, Hospital Universitario 12 de Octubre, Madrid, Spain;2. Department of Dermatology, Hospital Universitario Infanta Leonor, Madrid, Spain;1. Department of Plastic and Reconstructive Surgery, Tottori University Hospital, 36-1, Nishimachi, Yonago, 683-8504, Japan;2. Department of Nursing, Tottori University Hospital, 36-1, Nishimachi, Yonago, 683-8504, Japan;3. Department of Rehabilitation, Yowa Hospital, 3-5-1, Kamigoto, Yonago, 683-0841, Japan;1. Department of Pharmacy, National Center for Geriatrics and Gerontology, Obu, Aichi, 474-8511, Japan;2. Department of Neurology, National Center for Geriatrics and Gerontology, Obu, Aichi, 474-8511, Japan;3. Department of Nursing & Health, School of Nursing & Health, Aichi Prefectural University, Nagoya, Aichi, 463-8502, Japan;4. Department of Dermatology and Advanced Medicine, National Center for Geriatrics and Gerontology, Obu, Aichi, 474-8511, Japan;1. Trakya University Faculty of Health Sciences Nursing Department, Trakya University Balkan Campus, 22020, Edirne, Turkey;2. Trakya University, Health Research and Application Centre (University Hospital), Thoracic Surgery Clinic, Trakya University Balkan Campus, 22020, Edirne, Turkey |
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| Abstract: | AimTo analyze differences in re-epithelization, exudate absorbency, ease and pain on dressing removal between ALLEVYN? Non-Adhesive and Betaplast? N.MethodologyPatients admitted to the general ward undergoing split skin grafting were recruited. Allevyn and Betaplast were applied on the donor site. Exudate absorption was assessed daily using an absorbency grading chart. Dressing change was done on post-operative day five. Ease of dressing removal and pain score using the Wong-Baker Pain Scale was assessed. The percentage of re-epithelization for each dressing was assessed.Results30 patients were recruited. There was a statistically significant difference in exudate absorption on post-operative day 3 (z = ?2.006, p = 0.045, T = 236) and post-operative day 4 (z = ?2.026, p = 0.0143, T = 188), pain score (z = ?2.861, p = 0.004, T = 180), ease of removal (z = ?2.668, p = 0.008, T = 126) and re-epithelization (z = ?2.566, p = 0.009, T = 336) between Betaplast and Allevyn.ConclusionBetaplast may have faster re-epithelization, better exudate absorption, and is easier to remove while minimizing discomfort as compared to Allevyn. |
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| Keywords: | Split skin graft Donor site Polyurethane dressing Donor dressings |
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