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Burns. 2016 Feb;42(1):123-130. doi: 10.1016/j.burns.2015.07.008. Epub 2015 Nov 23.

Wound-healing improvement by resurfacing split-thickness skin donor sites with thin split-thickness grafting.

Author information

1
Department of Burn and Plastic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an 710038, China.
2
Department of General Surgery, General Hospital of Shenyang Military Area Command, No. 83, Wenhua Road, Shenhe District, Shenyang 110840, China.
3
Department of Burn and Plastic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an 710038, China. Electronic address: xueyongli10@fmmu.edu.cn.

Abstract

INTRODUCTION:

Split-thickness skin graft (STSG) donor site dressing has been controversial until now. Our study aimed to assess the patient comfort and wound-healing efficacy with the application of thin split-thickness skin grafts regrafting on STSG donor sites.

METHODS:

One hundred ninety-two consecutive patients undergoing split-thickness skin grafting were included in the study, and the participants were randomly divided into the following three groups: group A was regrafted with thin STSGs and groups B and C were covered with occlusive hydrocellular dressing and paraffin gauze, respectively. The participants were compared according to the epithelialization time, pain and scar formation.

RESULTS:

The average time of epithelialization was 6.2 ± 1.1 days in group A, 11.1 ± 2.1 days in group B and 13.5 ± 2.5 days in group C. The pain scores on days 2 and 5 after operation were 2.3 ± 0.8 and 1.9 ± 0.8 in group A, 2.5 ± 1.1 and 3.9 ± 1.3 in group B, and 3.8 ± 1.4 and 5.9 ± 2.1 in group C. The scar scores at half a year and one year after operation were 4.3 ± 0.6 and 2.50 ± 0.6 in group A, 7.4 ± 0.6 and 6.2 ± 0.6 in group B, and 11.8 ± 0.4 and 10.9 ± 1.0 in group C, separately. The difference in the three groups was significant.

CONCLUSION:

Utilizing thin STSGs regrafting on donor sites could significantly shorten the epithelialization time, reduce pain and prevent hyperplastic scar formulation.

KEYWORDS:

Regraft; STSG donor site; Wound healing

PMID:
26615713
DOI:
10.1016/j.burns.2015.07.008
[Indexed for MEDLINE]

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