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Dahmardehei M, Moin Ara R, Akbari Ahmadabadi H. Comparison of the Effect of Using Collective Plus Ag Dressing and Vaseline Gauze Dressing in the Donor of Split-Thickness Burn Grafts. World J Plast Surg 2023; 12:57-63. [PMID: 38226197 PMCID: PMC10788102 DOI: 10.61186/wjps.12.3.57] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Accepted: 10/12/2023] [Indexed: 01/17/2024] Open
Abstract
Background Skin graft involves removing a part of the skin and using it in another part of the body. One of the most common reasons for using a graft is burns. We aimed to compare the effect of Colactive plus Ag dressing with Vaseline gauze dressing in donor sites of split-thickness skin grafts of burned patients. Methods The present study was conducted as a randomized clinical trial (RCT) in the Motahari burn Hospital, Tehran, Iran in 1401. The sampling method was done using Cochran's formula and available patients so 15 people were enrolled. The findings of the study were collected using a researcher-made form. Results The average duration of recovery, the amount and intensity of pain, and the amount of itching between the two types of Colative plus Ag plus Ag dressing with Vaseline gauze are statistically significant at the 95% confidence level. (P-value<0.05). In addition, the findings showed that the average amount of scar left by the wound in the two types of dressings examined is not statistically significant at the 95% confidence level (P-value > 0.05). Conclusion The use of Colactive silver dressing has less pain, less itching in the donor area, and a shorter average recovery time than Vaseline gauze. The use of the Colactive plus Ag will be more effective than Vaseline gauze.
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Affiliation(s)
- Mostafa Dahmardehei
- Plastic and Reconstructive Surgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Raheleh Moin Ara
- Plastic and Reconstructive Surgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Hossein Akbari Ahmadabadi
- Plastic and Reconstructive Surgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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Punjataewakupt A, Aramwit P. Wound dressing adherence: a review. J Wound Care 2022; 31:406-423. [PMID: 35579308 DOI: 10.12968/jowc.2022.31.5.406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Wound dressing adherence is an important problem that is frequently encountered in wound care, and is associated with both clinical and economic burdens. However, only a few review articles have focused on this issue. The objective of this review was to present a comprehensive discussion of wound dressing adherence, including the mechanism of dressing adherence, adverse consequences (clinical burdens and economic burdens), factors affecting adherence (dressing-, patient- and wound-related factors, and factors related to the wound care procedure), tests to assess dressing adherence (in vitro assay, in vivo assay and clinical trials), and reduction of wound adherence (modification of dressing adherence and special care in particular patients). Accordingly, this review article emphasises an awareness of dressing adherence, and is intended to be an informative source for the development of new dressings and for wound management.
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Affiliation(s)
- Apirujee Punjataewakupt
- Department of Pharmacy Practice, Faculty of Pharmaceutical Sciences and Center of Excellence in Bioactive Resources for Innovative Clinical Applications, Chulalongkorn University, Bangkok, Thailand
| | - Pornanong Aramwit
- Department of Pharmacy Practice, Faculty of Pharmaceutical Sciences and Center of Excellence in Bioactive Resources for Innovative Clinical Applications, Chulalongkorn University, Bangkok, Thailand.,The Academy of Science, The Royal Society of Thailand, Dusit, Bangkok, Thailand
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Ahmad F, Lata J. Collagen matrix membrane as a biological dressing in defects of the oral mucosa. Natl J Maxillofac Surg 2021; 12:199-205. [PMID: 34483577 PMCID: PMC8386252 DOI: 10.4103/njms.njms_128_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Revised: 09/02/2020] [Accepted: 10/31/2020] [Indexed: 12/14/2022] Open
Abstract
OBJECTIVES The objectives of this study were to evaluate the usefulness of the extracellular collagen matrix membrane as a biological wound dressing material for defects of the oral mucosa. MATERIALS AND METHODS One hundred two patients were included in the study. A bovine-based extracellular matrix collagen membrane was used. The study was confined to those defects of oral mucosa which were large enough to close primarily. RESULTS The results were evaluated under various parameters such as hemostasis, pain relief, granulation, epithelialization, and contracture of the wound. Secondary infection and allergenicity to the membrane were also considered, and finally, the usefulness of the collagen membrane was tested by the use of the Chi-square test and P < 0.001 was found. CONCLUSION We concluded that the extracellular collagen membrane could be used as a biological dressing in oral defects. Although it does not replace, it is proved as a good substitute of autologous graft.
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Affiliation(s)
- Fahad Ahmad
- Department of Oral and Maxillofacial Surgery, Al-Jahra Specialty Dental Center, Al-Jahra, Kuwait,Address for correspondence: Dr. Fahad Ahmad, Department of Oral and Maxillofacial Surgery, Al-Jahra Specialty Dental Center, Al-Jahra, Kuwait. E-mail:
| | - Jeevan Lata
- Department of Oral and Maxillofacial Surgery, Punjab Government Dental College and Hospital, Amritsar, Punjab, India
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Koivuniemi R, Hakkarainen T, Kiiskinen J, Kosonen M, Vuola J, Valtonen J, Luukko K, Kavola H, Yliperttula M. Clinical Study of Nanofibrillar Cellulose Hydrogel Dressing for Skin Graft Donor Site Treatment. Adv Wound Care (New Rochelle) 2020; 9:199-210. [PMID: 32117583 PMCID: PMC7047117 DOI: 10.1089/wound.2019.0982] [Citation(s) in RCA: 36] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2019] [Accepted: 04/29/2019] [Indexed: 11/23/2022] Open
Abstract
Objective: Skin graft donor site management is a concern particularly for elderly patients and patients with poor wound healing competence, and also because donor sites are a source of pain and discomfort. Although different types of dressings exist, there is no consensus regarding optimal dressing type on donor site care to promote healing, reduce pain, and improve patients' comfort. Approach: This prospective, single-center clinical trial evaluated the performance of nanofibrillar cellulose (NFC) wound dressing (FibDex® by UPM-Kymmene Corporation) for treatment of donor sites compared with a polylactide-based copolymer dressing. The study enrolled 24 patients requiring skin grafting with mean age of 49 ± 18. The primary outcome measure was wound healing time. Secondary outcomes, the epithelialization, subjective pain, the scar appearance assessed using the Patient and Observer Scar Assessment Scale (POSAS), and skin elasticity and transepidermal water loss (TEWL), were evaluated at 1 and 6 months postoperatively. Results: No statistically significant differences were observed between NFC and copolymer dressings regarding wound healing time, epithelialization, experience of pain, or TEWL. Significant differences were observed in the POSAS results for thickness and vascularity in the Observer score, in the favor of NFC over copolymer dressing. Moreover, skin elasticity was significantly improved with NFC dressing in terms of viscoelasticity and elastic modulus at 1 month postoperatively. Innovation: NFC dressing is a new, green sustainable product for wound treatment without animal or human-origin components. Conclusion: NFC dressing provides efficient wound healing at skin graft donor sites and is comparable or even preferable compared with the copolymer dressing.
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Affiliation(s)
- Raili Koivuniemi
- Drug Research Program, Division of Pharmaceutical Biosciences, Faculty of Pharmacy, University of Helsinki, Helsinki, Finland
| | - Tiina Hakkarainen
- Drug Research Program, Division of Pharmaceutical Biosciences, Faculty of Pharmacy, University of Helsinki, Helsinki, Finland
- Department of Plastic Surgery, Helsinki Burn Centre, Helsinki University Hospital and University of Helsinki, Helsinki, Finland
| | - Jasmi Kiiskinen
- Drug Research Program, Division of Pharmaceutical Biosciences, Faculty of Pharmacy, University of Helsinki, Helsinki, Finland
| | | | - Jyrki Vuola
- Department of Plastic Surgery, Helsinki Burn Centre, Helsinki University Hospital and University of Helsinki, Helsinki, Finland
| | - Jussi Valtonen
- Department of Plastic Surgery, Helsinki Burn Centre, Helsinki University Hospital and University of Helsinki, Helsinki, Finland
| | | | - Heli Kavola
- Department of Plastic Surgery, Helsinki Burn Centre, Helsinki University Hospital and University of Helsinki, Helsinki, Finland
| | - Marjo Yliperttula
- Drug Research Program, Division of Pharmaceutical Biosciences, Faculty of Pharmacy, University of Helsinki, Helsinki, Finland
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Liang X, Zhou L, Yan J. Amniotic membrane for treating skin graft donor sites: A systematic review and meta-analysis. Burns 2019; 46:621-629. [PMID: 31623939 DOI: 10.1016/j.burns.2019.09.010] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2019] [Revised: 08/30/2019] [Accepted: 09/20/2019] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To evaluate the efficacy and safety of amniotic membrane (AM) for the healing of split-thickness skin graft donor sites (STSGDS). METHOD Electronic search of PubMed, Cochrane library and EMBASE for randomized controlled trials (RCTs) or non-randomized clinical trials (NRCTs) of AM therapy in STSGDS. Review Manager5.3 was utilized to analyze and present the data. RESULTS Seven studies with 219 patients were included. Compared with other treatments, the mean difference (MD) in healing time was -3.87 days (95% CI -4.39, -3.35; P < 0.00001); Relative risk for the healing rate was 1.61 (95% CI 0.0.47-5.47; P = 0.44); There was no statistical difference in the sensation of pain (P > 0.05); The relative risk for infection rate was 0.66 (95% CI 0.29, 2.18; I2 = 0%; P = 0.65). CONCLUSION This systematic review and meta-analysis indicate that it is effective and safe to use AM for treating STSGDS.
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Affiliation(s)
- Xinglong Liang
- Department of Dermatology, Maoming People's Hospital, Maoming, Guangdong, China.
| | - Li Zhou
- Department of Surgery, Maoming People's Hospital, Maoming, Guangdong, China.
| | - Jun Yan
- Department of Dermatology, Maoming People's Hospital, Maoming, Guangdong, China.
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Mecott-Rivera GÁ, Aguilar-Baqueiro JA, Bracho S, Miranda-Maldonado I, Franco-Márquez R, Castro-Govea Y, Dorsey-Treviño EG, García-Pérez MM. Pirfenidone increases the epithelialization rate of skin graft donor sites. Burns 2018; 44:2051-2058. [DOI: 10.1016/j.burns.2018.07.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2018] [Revised: 05/25/2018] [Accepted: 07/19/2018] [Indexed: 12/21/2022]
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Zidan SM, Eleowa SA, Nasef MA, Abd-Almoktader MA, Elbatawy AM, Borhamy AG, Aboliela MA, Ali AM, Algamal MR. Maximizing the safety of glycerol preserved human amniotic membrane as a biological dressing. Burns 2015; 41:1498-503. [DOI: 10.1016/j.burns.2015.03.009] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2014] [Revised: 01/17/2015] [Accepted: 03/07/2015] [Indexed: 10/23/2022]
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Poranki D, Whitener W, Howse S, Mesen T, Howse E, Burnell J, Greengauz-Roberts O, Molnar J, Van Dyke M. Evaluation of skin regeneration after burns in vivo and rescue of cells after thermal stress in vitro following treatment with a keratin biomaterial. J Biomater Appl 2013; 29:26-35. [DOI: 10.1177/0885328213513310] [Citation(s) in RCA: 51] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Thermal burns typically display an injury pattern dictated by the transfer of the thermal energy into the skin and underlying tissues and creation of three zones of injury represented by a necrotic zone of disrupted cells and tissue, an intermediate zone of injured and dying cells, and a distant zone of stressed cells that will recover with proper treatment. The wound healing capabilities of a keratin biomaterial hydrogel were studied in two pilot studies, one using a chemical burn model in mice and the other a thermal burn model in swine. In both studies, keratin was shown to prevent enlargement of the initial wound area and promote faster wound closure. Interestingly, treating thermally stressed dermal fibroblast in culture demonstrated that soluble keratin was able to maintain cell viability and promote proliferation. Separation of so-called alpha and gamma fractions of the keratin biomaterial had differential effects, with the gamma fraction producing more pronounced cell survival and recovery. These results suggest that the gamma fraction, composed essentially of degraded alpha keratin proteins, may facilitate cell rescue after thermal injury. Treatment of burns with gamma keratin may therefore represent a potential therapy for wounds with an intermediate zone of damaged tissue that has the potential to contribute to spontaneous healing.
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Affiliation(s)
- D Poranki
- Wake Forest School of Medicine, Wake Forest Institute for Regenerative Medicine, Winston Salem, NC, USA
| | - W Whitener
- Wake Forest School of Medicine, Wake Forest Institute for Regenerative Medicine, Winston Salem, NC, USA
| | - S Howse
- Wake Forest School of Medicine, Wake Forest Institute for Regenerative Medicine, Winston Salem, NC, USA
| | - T Mesen
- Wake Forest School of Medicine, Wake Forest Institute for Regenerative Medicine, Winston Salem, NC, USA
| | - E Howse
- Wake Forest School of Medicine, Wake Forest Institute for Regenerative Medicine, Winston Salem, NC, USA
| | - J Burnell
- Wake Forest School of Medicine, Wake Forest Institute for Regenerative Medicine, Winston Salem, NC, USA
| | - O Greengauz-Roberts
- Wake Forest School of Medicine, Wake Forest Institute for Regenerative Medicine, Winston Salem, NC, USA
| | - J Molnar
- Department of Plastic and Reconstructive Surgery, Wake Forest School of Medicine, Medical Center Boulevard, Winston Salem, NC, USA
| | - M Van Dyke
- Department of Orthopaedic Surgery, Wake Forest School of Medicine, Medical Center Boulevard, Winston Salem, NC, USA
- Virginia Tech – Wake Forest University School of Biomedical Engineering and Sciences, Blacksburg, VA, USA
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Use of gelfix (lyophilized type 1 bovine collagen) pad dressing for split-thickness skin graft donor area management. J Craniofac Surg 2010; 21:1662. [PMID: 20856077 DOI: 10.1097/scs.0b013e3181efacab] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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