J Korean Burn Soc.  2012 Jun;15(1):34-38.

Management of Split Thickness Skin Graft Donor Sites: Comparison of Four Different Dressing Materials

• Rhee NG
• Chung SP
• Hwang TS
• Shin MH
• Jeon CW
• Kim TS

Abstract

PURPOSE
Split thickness skin graft is a frequently used reconstructive technique in burn wound, but the ideal dressing material of the donor site is yet to be developed. The donor sites have been managed with various dressing materials. The aim of this study is to compare four different dressing materials for management of the donor site in a prospective trial.
METHODS
This study is based on 85 patients who had undergone split thickness skin graft from September 2011 to February 2012. The grafts harvested with a same manner and the donor sites were managed with one of the four dressing materials: Aquacel Ag(R), Mepitel(R), Bactigra(R), Op-Site(R). We compared post-operative pain scale, the time required epithelialization, ease of application, post-operative infection and number of dressings.
RESULTS
Aquacel Ag(R) was the more painless dressing materials in post-operative day 1, 4, 7, 10 than Mepitel(R), Bactigra(R), Op-Site(R). Number of dressings was more lower for Aquacel Ag(R) with Mepitel(R). Ease of application was more higher for Aquacel Ag(R) with Mepitel(R). But Aquacel Ag(R) was not earliest epithelialization. The incidence of infection was not low in Aquacel Ag(R).
CONCLUSION
Aquacel Ag(R) dressing is better than other dressing materials for split thickness skin graft donor site in the number of dressings, ease of application, post-operative pain.

Keyword

Skin transplantation; Transplant donor site; Occlusive dressings

MeSH Terms

Bandages
Burns
Carboxymethylcellulose Sodium
Humans
Incidence
Occlusive Dressings
Prospective Studies
Skin
Skin Transplantation
Tissue Donors
Transplant Donor Site
Transplants
Carboxymethylcellulose Sodium