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Alginate dressing and polyurethane film versus paraffin gauze in the treatment of split-thickness skin graft donor sites: a randomized controlled pilot study.
Adv Skin Wound Care 2013; 26(2):67-73AS

Abstract

OBJECTIVES

To compare postoperative healing of split-thickness skin graft (STSG) donor sites using traditional dressings (paraffin gauze) or modern wound dressings (alginate dressing and polyurethane film) in a randomized controlled trial.

METHOD

Thirty patients were randomly assigned to treatment of an STSG donor site with an alginate dressing and a polyurethane film or nonadherent paraffin gauze. Outcome variables were pain (measured with a visual analog scale), amount of dressing changes, healing time, cosmetic outcome, treatment costs, and overall satisfaction with the procedure.

RESULTS

There was no significant difference in pain (postoperative day 1: 2.1 vs 1.2, P = .26; postoperative days 5-7: 1.0 vs 0.9, P = .47; final removal: 1.9 vs 1.0, P = .19) and time to healing (18.1 vs 15.4 days, P = .29) between alginate/polyurethane film dressing and nonadherent paraffin gauze. The semiocclusive dressings with polyurethane film required multiple dressing changes, whereas the nonadherent paraffin gauze could be left in place until complete epithelialization. Treatment costs were substantially lower for paraffin gauze.

CONCLUSIONS

Semiocclusive dressings with alginate dressings and polyurethane film showed no advantages over treatment with paraffin gauze. With lower costs and better patient acceptance, paraffin gauze dressings were the preferred treatment for STSG donor sites.

Authors+Show Affiliations

Hospital Schaffhausen, Schaffhausen, Switzerland.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

23337646

Citation

Kaiser, Dominik, et al. "Alginate Dressing and Polyurethane Film Versus Paraffin Gauze in the Treatment of Split-thickness Skin Graft Donor Sites: a Randomized Controlled Pilot Study." Advances in Skin & Wound Care, vol. 26, no. 2, 2013, pp. 67-73.
Kaiser D, Hafner J, Mayer D, et al. Alginate dressing and polyurethane film versus paraffin gauze in the treatment of split-thickness skin graft donor sites: a randomized controlled pilot study. Adv Skin Wound Care. 2013;26(2):67-73.
Kaiser, D., Hafner, J., Mayer, D., French, L. E., & Läuchli, S. (2013). Alginate dressing and polyurethane film versus paraffin gauze in the treatment of split-thickness skin graft donor sites: a randomized controlled pilot study. Advances in Skin & Wound Care, 26(2), pp. 67-73. doi:10.1097/01.ASW.0000426715.57540.8d.
Kaiser D, et al. Alginate Dressing and Polyurethane Film Versus Paraffin Gauze in the Treatment of Split-thickness Skin Graft Donor Sites: a Randomized Controlled Pilot Study. Adv Skin Wound Care. 2013;26(2):67-73. PubMed PMID: 23337646.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Alginate dressing and polyurethane film versus paraffin gauze in the treatment of split-thickness skin graft donor sites: a randomized controlled pilot study. AU - Kaiser,Dominik, AU - Hafner,Jürg, AU - Mayer,Dieter, AU - French,Lars E, AU - Läuchli,Severin, PY - 2013/1/23/entrez PY - 2013/1/23/pubmed PY - 2014/1/10/medline SP - 67 EP - 73 JF - Advances in skin & wound care JO - Adv Skin Wound Care VL - 26 IS - 2 N2 - OBJECTIVES: To compare postoperative healing of split-thickness skin graft (STSG) donor sites using traditional dressings (paraffin gauze) or modern wound dressings (alginate dressing and polyurethane film) in a randomized controlled trial. METHOD: Thirty patients were randomly assigned to treatment of an STSG donor site with an alginate dressing and a polyurethane film or nonadherent paraffin gauze. Outcome variables were pain (measured with a visual analog scale), amount of dressing changes, healing time, cosmetic outcome, treatment costs, and overall satisfaction with the procedure. RESULTS: There was no significant difference in pain (postoperative day 1: 2.1 vs 1.2, P = .26; postoperative days 5-7: 1.0 vs 0.9, P = .47; final removal: 1.9 vs 1.0, P = .19) and time to healing (18.1 vs 15.4 days, P = .29) between alginate/polyurethane film dressing and nonadherent paraffin gauze. The semiocclusive dressings with polyurethane film required multiple dressing changes, whereas the nonadherent paraffin gauze could be left in place until complete epithelialization. Treatment costs were substantially lower for paraffin gauze. CONCLUSIONS: Semiocclusive dressings with alginate dressings and polyurethane film showed no advantages over treatment with paraffin gauze. With lower costs and better patient acceptance, paraffin gauze dressings were the preferred treatment for STSG donor sites. SN - 1538-8654 UR - https://www.unboundmedicine.com/medline/citation/23337646/Alginate_dressing_and_polyurethane_film_versus_paraffin_gauze_in_the_treatment_of_split_thickness_skin_graft_donor_sites:_a_randomized_controlled_pilot_study_ L2 - http://dx.doi.org/10.1097/01.ASW.0000426715.57540.8d DB - PRIME DP - Unbound Medicine ER -