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Volume 36, Issue 2, Pages 252-255 (March 2010)


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The use of “composite dressing” for covering split-thickness skin graft donor sites

Tien-Hsiang WangCorresponding Author Informationemail address, Hsu Ma, Fa-Lai Yeh, Jin-Teh Lin, Bing-Hwei Shen

Accepted 7 April 2009.

Abstract 

To evaluate the effect of a new dressing method for clean wound coverage, two kinds of dressing materials are combined together to cover nine wounds in nine patients. All the wounds are split-thickness skin graft donor sites located in the anterior thighs. The size of the wounds ranges from 6cm×4cm to 10cm×8cm (42cm2 on average). A central fenestration is created in the polyurethane film layer for draining the wound discharge, and a piece of 2.5cm×2.5cm carboxymethyl cellulose dressing is fixed on top of the fenestration for protecting the underlying wound. Dry gauze is used to cover the composite dressing, which is replaced daily. The wound condition is checked and recorded everyday until the patient is discharged. Further management and follow-up for the wound is performed at the outpatient department or by telephone. All wounds healed smoothly on the postoperative 6th to 7th day. No wound infection was noted, including one patient who had diabetes mellitus. Five patients responded to follow-up for at least 5 months and no hypertrophy scar formation was noted. From clinical experiences, we know that this new method is practical and cost-effective for covering small-sized, split-thickness skin graft donor-site wounds.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei 112, Taiwan

Corresponding Author InformationCorresponding author at: Division of Plastic and Reconstructive Surgery, Department of Surgery, Taipei Veterans General Hospital, No. 201, Sec. 2, Shih-Pai Road, Taipei 112, Taiwan. Tel.: +886 2 28757542; fax: +886 2 28757041.

PII: S0305-4179(09)00112-0

doi:10.1016/j.burns.2009.04.003


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