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EWMA 2013 - Ep476 - Treatment of Split Thickness Skin Graft Donor Sites with a Combined Alginate and Carboxymethyl Cellulose Dressing
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EWMA 2013 - Ep476 - Treatment of Split Thickness Skin Graft Donor Sites with a Combined Alginate and Carboxymethyl Cellulose Dressing

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Moti Harats MD, Tanya Motiei R.N, M.A, Oren Weissman MD, Josef Haik MD MPH …

Moti Harats MD, Tanya Motiei R.N, M.A, Oren Weissman MD, Josef Haik MD MPH
Department of Plastic and Reconstructive Surgery and The Burn Unit, Sheba Medical Center
ISRAEL

Published in: Health & Medicine

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  • 1. Treatment of Split Thickness Skin Graft Donor Sites with a Combined Alginate and Carboxymethyl Cellulose Dressing Moti Harats MD, Tanya Motiei R.N, M.A, Oren Weissman MD, Josef Haik MD MPH Department of Plastic and Reconstructive Surgery and The Burn Unit, Sheba Medical Center ISRAEL
  • 2. Background • Following split thickness skin graft procedures, donor sites tend to bother patients excessively due to long healing periods, local tenderness and pain during dressing changes. • Recently a new combined alginate and carboxymethyl cellulose dressing, Seasorb (Coloplast UK LTD, Peterborough, United Kingdom), has emerged for local wound care. Here in we present the experience we have had with Seasorb in the treatment of skin graft donor sites.
  • 3. Methods • Twelve patients underwent Split Thickness Skin Graft (STSG) were included. Seasorb Soft was immediately placed on STSG donor site after surgery, dressing was changed on the 2nd and 5th Post-Operative Day. • Epithelization rates, Daily pain measurements (VAS Scale), Bleeding, Infection, Complications and patient overall comfort rates were obtained.
  • 4. Patient’s Results Gender Age Diabetes Smooking Donor Site Donor TBSA% Days to Epithelization VAS Score Bleeding Infection Complications General Satisfaction 1 Male 33 No No Thigh 3% 5 0 No No No 4 2 Femal 80 Yes No Thigh 1% 6 0 No No No 5 3 Male 66 No Yes Thigh 2% 5 0 No No No 5 4 Femal 83 No No Thigh 1% 5 0 No No No 4 5 Femal 65 No No Thigh 2% 5 0 No No No 5 6 Femal 33 No Yes Thigh 4% 5 0 No No No 4 7 Femal 33 No No Thigh 2% 4 0 No No No 5 8 Femal 40 No No Thigh 1% 5 0 No No No 5 9 Femal 86 No No Thigh 1.50% 5 0 No No No 5 10 Male 90 No No Thigh 1% 6 0 No No No 4 11 Femal 81 Yes Yes Thigh 1% 7 0 No No No 4 12 Male 62 Yes No Thigh 2% 5 0 No No No 4
  • 5. Results • Average healing time was 5.25 days, ranged from 4-7 days, until complete re-epithelialization was obtained. • All patients reported very low levels of pain (VAS pain scale 0-10). • Average Total Body Surface Area of donor site was 2% (1-4%). • The Overall Satisfaction of the patient after full recovery was very high, average of 4.5 (1 – 5 Scale).
  • 6. Results • In one case a green excretion without any clinical signs of infection appeared on donor site when the dressing wasn't kept dry, which required a different type of dressing. • No clinical infections, Bleeding or adverse events were reported. • Both clinician and patients had a good overall impression of SeaSorb Soft and in all cases the nurses reported favorably to choosing SeaSorb Soft for future treatment of these kinds of wounds.
  • 7. Patient’s Results • Female, 86 year old • Donor Properties: Location – Left Thigh, TBSA – 1.5% • Days to Epithelization: 5 days • No Complications, Pain (Vas Score) – 0, Overall Satisfaction – 5/5 Post Operative Day 0 Day 2 of treatment Day 5 of treatment
  • 8. Patient’s Results • Female, 33 year old • Donor Properties: Location – Right Thigh, TBSA – 2% • Days to Epithelization: 4 days • No Complications, Pain (Vas Score) – 0, Overall Satisfaction – 5/5 Post Operative Day 0 Post Operative Day 4
  • 9. Discussion • Seasorb Soft appears to be effective and safe in the management of skin-graft donor sites. The main advantages were pain relief, expedited healing, easy and non-painful dressing changes and overall comfort. • Further research with larger patient volumes are still needed to verify these findings.