Evaluation of the results of local treatment of donor site wounds in patients with deep burns
- Authors: Mordyakov AE1,2, Charyshkin AL2, Slesareva EV2
-
Affiliations:
- Central City Hospital
- Ulyanovsk State University
- Issue: Vol 99, No 1 (2018)
- Pages: 17-23
- Section: Theoretical and clinical medicine
- URL: https://bakhtiniada.ru/kazanmedj/article/view/7803
- DOI: https://doi.org/10.17816/KMJ2018-017
- ID: 7803
Cite item
Full Text
Abstract
Aim. Evaluation of the effectiveness of donor site wounds treatment in own liquid medium in patients with deep burns.
Methods. The study included 135 patients with deep burns, who underwent split-thickness skin grafting. The average age of patients was 52.4±1.5 years. Distribution by gender: men - (65.9%) patients, women - 46 (34.1%). In the study group (n=74) treatment of donor site wounds was carried out with moisture-controlled film dressings DDB-M. In the comparison group (n=61) treatment was performed using wet-to-dry gauze dressings with a solution of iodine-containing antiseptics in combination with additional physical methods of wound drying. Evaluation of the effectiveness of treatment methods for donor site wounds was conducted by analyzing clinical and laboratory data, bacteriological, cytological, morphological studies, and statistical methods.
Results. In the structure of complications of donor site wounds in case of conventional treatment suppuration prevails - 23.7% of patients, and in case of treatment with moisture-controlled film dressings DDB-M bleeding prevails - 12.2% of patients. Epithelialization in the study group (n=74) occurred on average 2 days earlier than in the comparison group (n=61), the difference was statistically significant (U=146.0; p=0.000).
Conclusion. The treatment of wounds in own liquid medium is an effective way, as it significantly shortens the period of epithelialization; a significant disadvantage of this method is lack of haemostatic prophylaxis of bleeding from donor site wounds in postoperative period, that could worsen its course, especially in patients with severe burns.
Full Text
##article.viewOnOriginalSite##About the authors
A E Mordyakov
Central City Hospital; Ulyanovsk State University
Author for correspondence.
Email: blade-246@yandex.ru
Ulyanovsk, Russia; Ulyanovsk, Russia
A L Charyshkin
Ulyanovsk State University
Email: blade-246@yandex.ru
Ulyanovsk, Russia
E V Slesareva
Ulyanovsk State University
Email: blade-246@yandex.ru
Ulyanovsk, Russia
References
- Ahuja R.B. ISBI practice guidelines for burn care. Burns. 2016; 42 (5): 951–952. doi: 10.1016/j.burns.2016.06.020.
- Atyasov N.I. Lechenie ran donorskikh uchastkov pri svobodnoy kozhnoy plastike u obozhzhennykh. (Treatment of donor sites wounds after split thickness grafting in patients with burns.) Saransk: MGU. 1989; 91 p. (In Russ.)
- Ratner D. Skin grafting. Semin. Cutaneous Med. Surg. 2003; 22 (4): 295–305. doi: 10.1016/s1085-5629(03)00079-8.
- Higgins L., Wasiak J., Spinks A., Cleland H. Split-thickness skin graft donor site management: a randomized controlled trial comparing polyurethane with calcium alginate dressings. Intern. Wound J. 2011; 9 (2): 126–131. doi: 10.1111/j.1742-481x.2011.00867.x.
- Tan P., Ho W., Song C. The use of Urgotul™ in the treatment of partial thickness burns and split-thickness skin graft donor sites: a prospective control study. Intern. Wound J. 2009; 6 (4): 295–300. doi: 10.1111/j.1742-481x.2009.00611.x.
- Cigna E., Tarallo M., Bistoni G. et al. Evaluation of polyurethane dressing with ibuprofen in the management of split-thickness skin graft donor sites. In Vivo. 2009; 23 (6): 983–986. PMID: 20023244.
- Demirtas Y., Yagmur C., Soylemez F. et al. Management of split-thickness skin graft donor site: A prospective clinical trial for comparison of five different dressing materials. Burns. 2010; 36 (7): 999–1005. doi: 10.1016/j.burns.2009.05.017.
- Lohsiriwat V., Chuangsuwanich A. Comparison of the ionic silver-containing hydrofiber and paraffin gauze dressing on split-thickness skin graft donor sites. Ann. Plast. Surg. 2009; 62 (4): 421–422. doi: 10.1097/sap.0b013e31818a65e9.
- Markl P., Prantl L., Schreml S. et al. Management of split-thickness donor sites with synthetic wound dressings. Ann. Plastic Surg. 2010; 65 (5): 490–496. doi: 10.1097/sap.0b013e3181d37624.
- Spear M., Bailey A. Treatment of skin graft donor sites with a unique transparent absorbent acrylic dressing. Plast. Surg. Nursing. 2009; 29 (4): 194–200. doi: 10.1097/psn.0b013e3181c4cdd9.
- Brölmann F., Eskes A., Goslings J. et al. Randomized clinical trial of donor-site wound dressings after split-skin grafting. Brit. J. Surg. 2013; 100 (5): 619–627. doi: 10.1002/bjs.9045.
- Karyakin N.N., Klemenova I.A. Burn wound treatment in moist environment. Mezhdunarodnyy zhurnal prikladnykh i fundamental’nykh issledovaniy. 2015; (9-3): 495–499. (In Russ.)
- Voynovskiy E.A., Menzul V.A., Rudenko T.G. Sistema lecheniya ozhogovykh ran v sobstvennoy zhidkoy srede. (The system of treatment of burn wounds in their own liquid medium.) Moscow: Redaktsiya zhurnala «Na boevom postu». 2015; 272 p. (In Russ.)
- Alekseev A.A., Bobrovnikov A.E., Krutikov M.G. et al. Mestnoe konservativnoe lechenie ran na etapakh okazaniya pomoshchi postradavshim ot ozhogov: klinicheskie rekomendatsii. (Local conservative treatment of wounds at the stages of rendering assistance to patients with burns: clinical guidelines.) Moscow: Obshcherossiyskaya obshchestvennaya organizatsiya «Ob"edinenie kombustiologov “Mir bez ozhogov”». 2014; 22 p. (In Russ.)
- Povoroznik A.N. Effectiveness of treatment of donor wounds in conditions of a moist chamber using biogalvanization. Vestnik neotlozhnoy i vosstanovitel’noy meditsiny. 2008; 9 (3): 326–328. (In Russ.)
Supplementary files
