Split-Thickness Skin Graft Fixation With Surgical Drape

Mo, Yenidunya; Özdengil, Emre; Im, Emsen

doi:10.1097/00006534-200011000-00046

Cited by 11 publications

(2 citation statements)

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“…A common technique is to use stitches [25], but this is time consuming, and the stitches need to be removed after graft takes. Placing surgical drapes over the graft is another method [26], but these must be removed on the second or third day when the grafts are still not well vascularized, and this can lead to failure of the graft. For these reasons, fixation with skin staples was introduced as a fast and reliable method for graft fixation [27]; however, it is expensive and also stressful for the patient as the staples must be removed, a procedure which is very painful and also frightening, particularly for children.…”

Section: Discussionmentioning

confidence: 99%

Honey: A Skin Graft Fixator Convenient for Both Patient and Surgeon

Maghsoudi¹,

Moradi

2014

Indian J Surg

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Skin grafts can be used effectively to cover burn injuries. A critical element of this treatment is the adherence of the graft to the wound bed. Honey has been shown to increase the adherence of skin grafts to wound beds and have antibacterial and anti-inflammatory effects and increase healing rate of wounds. We therefore devised a clinical trial to determine the effect of honey on skin graft fixation in burn injuries. Sixty patients were included in this study (in 30 patients, graft was fixed with medical honey, and in 30 patients, it was fixed with dressing or suturing). All patients in two groups were evaluated for infection, graft loss, graft contraction, severity of pain, and need for re-operation. The most common cause of burn was kerosene. Honey significantly decreased infection rate on fifth day and reduced the patient pain. The mean hospital stay was shorter in honey group. Contraction of graft was significantly less in honey group. Honey has strong adhesive properties for skin graft fixation. Medical honey is a natural material, not synthetic. For this reason, we can advise the application of medical honey for the fixation of split thickness skin graft.

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Section: Discussionmentioning

confidence: 99%

Honey: A Skin Graft Fixator Convenient for Both Patient and Surgeon

Maghsoudi¹,

Moradi

2014

Indian J Surg

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“…There are many methods and products in the literature on skin graft fixation. Some of them include applying cyanoacrylate, fibrin glue [107], surgical drape [108], etc. Medical honey has been used in skin graft fixation because of its advantages such as antibacterial activity, adhesive properties and anti-inflammatory effect [109].…”

Section: Moisturementioning

confidence: 99%

Honey Use in Burn Management: Potentials and Limitations

Boukraâ¹,

Sulaiman²

2010

Forsch Komplementmed

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Management of the burn wound still remains a matter of debate, and an ideal dressing for burn wounds has not yet been discovered. Naturally occurring substances such as honey have been found to be useful as a wound cover for burns. Unlike most conventional local chemotherapeutics, honey does not lead to the development of antibiotic-resistant bacteria, and it may be used continuously. Among the challenging problems of using honey for medical purposes are dosage, safety, and formulation. Many approaches have been suggested to overcome such problems. With the increased availability of licensed medical products containing honey, clinical use is expected to increase and further evidence will become available. Honey seems to have the potential to clear infection as well as to be an effective prophylactic agent that may contribute to reducing the risks of cross-infection. A better understanding of the therapeutic and chemical properties of honey is needed to optimise the use of this product in the clinical management of burns. Its use in professional care centres should be limited to those with certified healing activities. The potentials and limitations of using honey as burn dressing are discussed in this review.

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