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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Ann+Burns+Fire+Disasters
2017 ; 30
(1
): 52-56
Nephropedia Template TP
gab.com Text
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English Wikipedia
Grafting both acute wound site and adjacent donor site with the same graft: an
easy and safe procedure to improve healing and minimize pain in elderly and
bedridden patients
#MMPMID28592936
Keilani C
; Agard D
; Duhoux A
; Lakhel A
; Giraud O
; Brachet M
; Duhamel P
; Bey E
Ann Burns Fire Disasters
2017[Mar]; 30
(1
): 52-56
PMID28592936
show ga
In harvesting skin to cover the defect caused by a burn, a second wound is
created, the donor site wound. We propose an alternative method to manage the
donor site: taking a split-thickness skin graft (STSG) from a donor site adjacent
to the burn wound to be treated, and meshing at a 3:1 ratio to cover both sites
at once. The main objective of this study is to evaluate the effectiveness of
covering both burn wound and adjacent donor site with the same STSG in elderly
and bedridden patients. We retrospectively reviewed the medical records of 6
patients over 60 years old or/and bedridden presenting with a small burn wound
who underwent STSG of both burn wound and adjacent donor site between April 2016
and November 2016 in the Department of Plastic Surgery and Burn Treatment at
Percy Military Hospital (France). Their data were compared with data of five
patients who had undergone the usual STSG procedure during the same period. There
was a statistically significant difference between patients who underwent
adjacent STSG procedure and those who underwent usual STSG procedure in healing
time (days) mean (SD) (7,33 ± 1,03 vs. 16,2 ± 0,83; p = 0,007) and Numeric Rating
Scale pain mean (SD) at day 2 (0,33 ± 0,33 vs. 2,4 ± 1,35; p = 0,04). Grafting
both acute burn wound and adjacent donor site with the same graft seems to be an
easy method to improve healing and minimize pain in the STSG donor site in
elderly and bedridden patients.