Àá½Ã¸¸ ±â´Ù·Á ÁÖ¼¼¿ä. ·ÎµùÁßÀÔ´Ï´Ù.
KMID : 0853020160190010021
Journal of Korean Burn Society
2016 Volume.19 No. 1 p.21 ~ p.25
Effect of Wound Healing by Physiotulle¨Þ in Donor Site of Split-Thickness Skin Graft
Jeong Woon-Hyeok

Yun Tae-Bin
Choi Jae-Hoon
Kim Jun-Hyung
Abstract
Purpose: Split thickness skin graft (STSG) is frequently used for reconstructing wounds. The treatment of split-thickness donor sites demands several factors: maintenance a moist condition, minimization of pain, promotion of re-epithelization and ease of care. We have performed a study to evaluate ef-ficacy of Physiotulle¢ç for donor site management.

Methods: A prospective study was conducted from June 2015 to December 2015 and included 20 patients undergoing surgery for reconstructive purposes with the use of STSG. The grafts harvested with a same manner and the donor sites were man-aged with one of the two dressing material: Physiotulle¢ç or Bactigras¢ç. We campared post-operative pain scale, bleeding of donor site, period of re-epithelization and donor site infection.

Results: All of 20 patients were well healed after application of Physiotulle¢ç or Bactigras¢ç dressing without any com-plications. Pain level was similar between two groups until 3 days after operation but Physiotulle¢ç (4.1¡¾0.233) showed significant (P£¼0.01) pain increasing on 7 days after oper-ation compared with Bactigras¢ç (2.9¡¾0.277). The bleeding in-dex score on 7 days after operation of Physiotulle¢ç (2.5¡¾ 0.167) was higher than Bactigras¢ç (2.0¡¾0.211) but there is no difference. Statistically (**P£¼0.01), the period of re-eopithe-lization of Physiotulle¢ç (13.50¡¾0.87) was significantly shorten than Bactigras¢ç (17.25¡¾0.65).

Conclusion: Physiotulle¢ç is effective in re-epithelization. We recommend applying ointment on donor site when exudate is minimized, about 7 days after operation to prevent ag-gravation of pain and bleeing of donor site. (J
KEYWORD
Physiotulle¢ç, Donor site, Skin graft, Wound healing
FullTexts / Linksout information
Listed journal information
´ëÇÑÀÇÇÐȸ ȸ¿ø