Atherton D, Sreetharan V, Mosahebi A, Prior S, Willis J, Bishop J, Dziewulski P
Plastic Surgery Department, St Andrew's Centre for Plastic Surgery, Broomfield Hospital, Chelmsford, Essex CM1 7ET, UK.
J Plast Reconstr Aesthet Surg. 2008;61(5):535-9. doi: 10.1016/j.bjps.2007.01.004. Epub 2007 Mar 7.
The tie-over dressing is used to encourage skin graft take by minimising dead space, reducing seroma and haematoma formation and by graft immobilisation. Various materials have been proposed, however we have compared one of the most popular, Jellonet with a bolster of proflavin-soaked cotton wool, to a newer dressing, Allevyn foam.
Sixty patients were recruited and randomised into either group. Any patient requiring surgery involving a split or full thickness graft due to be carried out in the outpatient department on any site was invited to participate. Outcome measures included percentage take, pain on dressing removal (visual analogue scale) and infection. Ethical approval was obtained from the North and Mid Essex Local Research Ethics Committee.
There was no statistical difference in graft take between the two groups at day 5 (P=0.963). The Allevyn dressing was statistically more comfortable (P=0.0182).
We propose that Allevyn foam provides an effective and comfortable method for securing small split and full thickness skin grafts. While offering equal levels of graft take, improved levels of comfort may lend itself to use in sensitive areas such as the nose, ear and around the eye.
打包加压包扎用于通过最小化死腔、减少血清肿和血肿形成以及固定移植物来促进皮肤移植成活。已经提出了各种材料，然而，我们将最常用的一种材料杰洛尼特（Jellonet）与浸有普罗黄素的棉垫，与一种新型敷料艾利文泡沫敷料（Allevyn foam）进行了比较。
招募了60名患者并随机分为两组。邀请任何因在门诊任何部位进行涉及分层或全层移植手术的患者参与。观察指标包括成活率、去除敷料时的疼痛（视觉模拟评分）和感染情况。获得了北埃塞克斯和中埃塞克斯地方研究伦理委员会的伦理批准。
两组在第5天时移植成活率无统计学差异（P = 0.963）。艾利文敷料在统计学上更舒适（P = 0.0182）。
我们认为艾利文泡沫敷料为固定小面积分层和全层皮肤移植提供了一种有效且舒适的方法。在移植成活率相同的情况下，更高的舒适度可能使其适用于如鼻子、耳朵和眼睛周围等敏感区域。
