Salibi A, Chasapi M, Farroha A
Department of Burns and Plastics, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
Department of Burns and Plastics, Royal Preston Hospital, Preston, UK.
Ann Burns Fire Disasters. 2016 Sep 30;29(3):202-205.
Surfasoft® is a monofilament woven polyamide thread. Its use over skin grafts has always been combined with other occlusive dressings. Its rapid application and transparent property makes it an ideal primary dressing in the absence of any occlusive layers after the first two days following skin graft application. We describe this modified use in our case series. We modified the use of Surfasoft® in four different burns patients and one skin cancer case. Surfasoft® was predominantly used on difficult sites and secured with either staples or sutures. A secondary occlusive dressing was only applied in the first 48 hours, then removed, leaving Surfasoft® as a single dressing until it spontaneously separated from the graft approximately 7-10 days post op. Complete healing of grafts was defined when dressing was no longer required. The majority of burns were full thickness with an average TBSA of 6.5%. Distribution was mainly to the neck and upper torso areas. The skin cancer was located on the right shoulder region. Graft healing was completed in 3-4 weeks following surgery. No complications were reported. Advantages of the modified Surfasoft® in addition to factors associated with graft survival in our series are discussed. The modified Surfasoft® was shown to be a simple and reliable dressing for meshed STSGs in both burns and elective procedures. We believe that it can be effectively used in sites associated with poor tolerance to conventional dressing and when nursing resources are limited.
Surfasoft®是一种单丝编织聚酰胺线。它在皮肤移植上的应用一直与其他封闭性敷料联合使用。其快速应用和透明特性使其成为皮肤移植术后前两天后没有任何封闭层时的理想初始敷料。我们在病例系列中描述了这种改良用法。我们在4例不同的烧伤患者和1例皮肤癌病例中对Surfasoft®的用法进行了改良。Surfasoft®主要用于困难部位,并用吻合钉或缝线固定。仅在最初48小时应用二次封闭性敷料,然后移除,使Surfasoft®作为单一敷料,直到术后约7 - 10天它从移植物上自然分离。当不再需要敷料时定义为移植物完全愈合。大多数烧伤为全层烧伤,平均体表面积为6.5%。分布主要在颈部和上躯干区域。皮肤癌位于右肩部区域。术后3 - 4周移植物愈合完成。未报告并发症。除了与我们系列中移植物存活相关的因素外,还讨论了改良后的Surfasoft®的优点。改良后的Surfasoft®被证明是一种用于烧伤和择期手术中网状自体皮片移植的简单且可靠的敷料。我们认为它可有效用于对传统敷料耐受性差的部位以及护理资源有限时。