Department of Nursing, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung, Taiwan.
PhD Candidate, Institute of Medical Sciences, Tzu Chi University, Hualien, 97004, Taiwan.
J Wound Care. 2022 Apr 1;31(Sup4):S24-S30. doi: 10.12968/jowc.2022.31.Sup4.S24.
Conventional skin graft fixation uses a tie-over bolus dressing with splint fixation. However, splints are highly uncomfortable and contribute considerably to medical waste. Previous study has shown positive results using hydrofiber for skin graft fixation. The aim of this study was to assess the effectiveness of using adhesive hydrofiber foam for skin graft fixation.
In this retrospective study, patients reconstructed with split-thickness skin graft that was fixated only with adhesive hydrofiber foam from April 2017 until April 2019 were included.
A total of 44 patients took part, of whom 32 were male and 12 female, with a mean age of 56±19 years. The mean operative time was 77.5±91 minutes. The average defect size was 42±37cm. The mean skin graft take was 97±5%. The mean length of hospital admission after skin grafting until discharge was 8.5±9.2 days. Excluding those patients undergoing other procedures at the same time as the skin graft gave a total of 34 patients. Their mean operative time was 32±20 minutes, and mean length of hospital stay after skin grafting was 4.0±4.7 days.
Adhesive hydrofiber foam for skin graft fixation was technically very easy to apply, resulting in a waterproof, non-bulky, secure dressing. Splints were not required. Patients were allowed to mobilise. This method resulted in increased patient comfort and decreased medical waste. From these findings, we believe that this is an extremely simple and effective method of skin graft fixation.
传统的皮肤移植固定采用绷带加压块敷料和夹板固定。然而，夹板极不舒适，并且会产生大量医疗废物。先前的研究表明，水纤维在皮肤移植固定中具有积极的效果。本研究旨在评估使用粘性水纤维泡沫进行皮肤移植固定的效果。
在这项回顾性研究中，纳入了仅使用粘性水纤维泡沫固定的患者，这些患者接受了断层皮片移植。纳入时间为 2017 年 4 月至 2019 年 4 月。
共有 44 名患者参与了该研究，其中 32 名男性，12 名女性，平均年龄为 56±19 岁。平均手术时间为 77.5±91 分钟。平均缺损大小为 42±37cm。平均皮肤移植成活率为 97±5%。皮肤移植后至出院的平均住院时间为 8.5±9.2 天。排除同时进行其他手术的患者后，共有 34 名患者符合要求。他们的平均手术时间为 32±20 分钟，皮肤移植后平均住院时间为 4.0±4.7 天。
粘性水纤维泡沫用于皮肤移植固定技术上非常易于应用，形成防水、不笨重、安全的敷料。不需要夹板。患者可以活动。这种方法提高了患者的舒适度，减少了医疗废物。从这些发现中，我们认为这是一种非常简单有效的皮肤移植固定方法。
