使用弹性皮肤保护剂管理断层皮片供皮区创面：病例系列。

Using an Elastomeric Skin Protectant to Manage Donor Site Wounds of Split-thickness Skin Grafts: A Case Series.

机构信息

At Universitair Ziekenhuis Brussels, Belgium, Ellen Peters, MD, is Resident, Plastic, Reconstructive, and Aesthetic Surgery; Valerie Hanssens, MSc, is Nurse Specialist Wound Care; Melissa De Henau, MD, is Medical Doctor; Yamina Dupont, MD, is Resident, Plastic, Reconstructive, and Aesthetic Surgery; Jeannine Spinnael, BSN, is Nurse Specialist Wound Care; Gabriele Giunta, MD, Assaf Zeltzer, MD, PhD, and Randy De Baerdemaeker, MD, are Staff Members, Plastic, Reconstructive, and Aesthetic Surgery; and Moustapha Hamdi, MD, PhD, is Chief, Department of Plastic, Reconstructive, and Aesthetic Surgery. The authors have disclosed no financial relationships related to this article. Submitted February 8, 2022; accepted in revised form October 21, 2022; Published ahead of print July 31, 2023.

出版信息

Adv Skin Wound Care. 2023 Sep 1;36(9):1-5. doi: 10.1097/ASW.0000000000000021.

DOI:10.1097/ASW.0000000000000021

PMID:37530580

Abstract

Split-thickness skin grafting (STSG) is a common surgical procedure to manage acute and chronic wounds. A plethora of dressings exists to treat STSG donor site wounds (DSWs). Recently, a new elastomeric skin protectant was adopted (Cavilon Advanced Skin Protectant; 3M) in the treatment of incontinence-associated dermatitis. In this report, the authors assess the effects of this elastomeric skin protectant as an alternative wound dressing for STSG donor sites.The authors report a single-center prospective case series that was performed to establish a treatment protocol. Nine consecutive patients with different indications for treatment with an STSG from May to September 2018 were included. Collected data included general patient information, comorbidities, complications, blood loss, pain during dressing change, and the duration of DSW healing.This case series showed promising results in terms of duration of DSW healing when applying the elastomeric skin protectant. The authors also observed less blood loss and less pain during dressing changes. No infections were seen during the trial.

摘要

断层皮片移植术（STSG）是一种常见的外科手术，用于处理急性和慢性伤口。有大量的敷料可用于治疗 STSG 供皮区伤口（DSW）。最近，一种新型的弹性皮肤保护剂（Cavilon 高级皮肤保护剂；3M）被用于治疗失禁相关性皮炎。在本报告中，作者评估了这种弹性皮肤保护剂作为 STSG 供皮区替代敷料的效果。作者报告了一项单中心前瞻性病例系列研究，旨在建立一种治疗方案。2018 年 5 月至 9 月，连续纳入了 9 例因不同适应证需要接受 STSG 治疗的患者。收集的数据包括一般患者信息、合并症、并发症、失血量、换药时疼痛以及 DSW 愈合时间。本病例系列研究表明，应用弹性皮肤保护剂可显著缩短 DSW 的愈合时间。作者还观察到，在更换敷料时，失血量和疼痛均减少。试验期间未发生感染。