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Dressing Influence on Re-epithelialization Rate Following Split-thickness Skin Graft Harvest: Network Meta-analysis of Randomized Controlled Trials.

作者信息

Alhindi Nawaf, Qari Sarah, Nukaly Houriah, Althagafi Abdullah, Alzolaibani Sarah, Akkour Mousa, Ahmed Kausar, Samandar Abdulaziz, Alsuhaim Abdulaziz, Banjer Hanin, Alali Feryal, Hobani Assal, Altala Abdulaziz, Alasfour Zainab, Arab Khalid

机构信息

From the Saudi Ministry of Health, Rabigh, Saudi Arabia.

Faculty of Medicine, Ibn Sina Medical College, Jeddah, Saudi Arabia.

出版信息

Plast Reconstr Surg Glob Open. 2025 May 9;13(5):e6748. doi: 10.1097/GOX.0000000000006748. eCollection 2025 May.


DOI:10.1097/GOX.0000000000006748
PMID:40353210
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12063790/
Abstract

BACKGROUND: More than 160,000 skin grafts are performed annually in approximately 1 out of every 3 burn hospitalizations individually because they are primarily simple and quick. This network meta-analysis aimed to compare different conventional dressing options based on re-epithelialization time and side effects for split-thickness skin graft donor sites. METHODS: As per preferred reporting items for systematic reviews and meta-analysis guidelines, a thorough systematic review and network meta-analysis were conducted. A comprehensive search was performed using MEDLINE, Cochrane, and Embase databases, and all publications published before August 2023 were included without time restrictions. RESULTS: This study performed a network meta-analysis of 25 unique randomized controlled trials published between 1983 and 2022. We found that alginate is the most often used, followed by paraffin gauze. Nonetheless, povidone-iodine-impregnated foam (Betafoam) was the most effective (90.4%), followed by hydrocolloid (87.9%). Petrolatum (73.5%) is associated with faster re-epithelialization than alginate (40.6%) and paraffin (18.1%). Cotton gauze ranked as the worst modality for skin graft donor-site dressing (3.9%). CONCLUSIONS: This study serves as a guide for the selection of proper dressing for patients undergoing partial-thickness skin graft harvest. Even though povidone-iodine-impregnated foam was the most effective, we recommend further research comparing other factors for selecting dressings, such as wound and patient characteristics, availability, and costs of dressings.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/950e/12063790/ce56a2b20f2a/gox-13-e6748-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/950e/12063790/884dd9ac2de9/gox-13-e6748-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/950e/12063790/0e7d134d8070/gox-13-e6748-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/950e/12063790/e96de9b9628f/gox-13-e6748-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/950e/12063790/8745f1508625/gox-13-e6748-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/950e/12063790/7c86be789011/gox-13-e6748-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/950e/12063790/920b60902e45/gox-13-e6748-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/950e/12063790/ce56a2b20f2a/gox-13-e6748-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/950e/12063790/884dd9ac2de9/gox-13-e6748-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/950e/12063790/0e7d134d8070/gox-13-e6748-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/950e/12063790/e96de9b9628f/gox-13-e6748-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/950e/12063790/8745f1508625/gox-13-e6748-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/950e/12063790/7c86be789011/gox-13-e6748-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/950e/12063790/920b60902e45/gox-13-e6748-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/950e/12063790/ce56a2b20f2a/gox-13-e6748-g007.jpg

相似文献

[1]
Dressing Influence on Re-epithelialization Rate Following Split-thickness Skin Graft Harvest: Network Meta-analysis of Randomized Controlled Trials.

Plast Reconstr Surg Glob Open. 2025-5-9

[2]
Hydrogel dressings for donor sites of split-thickness skin grafts.

Cochrane Database Syst Rev. 2023-8-16

[3]
Comparison of the efficacy and safety of povidone-iodine foam dressing (Betafoam), hydrocellular foam dressing (Allevyn), and petrolatum gauze for split-thickness skin graft donor site dressing.

Int Wound J. 2018-11-26

[4]
Split-thickness skin graft donor site management. A randomized prospective trial comparing a hydrophilic polyurethane absorbent foam dressing with a petrolatum gauze dressing.

Arch Otolaryngol Head Neck Surg. 1995-10

[5]
A Comprehensive Analysis of Moist Versus Non-Moist Dressings for Split-Thickness Skin Graft Donor Sites: A Systematic Review and Meta-Analysis.

Health Sci Rep. 2025-1-17

[6]
Dressings and topical agents for treating pressure ulcers.

Cochrane Database Syst Rev. 2017-6-22

[7]
Alginate dressing and polyurethane film versus paraffin gauze in the treatment of split-thickness skin graft donor sites: a randomized controlled pilot study.

Adv Skin Wound Care. 2013-2

[8]
Effects of Dressing Materials on Donor Site Morbidity: A Comparative Study at a Tertiary Hospital in Kenya.

Ann Plast Surg. 2019-7

[9]
Antibiotics and antiseptics for venous leg ulcers.

Cochrane Database Syst Rev. 2013-12-23

[10]
Biological versus non-biological dressings in the management of split-thickness skin-graft donor sites: a systematic review and meta-analysis.

J Wound Care. 2020-10-2

本文引用的文献

[1]
Hydrogel dressings for donor sites of split-thickness skin grafts.

Cochrane Database Syst Rev. 2023-8-16

[2]
A Randomized Controlled Trial of Three Advanced Wound Dressings in Split-Thickness Skin Grafting Donor Sites-A Personalized Approach?

J Pers Med. 2022-8-27

[3]
Polylactic Acid Membrane Improves Outcome of Split-Thickness Skin Graft Donor Sites: A Prospective, Comparative, Randomized Study.

Plast Reconstr Surg. 2022-11-1

[4]
Evaluation of Bacterial Cellulose Dressing versus Vaseline Gauze in Partial Thickness Burn Wounds and Skin Graft Donor Sites: A Two-Center Randomized Controlled Clinical Study.

Evid Based Complement Alternat Med. 2022-5-18

[5]
Polyurethane Versus Calcium Alginate Dressings for Split-Thickness Skin Graft Donor Site: A Systematic Review and Meta-Analysis.

Cureus. 2021-11-30

[6]
Split-thickness skin graft donor-site morbidity: A systematic literature review.

Burns. 2021-11

[7]
Management of Burns.

N Engl J Med. 2019-9-19

[8]
Comparison of the efficacy and safety of povidone-iodine foam dressing (Betafoam), hydrocellular foam dressing (Allevyn), and petrolatum gauze for split-thickness skin graft donor site dressing.

Int Wound J. 2018-11-26

[9]
Meta-analysis and Systematic Review of Skin Graft Donor-site Dressings with Future Guidelines.

Plast Reconstr Surg Glob Open. 2018-9-24

[10]
An evidence-based review of split-thickness skin graft donor site dressings.

Int Wound J. 2018-8-17

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