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학술저널
저자정보
이준호 (영남대학교) Chan-Su Kang (Department of Plastic and Reconstructive Surgery Yeungnam University College of Medicine Daegu) 김태곤 (영남대학교) 정규진 (영남대학교)
저널정보
대한미용성형외과학회 Archives of Aesthetic Plastic Surgery Archives of Aesthetic Plastic Surgery Vol.25 No.1
발행연도
2019.1
수록면
22 - 26 (5page)

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Background Split-thickness skin grafts (STSGs) are commonly used in the reconstruction of skin defects induced by trauma or burns. Although STSGs are used to successfully treat various wound types, donor site wounds can be challenging, and complications often develop. Therefore, optimal donor site dressings are required. In this study, we introduce an evidence base for patterns in how the discharge amount decreases over time, with the goal of providing insights into the selection of dressing materials. Methods Twenty patients with burns who received STSGs harvested from the thigh between January 2016 to April 2017 were prospectively reviewed. A donor site dressing with foam was changed daily. The weight of the foam dressing was measured before and after placement on the donor site. The wound area was calculated using Visi-Trak. The mean weight of the discharge amount per unit area (g/10 cm2) was calculated. Results The mean weight of the discharge amount per unit area (g/10 cm2) decreased from 3.84 to 2.02 (P<0.05) and 1.09 (P<0.05) on postoperative days 5 and 10, respectively. It further decreased to 0.61 by postoperative day 14. Conclusions To prevent infections induced by donor site leakage, the use of highly-absorptive foam materials until 5 days after the operation is beneficial. Moreover, hydrocolloid or highly-absorptive foam materials can be used to promote re-epithelialization of the donor site after 5 days postoperatively. For re-epithelialization and wound protection, it is effective to use hydrocolloid materials starting on postoperative day 10.

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