Comparative Evaluation of Different Dressings for Applications on Transplanted Splitting Perforated Autodermotransplants
Abstract
Objective: Comparative study of effectiveness of different dressings for application on transplanted split perforated autodermotransplants.
Material and methods: Clinical and laboratory evaluation of autodermoplasty made in 108 patients with deep lesions.
Results: It was revealed that good engraftment and epithelialization of autodermotransplants largely depended on the preparation of recipient bed and creation of optimal conditions for healing through use of dressings, rather than on any additional manipulations. Complications in the form of festering wounds with lysis of the transplanted autodermotransplants most often occurred in application of dressings containing no antibiotics.
Conclusion: Rational treatment tactic of burn wounds after autodermoplasty is proposed.
About the Authors
A. A. Alekseev
Russian Medical Academy of Postgraduate Education; Burns Center A.V. Vishnevsky Institute of Surgery, Russian Ministry of Healthcare
Russian Federation
Russian Federation
Andrei Anatolievich Alekseev — Doctor of Medical Sciences, Professor, Head of Department of thermal injuries, wound and wound infection; Head
Phone (Office): 8(499)236‐20‐23
Phone (Mobile): 8(985)7654405
Address: 115093, Moscow, B. Serpukhovskaya street, 27
A. E. Bobrovnikov
Russian Medical Academy of Postgraduate Education; Burns Center, A.V. Vishnevsky Institute of Surgery, Russian Ministry of Healthcare
Russian Federation
Russian Federation
Alexander Eduardovich Bobrovnikov — Doctor of Medical Sciences, Associate Professor, Department of thermal injuries, wound and wound infection; Head of ER and consulting department
Phone (Office): 8(499)236‐32‐04
Phone (Mobile): 8(903)673‐04‐19
Address: 115093, Moscow, B. Serpukhovskaya street, 27
M. G. Krutikov
RMAPO; Burn Center, A.V. Vishnevsky Institute of Surgery, Russian Ministry of Healthcare
Russian Federation
Russian Federation
Michael Georgievich Krutikov ‐ Ph.D., assistant professor of thermal injuries, wounds and wound infection; Leading specialist
Office phone: 8 (499) 236‐32‐04
Phone Mob .: 8 (916) 2350875
Address: 115093, Moscow, B. Serpukhovskaya street, 27
S. V. Semenova
GBOU RMAPO Russian Ministry of Health; Burn Unit GBU RS (Y) RB№2 TSEMP
Russian Federation
Russian Federation
Semenova Svetlana Vladimirovna‐ graduate student of Traumatology and Orthopedics, Head
Office phone: 8 (411) 243‐28‐18
Phone Mob .: 8 (914) 2778783
V. V. Bogdanov
GBOU DPO RMAPO MOH Russia; Burn Center, A.V. Vishnevsky Institute of Surgery, Russian Ministry of Healthcare
Russian Federation
Russian Federation
Bogdanov Vitaly Vladimirovich‐ Surgeon
Office phone: 8 (499) 236‐32‐04
Phone Mob .: 8 (985) 1200551
Address: 115093, Moscow, B. Serpukhovskaya street, 27
М. B. Malutina
GBOU DPO RMAPO MOH Russia
Russian Federation
Russian Federation
Malyutina Natalia Borisovna‐ MD, PhD, chair of thermal injuries, wounds and wound infectio
Office phone: 8 (499) 236‐32‐04
Phone Mob .: 8 (910) 4241121
Address: 125993, Moscow, ul. Barricade, d. 2/1
References
1. Gilbert F.M., Shevchenko R.V., Gulamhuseinvala N., Bragg T., Buss S. Atravmaticheskie povyazki dlya zakrytiya kozhnykh transplantov – pochemu oni ne primenyayutsya postoyanno? [Atraumatic dressings for covering skin grafts – why aren't they used all the time?] Konbustiologiya [Combustiology]. 2007, №30.
2. Bobrovnikov A.E. Antibiotikoprofilaktika posleoperatsionnykh infektsionnykh oslozhneniy v kombustiologii [Antibiotic prevention of post‐surgical complications in Combustiology]: Candidate of Medical Sciences thesis, Moscow, 2000, 260 p.
3. Bobrovnikov A.E. Teklhnologii mestnogo konservativnogo lecheniya obozhennykh [Techniques of local conservative treatment of burn patients]: Doctor of Medical Sciences thesis, Moscow, 2012, 312 p.
4. Matchin E.N. Aktivnaya khirurgicheskaya taktika pri lechenii glubokikh ozhogov v usloviyakh Donskoi gorodskoi bolnitsy Tulskoi oblasti [Proactive surgical tactics in treatment of full‐thickness burns in Donskoi city hospital, Tula region]: Author's abstract Candidate of Medical Sciences thesis, Ryazan, 1975, 17p.
5. Menzul V.A. Novaya konseptsiya lecheniya ozhogovkh ran: sobstvennaya vlazhnaya sreda i predtransplantatsionnaya rezektsiya granulaytsionnoi tkani [New concept of burn wound treatment: own moist environment and pre‐grafting resection of granulating tissue] Novye metody lecheniya ozhogov s ispolzovaniem kultivirovannykh kletok kozhi: Mat. II mezhd. Simpoz.[New methods of treating burns with cultivated skin cells: Proceedings of the II International Symposium]. Saratov, 1998, P.104‐107.
6. Menzul V.A., Braitman R.H. Lechenie ozhogov u detei pri primenenii novogo pokoleniya polietilenovykh plenochnykh povyazok, perforirovannyakh s antimikrobnym napyleniem DDB‐M [Treatment of burns in children with the use of new‐generation meshed polyethilene film dressings with antimicrobic sputter coating DDB‐M] Sovremennye podkhody k razrabotke effektivnykh povyazochnykh sredstv: Mat. III Mezhd. Konf. [Modern approaches to development of effective dressings: Proceedings of the III Int. Conf.]. Moscow, 1998, pp.63‐65.
7. Fistal E.Ya., Soloshenko V.V., Fistal N.N., Firsova G.M., Arefiev V.V., Samoilenko G.E., Nosenko V.M., Cheglakov E.V., Korotkikh D.M. Mestnoe lechenie ozhogovykh ran [Local treatment of burn wounds] [Electronic resource] // Mistetstvo likuvaniya. – 2008. Access mode: http://m‐l.com.ua/?aid=1016.
8. Fedorov V.D., Sarkisov D.S., Alekseev A.A., Tumanov V.P., Serov G.G. Plasticheskoe vosstanovlenie kozhnykh pokrovov s ispolzovaniem kultivirovannykh allofibroblastov [Plastic regeneration of skin cover with the use of cultivated allofibroblasts] Annaly khirurgii [Annals of Surgery]. 1996, № 4, p.16.
9. Alekseev A.A., Kashin Yu.D., Yashin A.Yu, Rakhaev A.M. Taktika khirurgicheskogo lecheniya tyazheloobozhennykh na osnove primeneniya kultivirovannykh allofibroblastov [The tactics of surgical treatment of critically burn patients with the use of cultivated allofibroblasts] Novye metody lecheniya ozhogov s ispolzovaniem kultivirovannykh kletok kozhi [New methods of treating burns with cultivated skin cells]. Saratov, 1998, P.9‐12.
10. Bacchetta C., Magee W., Rodeheates G. et al. Biology of infections of split thickness skin grafts. //Am J Surg. ‐1975. ‐Vol.130. ‐P.63.
11. Berry R.B. Hackett M.E.J. A comparative evaluation of lyophilized homograft. Lyophilized pigskin and frozen pigskin biological dressings. //Burns. ‐ 1980, – N 2. ‐ P. 84‐89.
12. Cho C.Y., Lo J.S. Dressing the part. //Dermatol Clin. ‐1998. ‐Vol.6. ‐P.25‐47.
13. Levin N.S., Lindberg R.A., Salisbury R.A., Mason A.D., Pruitt B.A. Comparison of coarse mesh gauze with biological dressings on granulating wounds. ‐ Am. J. Surg., ‐ 1976. – Vol. 131. – N 6. ‐ P. 727‐ 729.
14. Edwards J. Management of skin grafts and donor sites. //Nursing Times. ‐2007. –Vol.103. –N 43. ‐ P.52–53.
15. Hauser J., Rossbach O., Vogt P.M., Reimer K., Bosse B., Fleischer W., Steinau H.U. Efficacy of treatment with Repithel and Jelonet in comparison to treatment with Jelonet alone ‐ a randomized clinical trial in patients receiving meshed skin grafts.// Zentralbl Chir. ‐2006. –Vol. 131. ‐ N 4. – P.315‐321.
16. Harris N.S., Compton J.B., Abstan S., Larson D.L. Comparison of Fresh, Frozen and Lyophilized Poreine Skin as Xenografts on Burned Patients. //Burns ‐ 1976, ‐ N2. ‐ P. 71‐75.
17. Hansbrough W., Doré C., Hansbrough J.F. Management of skin‐grafted burn wounds with Xeroform and layers of dry coarse‐mesh gauze dressing results in excellent graft take and minimal nursing time. //J Burn Care Rehabil. ‐1995. Vol. 16. – N 5. –P.531.
18. Kreis R.W., Vloemans A.F. Fixation of skin transplants in burns with Surfasoft and staples. // Scandinavian Journal of Plastic Reconstructive Surgery. ‐1987. ‐ Vol. 21. – N 3. –P.249–251.
19. Kiene S., Schill H., Rower J., Frick U. Lyophilisierte Schweinespalthant als biologischer Wundverband. //Zbl. Chir. ‐ 1976, ‐ Bd 101, ‐ N 24. ‐ P. 1481‐1494.
20. Moore K., Thomas A., Harding K.G. Iodine released from the wound dressing Iodosorb modulates the secretion of cytokines by human macrophages responding to bacterial lipopolysaccharide. //Int J Biochem Cell Biol. ‐1997. ‐Vol. 29. ‐P.163‐171.
21. Sakamoto Y., Kishi K. The Fixation and Dressing for Meshed and Sheet Skin Graft [Electronic resource] / Skin Grafts /Edited by Gore M. // InTech. ‐2013. – Access mode: http://www.intechopen.com/books/skin‐grafts/the‐fixation‐and‐dressing‐for‐meshed‐and‐sheet‐skin‐graft.
22. Salisbury R.E., Carnes R.W., Enterline D. Biological dressings and evaporative water loss from burn wounds. ‐ Ann. plast. surg. ‐ 1980, ‐ Vol. 5. – N 4. ‐ P. 270‐272.
23. Seyhan T. Split‐Thickness Skin Grafts [Electronic resource]. / Skin Grafts ‐ Indications, Applications and Current Research /Edited by Spear M. // InTech. – 2011. Access code: http://www.intechopen.com/books/skin‐grafts‐indications‐applications‐and‐current‐research/split‐thickness‐skin‐grafts.
24. Szabo S.E., Toomey J.M., Linn B.S. Does skin have antimicrobial properties? An in‐vitro experiment and literature review. // Am Surg, ‐1978. –Vol. 44. – N 1. –P.55‐58.
25. Alexander J.W., MacMillan B.G., Law E., Kittur D.S. Treatment of severe burns with widely meshed skin autograft and meshed skin allograft overlay // J Trauma. ‐1981. –Vol. 21. –P. 433‐438
26. Papini R.P., Wilson A.P., Streer J.A. et al. Wound management in burn centers in the United Kingdom.//Brit. J. Surg. ‐1995. ‐Vol. 82. ‐N 4. ‐P. 505‐509.
Review
For citations:
Alekseev A.A., Bobrovnikov A.E., Krutikov M.G., Semenova S.V., Bogdanov V.V., Malutina М.B. Comparative Evaluation of Different Dressings for Applications on Transplanted Splitting Perforated Autodermotransplants. Yakut Medical Journal. 2014;(4):26-30.
Views:
5
Email this article 