Comparison of Varihesive E with the Conventional Tulle Gras Dressing in Skin Graft Donor Sites Treatment of Infants

  • W. Wagemann
  • B. Franke
  • H. Krause
Conference paper

Abstract

The conventional open or nonocclusive treatment of split-thickness skin graft donor sites using wide-meshed, lattice tulle gras compresses impregnated with saline, paraffin or ointments requires frequent dressing changes, which are usually painful and often sanguineous. Even today, this complicates donor site treatment in children. Pediatric surgery practice therefore requires a type of wound dressing that: (a) provides a safe, immovable wound cover adhering tightly to healthy skin, even in mobile children, and (b) that can be changed without causing the patient pain.

Keywords

Cellulose Foam Paraffin Gelatin Polyurethane 

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References

  1. 1.
    Alvarez OM, Mertz PM, Hefton JM, Eaglstein WH (1983) The effect of occlusive dressings on collagen synthesis and reepithelialisation in superficial wounds. J Surg Res 35:142–148.PubMedCrossRefGoogle Scholar
  2. 2.
    Biltz H, Kiessling M, Kreysel HW (1986) Vergleich von VarihesiveR und Kochsalzgaze in der Behandlung von Donorarealen nach Spalthautentnahme. Extr Dermatol 10(1):23–28.Google Scholar
  3. 3.
    Donati L, Vigano M (1988) Use of the hydrocolloidal dressing DuoDERM for skin donor sites for burns. Int J Tissue React 10:267–272.PubMedGoogle Scholar
  4. 4.
    Doherty C, Geraldine L, Noble S (1986) Granuflex hydrocolloid as a donor site dressing. Care Crit Ill 5:11–12.Google Scholar
  5. 5.
    Eisenberg M (1986) The effect of occlusive dressings on reepithelialisation of wounds in children with epidermolysis bullosa. J Pediatr Surg 21:829–894.CrossRefGoogle Scholar
  6. 6.
    Feldmann DL, Rogers A, Karpinski RH (1991) A prospective trial comparing Biobrane, DuoDERM and Xero-form for skin graft donor sites. Surg Gynecol Obstet 173(1): 1–5.Google Scholar
  7. 7.
    Hermans MHE, Hermans RP (1986) DuoDERM, an alternative dressing for smaller burns. Burns 12:214–219.CrossRefGoogle Scholar
  8. 8.
    Hermans MHE (1990) DuoDERM E in the treatment of donor sites: a report. Ann MBC 3:166–169.Google Scholar
  9. 9.
    Leicht P, Sum E, Dreyer M, Larsen TK (1991) DuoDERM application on scalp donor sites in children. Burns 17(3):230–232.PubMedCrossRefGoogle Scholar
  10. 10.
    Madden MR, Finkelstein JL, Hefton JM, Yurt R (1985) Optimal healing of donor sites with hydrocolloid dressings. In: Ryan TJ (ed) An environment for healing: the role of occlusion Roy Soc Med (Lond) 136:133–137.Google Scholar
  11. 11.
    Madden MR, Nolan E, Finkelstein JL, Yurt RW, Smeland J, Goodwin CW, Hefton J, Staiano-Coico L (1989) Comparison of an occlusive and a semi-occlusive dressing and the effect of the wound exudate upon keratinocyte proliferation. J Trauma 29(7):924–930.PubMedCrossRefGoogle Scholar
  12. 12.
    May SR (1984) Physiology, immunology and clinical efficacy of an adherent polyurethane dressing: Opsite. In: Wise LW (ed) Burn wound coverings, vol 2. CRC Press, New York, pp 53–78.Google Scholar
  13. 13.
    Perrot J, Carsin H, Gibaud J (1986) Utilisation du pansement DuoDERM dans 1a cicatrisation des prises de greffes chez le brule. Ann Chir Plast Esthet 31(3):279–282.PubMedGoogle Scholar
  14. 14.
    Waffle C, Simon RR, Joslin C (1988) Moisture vapour permeable film as an outpatient burn dressing. Burns 14:14–70.CrossRefGoogle Scholar
  15. 15.
    Winter CD (1963) Effect of air drying and dressings on the surface of a wound. Nature 197:91–93.PubMedCrossRefGoogle Scholar
  16. 16.
    Winter CD (1970) Healing of skin wounds and the influence of dressings in the repair proces. In: Harkiss KJ (ed) Surgical dressings and wound healing, Bradford University Press, Bradford, pp 46–77.Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1995

Authors and Affiliations

  • W. Wagemann
    • 1
  • B. Franke
    • 1
  • H. Krause
    • 1
  1. 1.Klinik für Kinderchirurgie im Zentrum für Chirurgie der Medizinischen FakultätOtto-von-Guericke-Universität MagdeburgMagdeburgGermany

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