A prospective comparative study on the effectiveness of two different non-adherent polyurethane dressings on split-thickness skin graft donor sites. Issue 3 (August 2022)

• Record Type: Journal Article
• Authors: Rajasegeran, Darshini Devi; Aloweni, Fazila; Lim, Xinyi; Chandra Sekaran, Saranya; Nguyen, Cong Phong; Zhang, Lei; Lim, Li Pin Brenda; Ong, Shihui; Kok, Yee Onn; Chong, Si Jack
• Is Part Of: Journal of tissue viability. Volume 31:Issue 3(2022)
• Page Start: 531
• Page End: 536
• Publication Date: 2022-08
• Subjects: Split skin graft -- Donor site -- Polyurethane dressing -- Donor dressings; Wounds and injuries -- Periodicals; Ulcers -- Periodicals; Bedsores -- Periodicals; Bedsores; Ulcers; Wounds and injuries; Electronic journals; Periodicals; 617.1406
• DOI: 10.1016/j.jtv.2022.04.007
• Languages: English
• ISSNs: 0965-206X

Abstract

Abstract: Aim: To analyze differences in re-epithelization, exudate absorbency, ease and pain on dressing removal between ALLEVYN™ Non-Adhesive and Betaplast™ N. Methodology: Patients admitted to the general ward undergoing split skin grafting were recruited. Allevyn and Betaplast were applied on the donor site. Exudate absorption was assessed daily using an absorbency grading chart. Dressing change was done on post-operative day five. Ease of dressing removal and pain score using the Wong-Baker Pain Scale was assessed. The percentage of re-epithelization for each dressing was assessed. Results: 30 patients were recruited. There was a statistically significant difference in exudate absorption on post-operative day 3 ( z = −2.006, p = 0.045, T = 236) and post-operative day 4 ( z = −2.026, p = 0.0143, T = 188), pain score ( z = −2.861, p = 0.004, T = 180), ease of removal ( z = −2.668, p = 0.008, T = 126) and re-epithelization ( z = −2.566, p = 0.009, T = 336) between Betaplast and Allevyn. Conclusion: Betaplast may have faster re-epithelization, better exudate absorption, and is easier to remove while minimizing discomfort as compared to Allevyn. Highlights: Two polyurethane foam dressings, ALLEVYN™ Non-Adhesive and Betaplast™, were compared on spilt-skin graft donor sites. Allevyn was associated with poorer absorbent capacity on POD 3 and 4 as compared to Betaplast. Betaplast was associated with lesser pain and easier removal. Betaplast was associated with a greater percentage of re-epithelization.