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The use of moist wound‐healing dressings in the management of split‐thickness skin graft donor sites: a systematic review
Author(s) -
Wiechula Rick
Publication year - 2003
Publication title -
international journal of nursing practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.62
H-Index - 55
eISSN - 1440-172X
pISSN - 1322-7114
DOI - 10.1046/j.1322-7114.2003.00417.x
Subject(s) - medicine , wound healing , surgery , wound dressing , randomized controlled trial , wound care , dentistry , composite material , materials science
The aim of this systematic review was to determine the best available evidence related to the post‐harvest management of split‐thickness skin graft (STSG) donor sites. Studies included in the review were those involving patients of any age examining interventions relating to the post‐harvest management of STSG donors and were intra‐individual or randomized controlled trials. All studies were checked for methodological quality, and data were extracted using a data extraction tool. Many studies were combined in meta‐analysis. The present report concerns studies examining moist and non‐moist wound‐healing dressings. Broad comparisons of moist wound‐healing dressings against traditional non‐moist dressings favoured moist wound‐healing approaches in terms of healing rates, pain and infection. In comparing dressings within and between moist wound‐healing dressing groups, the lack of studies of sufficient quality prevented determining a ‘best dressing’ for STSG donors. Moist wound‐healing products have distinct clinical advantages over non‐moist products in the management of STSG donors. There is a strong case for further head‐to‐head studies comparing products within the moist wound‐healing group.