An evidence-based review of split-thickness skin graft donor site dressings

Int Wound J. 2018 Dec;15(6):1000-1009. doi: 10.1111/iwj.12967. Epub 2018 Aug 17.

Abstract

This evidence-based review aimed to identify and evaluate current existing evidence relating to the efficacy of dressing materials for spit-thickness skin graft donor site wounds in relation to promoting rapid healing and reducing patient pain. A comprehensive systematic search of the literature between 2006 and 2016 identified 35 publications that were included in the review. Based on the results of the review, it was found that moist wound-healing products have a clear advantage over non-moist products in the reduction of pain and increased healing rates. This review concluded that moist wound-healing products are more effective than non-moist wound-healing products in reducing pain and promoting healing in split-thickness skin graft donor site wounds. A recommendation based on this review is that further research examine the role of secondary dressing usage in donor site wound management, and the consideration of using more than one primary dressing product during the donor site wound-healing process should be undertaken.

Keywords: donor site wounds; dressings; healing rates; pain; split-thickness skin grafts.

Publication types

  • Comparative Study
  • Systematic Review

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Evidence-Based Medicine / methods*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Occlusive Dressings*
  • Skin Transplantation / methods*
  • Transplant Donor Site / physiology*
  • Wound Healing / physiology*
  • Wounds and Injuries / surgery*