A new option for definitive burn wound closure – pair matching type of retrospective case–control study of hand burns in the hospitalised patients group in the Dr Stanislaw Sakiel Centre for Burn Treatment between 2009 and 2015
Adult
Male
Skin, Artificial
Wound Healing
Wound Closure Techniques
Hand Injuries
Skin Transplantation
Middle Aged
3. Good health
Young Adult
03 medical and health sciences
0302 clinical medicine
Case-Control Studies
Humans
Female
Burns
Aged
Retrospective Studies
DOI:
10.1111/iwj.12720
Publication Date:
2017-02-21T16:55:53Z
AUTHORS (10)
ABSTRACT
AbstractNearly 80% of all burns include the hands of affected individuals. Skin grafting is the gold standard in burns treatment, but in the case of the burn wound bed, it may require the necessity of utilising skin substitutes to facilitate closure. The aim of this study is to assess the impact of a porcine‐derived wound dressing (Oasis™) for application to hand burns compared to a synthetic dressing (Suprathel™). Comparative assessments were made, including the time to heal, quality of healing and pain intensity. A retrospective, unblinded, matching pair case‐control of hand burns was performed. A control group of 24 patients was treated with Suprathel dressing, and a study group of six patients underwent application of the Oasis dressing. The wound healing process was evaluated by taking histopathological specimens and also utilising the Bates‐Jensen Wound Assessment Tool. A 10‐cm Visual Analogue Scale (VAS) was used for pain assessment. Other parameters measured included dressing loss because of infection and the need of rehabilitation. The progress of wound healing on the fourth day in the study group was 30%. A decrease in the level of pain was recorded on the fourth day after surgery. There was a decrease of 5% in the risk of rehabilitation in the treatment group.
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