ID 11622
File
Authors
Fukuoka, Kohei Department of Plastic and Reconstructive Surgery, Tottori University Hospital
Yagi, Shunjiro Department of Plastic and Reconstructive Surgery, Tottori University Hospital Researchers DB KAKEN
Suyama, Yoshiko Department of Plastic and Reconstructive Surgery, Tottori University Hospital Researchers DB KAKEN
Kaida, Wataru Department of Plastic and Reconstructive Surgery, Shimane Prefectural Central Hospital
Morita, Maki Department of Plastic and Reconstructive Surgery, Tottori University Hospital
Hisatome, Ichiro Department of Genetic Medicine and Regenerative Therapeutics, Institute of Regenerative Medicine and Biofunction, Graduate School of Medical Sciences, Tottori University Researchers DB KAKEN
Keywords
donor site wounds
hemostasis
split-thickness skin grafts
tumescent injection
wound healing
Abstract
[Background] Subcutaneous injection of tumescent solution, which contains local anesthetic, adrenaline, and saline, before split-thickness skin graft harvesting, shows a significant hemostatic effect. This method can reduce the initial bleeding from the donor site. The aim of this study is to assess the benefits of controlling the bleeding from donor sites by tumescent injection. A randomized, controlled trial was performed to compare the wound healing of split-thickness skin graft donor sites treated with or without tumescent injection. [Methods] This randomized, controlled trial examined donor site healing days as the main measure of outcome. postoperative pain, donor site ulceration, and scar quality were evaluated as secondary outcome measures. Patients planned for split-thickness skin graft harvest were randomly assigned to receive either pre-harvest subcutaneous injection of local anesthetic, adrenaline, and saline solution (tumescent solution) (Group 1) or post-harvest application of adrenaline solution-soaked gauze to the skin graft donor sites (Group 2). Donor sites were treated with calcium alginate dressings after graft harvesting. On the 10th postoperative day, the dressings were removed and donor site healing were measured. Follow-up evaluation of scar quality was performed 6 months after surgery. Postoperative pain was evaluated on the 1st day after operating. [Results] Forty-five patients (26 males; average age 61.8 years) completed the late follow-up evaluation (6 months postoperatively), with 26 patients in group 1 and 19 in group 2. There were no significant differences between the two groups in any of the outcome measures. [Conclusion] Tumescent technique provides sufficient hemostasis in split skin graft donor sites, especially the initial bleeding just after graft harvesting, without any negative effects. Larger series should be studied to evaluate the effect in donor site wound healing.
Publisher
Tottori University Medical Press
Content Type
Journal Article
Link
ISSN
05135710
EISSN
13468049
NCID
AA00892882
Journal Title
Yonago Acta Medica
Current Journal Title
Yonago Acta Medica
Volume
64
Issue
1
Start Page
107
End Page
112
Published Date
2021-02-22
Publisher-DOI
Text Version
Publisher
Rights
(C) 2021 Tottori University Medical Press
Citation
K. Fukuoka, S. Yagi, Y. Suyama, et al. Effect of Subcutaneous Adrenaline/Saline/Lidocaine Injection on Split-Thickness Skin Graft Donor Site Wound Healing. Yonago Acta Medica. 2021, 64(1), 107-112. doi:10.33160/yam.2021.02.014
Department
Faculty of Medicine/Graduate School of Medical Sciences/University Hospital
Language
English