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Evaluation of Dried Amniotic Membrane on Wound Healing at Split-Thickness Skin Graft Donor Sites: A Randomized, Placebo-Controlled, Double-blind Trial
- Source :
- Advances in skinwound care. 33(12)
- Publication Year :
- 2020
-
Abstract
- To evaluate the effect of amniotic membrane (AM) at split-thickness skin graft (STSG) donor sites.This double-blind randomized controlled trial was conducted on 35 eligible participants referred to the burn unit of Vasei Hospital of Sabzevar, Iran, during 2017 and 2018. Each STSG donor site was divided into two sides, and the respective halves were covered with either a dried AM or petrolatum gauze (control). Outcomes were evaluated on postprocedure days 10, 20, and 30 using the Vancouver Scar Scale.The mean age of the patients was 39.4 ± 13.97 years, and 62.8% (n = 22) were male. There was no statistically significant difference in wound healing rate on day 10 (P = .261), 20 (P = .214), or 30 (P = .187) between groups. The intervention group had significantly better epithelialization than the control group on day 10 (investigator 1, 1.62 ± 0.59 vs 1.40 ± 0.88 [P = .009); investigator 2, 1.22 ± 0.84 vs 0.91 ± 0.85 [P = .003]), as well as pain reduction (P.001 during the follow-up period). However, there was no statistically significant difference between groups in terms of pigmentation or vascularization (P.05).Findings suggest that the use of AM is not superior to petrolatum gauze in terms of STSG healing rate; however, AM achieved better pain reduction and epithelialization on day 10.
- Subjects :
- medicine.medical_specialty
Dermatology
Iran
Placebo
Transplant Donor Site
law.invention
Double blind
Placebos
030207 dermatology & venereal diseases
03 medical and health sciences
0302 clinical medicine
Split thickness skin graft
Randomized controlled trial
Double-Blind Method
Re-Epithelialization
law
Healing rate
Medicine
Humans
Amnion
Advanced and Specialized Nursing
Wound Healing
business.industry
Significant difference
030208 emergency & critical care medicine
Skin Transplantation
Surgery
Pain reduction
business
Wound healing
Subjects
Details
- ISSN :
- 15388654
- Volume :
- 33
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- Advances in skinwound care
- Accession number :
- edsair.doi.dedup.....e2858e5394ed810f61be492b30c0e3e6