Treating pain on skin graft donor sites: Review and clinical recommendations

@article{Sinha2017TreatingPO,
  title={Treating pain on skin graft donor sites: Review and clinical recommendations},
  author={Sarthak Sinha and Amanda J Schreiner and Jeff Biernaskie and Duncan Nickerson and Vincent A. Gabriel},
  journal={Journal of Trauma and Acute Care Surgery},
  year={2017},
  volume={83},
  pages={954–964}
}
ABSTRACT Split-thickness skin grafting is the most common reconstructive procedure in managing burn injuries. Harvesting split-thickness skin creates a new partial thickness wound referred to as the donor site. Pain at the donor site is reported to be one of the most distressing symptoms during the early postoperative period. Here, we (a) identify strategies for managing donor site pain, (b) assess the quality of individual studies, and (c) formulate evidence-based recommendations based on the… 

Evaluation of Donor Site Pain After Fractional Autologous Full-Thickness Skin Grafting

TLDR
This study evidenced that this device manages to harvest FTSGs with minimal associated pain, and future research will need to evaluate other aspects of the procedure as well as long-term outcomes at the donor and recipient areas.

Wound Healing After Fractional Skin Harvesting.

BACKGROUND Autologous fractional full-thickness skin grafting is a method of harvesting full-thickness skin with reduced donor site morbidity compared with conventional skin grafting. OBJECTIVE To

Split-thickness skin graft donor-site morbidity: A systematic literature review.

Evaluation of Liposomal Bupivacaine at Split Thickness Skin Graft Donor Sites Through a Randomized, Controlled Trial.

TLDR
There is no statistical benefit to the use of liposomal bupivacaine for infiltration at STSG donor sites compared to standard of care with respect to pain control, opioid use, or length of stay when evaluated in a randomized, controlled fashion.

Ultrasound-guided Fascia Iliaca Plane Block for the treatment of donor site pain in the burn injured patient: a randomized control trial.

TLDR
It is demonstrated that regional anaesthesia was an effective way to reduce pain scores and requirement for additional analgesics during the postoperative phase.

Intraoperative liposomal bupivacaine for skin graft donor site analgesia: A retrospective cohort study.

  • C. ArtzM. Ward S. Kahn
  • Medicine
    Burns : journal of the International Society for Burn Injuries
  • 2020

Regional Anesthetic Blocks for Donor Site Pain in Burn Patients: A Meta-Analysis on Efficacy, Outcomes, and Cost

Background: Skin graft donor site pain significantly affects pain management, narcotic use, and hospital length of stay. This study is intended to evaluate the efficacy of regional anesthesia in the

Outcome of honey dressing on pain relief and re-epithelization of donor site wound of split thickness skin graft.

TLDR
Honey dressing is useful and effective on split thickness skin graft donor site in terms of pain relief and re-epithelization and was effectively controlled with the use of honey dressing.

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Systematic Review of Skin Graft Donor-Site Dressings

TLDR
The available evidence suggests that moist dressings are superior in terms of pain, and more methodologically sound randomized controlled trials are needed to determine the best split-thickness skin graft donor-site dressing.

Dressing the Split-Thickness Skin Graft Donor Site: A Randomized Clinical Trial

TLDR
The authors’ results support the use of Aquacel in the treatment of split-thickness skin graft donor sites, which has a low cost per unit, is user friendly, gives short healing time, and minimizes patient discomfort.

Ice Application to Minimize Pain in the Split-Thickness Skin Graft Donor Site

TLDR
Ice can be safely used in patients for whom donor site pain is the primary concern, with advantages such as ease of application, low cost (almost free), and a significant decrease in pain in the donor site.

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TLDR
It is indicated that Helicoll, as a donor site dressing, is successful in providing pain-free mobility with a measurable healing rate.

Honey Dressing Accelerates Split-Thickness Skin Graft Donor Site Healing

TLDR
Evaluating the effect of honey on skin graft donor sites found that honey-impregnated gauze causes less pain and heals donor sites wounds faster with good cosmetic result.

Patient experiences living with split thickness skin grafts.

Split‐thickness skin graft donor site management: a randomized controlled trial comparing polyurethane with calcium alginate dressings

TLDR
Allevyn™ was shown to be associated with increase demands on nursing time, increased cost of dressing products, medical consumables and wastes, and patient satisfaction levels in this trial.

Prospective Randomized Controlled Trial: Fibrin Sealant Reduces Split Skin Graft Donor-Site Pain

TLDR
Patients whose split skin graft donor sites were dressed with fibrin sealant plus self-adhesive fabric dressing experienced significantly less pain and incapacity than patients with self- adhesive fabric dressings alone, allowing a more rapid return to normal activity.

An Alternative Method to Minimize Pain in the Split-Thickness Skin Graft Donor Site

TLDR
The principal goal of the technique described in this article is to eliminate donor-site pain by harvesting the graft from the flap that is insensate after the elevation by using flap skin as a potential graft donor site for patients in whom reduction of donor- site morbidity is of primary concern.
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