J Korean Burn Soc.  2015 Jun;18(1):24-27. 10.0000/jkbs.2015.18.1.24.

Usefulness of Silicone Net Dressing in Fixation of Skin Grafts

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, KEPCO Medical Center, Seoul, Korea. zzcrunch@naver.com

Abstract

PURPOSE
Skin graft may fail for a number of reasons. Hematoma or seroma formation prevents graft adherence. Traditionally tie-over dressing has been used in skin graft fixation, but skin graft in convex and narrow place like fingers or toes, tie-over dressing is hard to be applied. And Vaseline gauze over graft often adheres to graft by exudate into gauze fibers and hardening, and may cause damage to graft in dressing change. We report successful results of using silicone net dressing in fixation of split thickness skin graft over these place.
METHODS
After skin graft, the silicone net, Mepitel(R) (Molnlycke Health Care, Box 13080, SE-402 52 Goteborg, Sweden) was applied over the graft followed saline wet gauze dressing in 25 patients. 13 cases were on finger, 8 cases were on foot or toes, 4 cases were on anterior chest.
RESULTS
In 22 cases, there were no hematoma or seroma formation, Mepitel(R) maintained 5 days after skin graft. And then, Mepitel(R) was removed from the graft. In 3 cases, there were hematoma formation, Mepitel(R) was removed at 3 days after skin graft. In all cases, grafts were taken well without maceration or skin eruption.
CONCLUSION
The silicone net, Mepitel(R), is dressing material made of silicone gel bound to a pliable polyamide net, and it can provide uniform pressure to the graft, even in convex and narrow place. And net like structure allows the exudates of the wound to pass freely into the secondary absorbent dressing and easier to remove from the grafts than Vaseline gauze. We think that the use of a Mepitel(R) is a efficient tool for securing skin grafts.

Keyword

Mepitel; Graft; Fixation

MeSH Terms

Bandages*
Delivery of Health Care
Exudates and Transudates
Fingers
Foot
Hematoma
Humans
Nylons
Petrolatum
Seroma
Silicone Gels*
Skin*
Thorax
Toes
Transplants*
Wounds and Injuries
Nylons
Petrolatum
Silicone Gels
Full Text Links
  • JKBS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr