Healing techniques for split-thickness skin grafts donor sites. Umbrella review

Núria Babot-Pereña , Joan Blanco-Blanco
{"title":"Healing techniques for split-thickness skin grafts donor sites. Umbrella review","authors":"Núria Babot-Pereña ,&nbsp;Joan Blanco-Blanco","doi":"10.1016/j.enfcle.2023.10.004","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><p>To summarize the existing evidence and provide recommendations for the most effective management of partial-thickness graft donor sites in adults, with the goals of enhancing re-epithelialization, reducing pain, and preventing infection.</p></div><div><h3>Methodology</h3><p>Umbrella review. A systematic search was conducted encompassing databases such as Pubmed, CUIDEN, Cochrane Library, CINHAL Plus, SCOPUS, and LILACS. The search targeted systematic reviews published since 2011 that focused on examining the effectiveness of different approaches for the treatment of partial-thickness graft donor sites. Reviews with a low critical appraisal score according to AMSTAR 2 were excluded. The included reviews were evaluated using the SIGN scale to assess the level of evidence and grade the recommendations.</p></div><div><h3>Results</h3><p>Five systematic reviews with meta-analysis were incorporated in the analysis. Platelet-rich plasma and human amniotic membrane demonstrated statistically significant improvements in re-epithelialization and pain reduction when compared to the control group. Moreover, platelet-rich plasma also exhibited a decrease in wound infection rates. Recombinant human growth hormone was found to expedite the re-epithelialization process.</p></div><div><h3>Conclusions</h3><p>Based on the findings, the use of platelet-rich plasma is recommended to enhance re-epithelialization, alleviate pain, and reduce infection in partial-thickness graft donor sites among adults. Application of human amniotic membrane is recommended to accelerate re-epithelialization and alleviate pain, while recombinant human growth hormone is suggested to expedite the overall healing time of these wounds.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"33 6","pages":"Pages 432-437"},"PeriodicalIF":0.0000,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Enfermeria clinica (English Edition)","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2445147923000668","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Objectives

To summarize the existing evidence and provide recommendations for the most effective management of partial-thickness graft donor sites in adults, with the goals of enhancing re-epithelialization, reducing pain, and preventing infection.

Methodology

Umbrella review. A systematic search was conducted encompassing databases such as Pubmed, CUIDEN, Cochrane Library, CINHAL Plus, SCOPUS, and LILACS. The search targeted systematic reviews published since 2011 that focused on examining the effectiveness of different approaches for the treatment of partial-thickness graft donor sites. Reviews with a low critical appraisal score according to AMSTAR 2 were excluded. The included reviews were evaluated using the SIGN scale to assess the level of evidence and grade the recommendations.

Results

Five systematic reviews with meta-analysis were incorporated in the analysis. Platelet-rich plasma and human amniotic membrane demonstrated statistically significant improvements in re-epithelialization and pain reduction when compared to the control group. Moreover, platelet-rich plasma also exhibited a decrease in wound infection rates. Recombinant human growth hormone was found to expedite the re-epithelialization process.

Conclusions

Based on the findings, the use of platelet-rich plasma is recommended to enhance re-epithelialization, alleviate pain, and reduce infection in partial-thickness graft donor sites among adults. Application of human amniotic membrane is recommended to accelerate re-epithelialization and alleviate pain, while recombinant human growth hormone is suggested to expedite the overall healing time of these wounds.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
分层皮肤移植物供区的愈合技术。伞式评论。
目的:综合目前的证据,并为优化成人部分厚度移植供体区域的管理提供建议,以改善再上皮化,减少疼痛和预防感染。方法:雨伞回顾。对PubMed、Cuiden、Cochrane Library、Cinhal Plus、Scopus和Lilacs等数据库进行了系统搜索,重点是自2011年以来发布的系统审查,这些审查评估了任何IPEP捐赠地区护理战略的有效性。根据评估系统审查的测量工具(AMSTAR 2)方法,排除了置信水平非常低的审查。使用SIGN量表对纳入的修订进行分析,以确定其证据水平(NE)和推荐程度。结果:纳入了5项系统的Meta分析修订。与对照组相比,使用富含血小板的血浆(PRP)或人羊膜(MAH)在再上皮化和疼痛缓解方面有统计学意义的改善。此外,PRP还显示捐赠地区的感染率有所下降。另一方面,使用重组人生长激素与再上皮化时间缩短有关。结论:建议在成人IPEP供区使用PRP来改善再上皮化,减轻疼痛和预防感染。此外,还建议使用MAH来加速再上皮化和减轻疼痛,并使用人类生长激素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
Quality of life and spiritual needs of patients diagnosed with cancer in a tertiary hospital in southwestern Nigeria Effectiveness of implementing a Best Practice Guideline recommendations to manage pain in oncological hospitalized patients Proposed therapeutic and care approach in a patient with chronic prurigo: Clinical case Artificial intelligence as a tool for error prevention in clinical care Rasch analysis implementation in nursing research: A methodological approach
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1