Wound closure after split-thickness skin grafting is accelerated with the use of continuous direct anodal microcurrent applied to silver nylon wound contact dressings.
Wound healing after graft closure of excised burn wounds is a critical factor in the recovery process after thermal injury. Processes that speed time to stable wound closure should lead to improved outcomes, shorter lengths of hospital stays, and decreased complications. A randomized clinical trial to test the ability of continuous direct anodal microcurrent application to silver nylon wound contact dressings was designed. Time for wound closure after split-thickness skin grafting was observed. Thirty patients with full-thickness thermal burns were randomized into two groups. The control group received postoperative dressing care using moistened silver nylon fabric covered with gauze after tangential burn wound excision and split-thickness skin grafting. The study group received an identical protocol with the addition of continuous direct anodal microcurrent application. Time to 95% wound closure was measured using digital photography. The digital photographs were evaluated by a burn surgeon blinded to the patient's randomization. An independent t-test was used to analyze the data. The study group experienced a 36% reduction in time to wound closure (mean of 4.6 days) as compared to the control group (mean of 7.2 days). This was statistically significant at a P value of <.05. The use of continuous direct anodal microcurrent decreased time to wound closure after split-thickness skin grafting.
Huckfeldt
Roger
R
St. John's Regional Health Center, Springfield, Missouri 65804, USA.
Flick
A Bart
AB
Mikkelson
Debbie
D
Lowe
Cindy
C
Finley
Phillip J
PJ
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D001458:Bandages; D002056:Burns / Q000601:surgery*; D004599:Electric Stimulation Therapy; D004566:Electrodes; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009757:Nylons; D012834:Silver; D016038:Skin Transplantation; D013995:Time; D014945:Wound Healing
D009757:Nylons; D012834:Silver