title: Application of crystalline cellulose membrane (Veloderm) on split-thickness skin graft donor sites in burn or reconstructive plastic surgery patients.
abstract: The present study was performed in China to compare the efficacy and safety of an advanced wound dressing made of crystalline cellulose (Veloderm) to a conventional treatment of three Vaseline gauzes in the management of skin donor sites of burns or reconstructive plastic surgery. In this prospective, multicenter, open-labeled, randomized clinical trial performed in three Chinese burn centers in China, 96 patients who required autologous split skin graft were randomized into either the test (Veloderm) group or the control (Vaseline gauze) group. Average healing times in the test group and in the control group were 8.40±2.90 and 8.92±2.58 days, respectively, with median values of 7.00 and 8.00 days, respectively: the difference between two groups was statistically significant (P=.045). Scores for exudates, pain intensity, and peripheral erythema showed no difference between the groups; however, composite scores of three variables on day 10 postoperatively was significantly lower in the test group (0.00±0.00 vs. 0.13±0.49; P = .043). The need for a dressing change was also significantly lower in the test group (12.5 vs. 31.25%; P = .036). Veloderm is a safe and effective dressing that may offer some advantages over the traditional application of Vaseline gauze in the management of donor sites in burn or reconstructive plastic surgery patients.
authors.affiliation: Burn and Reconstructive Plastic Surgery Department, Burn Center of Ruijin Hospital, Medicine School of Jiaotong University, Shanghai, China.
authors.forename: Jian
authors.initials: J
authors.lastname: Liu
authors.forename: Yeyang
authors.initials: Y
authors.lastname: Li
authors.forename: Xinzhou
authors.initials: X
authors.lastname: Rong
authors.forename: Weihua
authors.initials: W
authors.lastname: Lin
authors.forename: Tao
authors.initials: T
authors.lastname: Zhang
authors.forename: Bingshun
authors.initials: B
authors.lastname: Wang
authors.forename: Xiaoyi Benjamin
authors.initials: XB
authors.lastname: Li
authors.forename: Su
authors.initials: S
authors.lastname: Jiang
authors.forename: Qin
authors.initials: Q
authors.lastname: Zhang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002056:Burns / Q000628:therapy*; D016009:Chi-Square Distribution; D002681:China; D004643:Emollients / Q000627:therapeutic use; D004890:Erythema; D005122:Exudates and Transudates; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010577:Petrolatum / Q000627:therapeutic use; D011134:Polysaccharides; D011446:Prospective Studies; D016038:Skin Transplantation; D018709:Statistics, Nonparametric; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology*
chemical_list: D004643:Emollients; D011134:Polysaccharides; D010577:Petrolatum; C007916:hemicellulose