title: Wound-healing improvement by resurfacing split-thickness skin donor sites with thin split-thickness grafting.
abstract: BACKGROUND
  Split-thickness skin graft (STSG) donor site dressing has been controversial until now. Our study aimed to assess the patient comfort and wound-healing efficacy with the application of thin split-thickness skin grafts regrafting on STSG donor sites.
  
  
  METHODS
  One hundred ninety-two consecutive patients undergoing split-thickness skin grafting were included in the study, and the participants were randomly divided into the following three groups: group A was regrafted with thin STSGs and groups B and C were covered with occlusive hydrocellular dressing and paraffin gauze, respectively. The participants were compared according to the epithelialization time, pain and scar formation.
  
  
  RESULTS
  The average time of epithelialization was 6.2 ± 1.1 days in group A, 11.1 ± 2.1 days in group B and 13.5 ± 2.5 days in group C. The pain scores on days 2 and 5 after operation were 2.3 ± 0.8 and 1.9 ± 0.8 in group A, 2.5 ± 1.1 and 3.9 ± 1.3 in group B, and 3.8 ± 1.4 and 5.9 ± 2.1 in group C. The scar scores at half a year and one year after operation were 4.3 ± 0.6 and 2.50 ± 0.6 in group A, 7.4 ± 0.6 and 6.2 ± 0.6 in group B, and 11.8 ± 0.4 and 10.9 ± 1.0 in group C, separately. The difference in the three groups was significant.
  
  
  CONCLUSIONS
  Utilizing thin STSGs regrafting on donor sites could significantly shorten the epithelialization time, reduce pain and prevent hyperplastic scar formulation.
authors.affiliation: Department of Burn and Plastic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an 710038, China.
authors.forename: Yongqian
authors.initials: Y
authors.lastname: Bian
authors.affiliation: Department of Burn and Plastic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an 710038, China.
authors.forename: Chaofeng
authors.initials: C
authors.lastname: Sun
authors.affiliation: Department of General Surgery, General Hospital of Shenyang Military Area Command, No. 83, Wenhua Road, Shenhe District, Shenyang 110840, China.
authors.forename: Xinping
authors.initials: X
authors.lastname: Zhang
authors.affiliation: Department of Burn and Plastic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an 710038, China.
authors.forename: Yuejun
authors.initials: Y
authors.lastname: Li
authors.affiliation: Department of Burn and Plastic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an 710038, China.
authors.forename: Wangzhou
authors.initials: W
authors.lastname: Li
authors.affiliation: Department of Burn and Plastic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an 710038, China.
authors.forename: Xiaoxing
authors.initials: X
authors.lastname: Lv
authors.affiliation: Department of Burn and Plastic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an 710038, China.
authors.forename: Jing
authors.initials: J
authors.lastname: Li
authors.affiliation: Department of Burn and Plastic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an 710038, China.
authors.forename: Li
authors.initials: L
authors.lastname: Jiang
authors.affiliation: Department of Burn and Plastic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an 710038, China.
authors.forename: Jinqing
authors.initials: J
authors.lastname: Li
authors.affiliation: Department of Burn and Plastic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an 710038, China.
authors.forename: Jian
authors.initials: J
authors.lastname: Feng
authors.affiliation: Department of Burn and Plastic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an 710038, China. Electronic address: xueyongli10@fmmu.edu.cn.
authors.forename: Xue-Yong
authors.initials: XY
authors.lastname: Li
mesh_terms: D034861:Abdominal Wall; D001415:Back; D001458:Bandages; D002056:Burns / Q000601:surgery*; D017439:Cicatrix, Hypertrophic; D005260:Female; D006801:Humans; D008297:Male; D009779:Occlusive Dressings; D010149:Postoperative Pain; D062326:Re-Epithelialization; D016038:Skin Transplantation / Q000379:methods*; D013848:Thigh; D013997:Time Factors; D020858:Tissue and Organ Harvesting / Q000379:methods*; D060053:Transplant Donor Site; D016896:Treatment Outcome; D014945:Wound Healing
keywords: Regraft; STSG donor site; Wound healing