MEBO Application in Donor Site Wounds
In cases where external body tissues have been
destroyed beyond the body's natural ability to repair effectively and
quickly (such as occurs in many physical trauma events and also with
severe tissue infections), a doctor/surgeon may elect to use healthy
tissues from another part of the body to greatly augment the healing
process of damaged tissues.
Not only does this method speed the healing
process of the body, but the donor tissue, having covered the original
wound site, greatly helps to reduce the chance of infection at the
injured site. The skin graft donor site is the original
location of the borrowed tissue.
However, this process also allows for the possibility of complications
at the donor site.
Not only is the healing process at this location
quite painful and lengthy, there is a new risk of infection which
gradually subsides as the new skin develops.
Complications at skin graft donor sites are rare,
but not as rare as anyone would like.
Although donor sites in general heal with fewer
problems than burns, they should be regarded as wounds that deserve
optimal treatment.
It has been shown that the occluding of wounds
leads to better healing than exposure to air.
Therefore, occlusive dressings should also be used
for the treatment of donor sites, instead of the still often used
materials like tulle gauze which, upon removal, cause destruction of
the wound and pain to the patient.
The Moist Exposed Burn Therapy for burn. puts
forward the five
conditions for ideal treatment of the wound,
viz.,
- to keep the wound moist but not
soaked
- to expel the necrotic layer through liquefied
mode from superficies toward the underlying tissue at the peak of its
reaction.
- timefy and free drainage of discharge in the
wound with the aid of drugs.
- continuous supply of fresh remedy at
concentration under the action of drug.
- to isolate the wound with liquid cream and oil
layer so that the dicharge might be expelled in time and thus the won
nd can be protected from in isolated from the air and filthy materials
without being soaked.
Case
Report:
|
Improved Healing of Split
Thickness Skin Graft Donor Sites by MEBO
Split
thickness skin grafting
(STSG) is a frequently used technique for covering soft tissue and skin
defects. Its wide range of applications makes it valuable not only to
plastic and reconstructive surgeons but also to other surgical
specialties.
|
Split-Thickness Skin Graft Donor
Site Dressing with MEBO
A Padgett electric dermatome was used in all
patients to harvest a skin graft 0.12 in thick.MEBO was applied to half
the split-thickness skin graft donor site surface area at the end of
surgery in a thick layer, and was then covered by a thin, nonocclusive,
semiopen dressing.
|
|