High-voltage electric stimulation of the donor site of skin grafts accelerates the healing process. A randomized blinded clinical trial
| Autor: | Luiz Otavio Murta Junior, Rosana Caetano Gomes, Jayme Adriano Farina Júnior, Adriana da Costa Gonçalves, Elaine Caldeira de Oliveira Guirro, Rinaldo Roberto de Jesus Guirro |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Visual analogue scale medicine.medical_treatment Stimulation Electric Stimulation Therapy Critical Care and Intensive Care Medicine Transplant Donor Site 030207 dermatology & venereal diseases 03 medical and health sciences Cicatrix Young Adult 0302 clinical medicine Double-Blind Method Re-Epithelialization medicine Analysis software Humans Electric stimulation Pain Postoperative Wound Healing Scalp business.industry Skin temperature 030208 emergency & critical care medicine General Medicine Skin Transplantation Middle Aged TRANSPLANTE DE PELE Clinical trial Thigh Anesthesia Emergency Medicine Skin grafting Surgery Female Wound healing business Burns |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP |
| ISSN: | 1879-1409 |
| Popis: | Severe burns benefit from skin grafting, and grafting surgery is of great importance in the treatment of these injuries. As a result, there is formation of an additional wound at the donor site, which is painful and susceptible to infection. However, the therapeutic approach to these problems at donor sites for skin grafting is insufficiently explored in the literature.To evaluate electrical stimulation of the donor sites of burn patients treated by grafting surgery.This work evaluated 30 donor sites of cutaneous graft burn patients treated with high-voltage electrical stimulation. Subjects were randomized into two groups: electrical stimulation (GES), treated with electrostimulation (50min, 100Hz, twin pulses 15 us, monophasic), and the sham group (GS), treated by the same procedures but without current. Pain was assessed by visual analog scale daily before and after the electrical stimulation. The time elapsed until complete epithelization was evaluated (time of primary dressing detached spontaneously). Skin temperature was measured by thermography. The characteristics of donor sites were qualitatively evaluated using images and the plug-in CaPASThe results showed a significant decrease in pain, which was absent on the third day in the GES and the sixth day in the GS. The time the primary dressing detached spontaneously in days decreased (p0.05) (4.7±0.2) compared to the GS group (7.0±1.3). Donor site healing characteristics such as vascularization, pigmentation, height, the quantity of crust formed, irregularities, and the quality of healing was better in the GES; moreover, homogeneity and inertia of the images confirmed higher healing quality.As a result of the study, the technology shows promise and merits a larger study with objective assessments and different physical variables. |
| Databáze: | OpenAIRE |
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