Hydrogel-impregnated dressings for graft fixation: a case series

J Wound Care. 2015 Jul;24(7):326-8. doi: 10.12968/jowc.2015.24.7.326.

Abstract

Objective: Infection is the second most common cause of graft loss after skin grafting. Cutimed Sorbact is a range of dressings coated with a hydrophobic fatty acid that irreversibly binds to the bacterial surface and mechanically removes bacteria from the wound. The dressing is a hydrogel-impregnated material, which prevents wounds from drying. Here, we report on cases in which we used the gel instead of the widely used petrolatum gauze or paraffin gauze in a tie-over dressing for the fixation of grafted skin.

Method: Patients treated for skin grafting between March 2013 and July 2013 were treated with the hydrogel-impregnated dressings and a tie over dressing. The wounds were opened five days after treatment.

Results: In total seven patients were treated with an age range of 23-86 years old. No infections were seen and the method was effective regardless of wound size, the thickness of the skin harvested and condition of the defect.

Conclusion: Using this hydrogel-impregnated dressings, provide antibacterial and moisturising effects simultaneously, which a petrolatum or paraffin gauze cannot provide.

Declaration of interest: There were no external sources of funding for this study. The authors have no conflicts of interest to declare.

Keywords: infection; paraffin; petrolatum; skin graft; sorbact; sorbact gel.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Bandages, Hydrocolloid*
  • Fatty Acids
  • Female
  • Gels
  • Humans
  • Male
  • Middle Aged
  • Paraffin
  • Petrolatum
  • Skin Transplantation*
  • Surgical Wound Infection / prevention & control*
  • Treatment Outcome
  • Wound Healing / physiology*

Substances

  • Fatty Acids
  • Gels
  • Paraffin
  • Petrolatum