Conservative surgical debridement as a burn treatment : supporting evidence from a porcine burn model

Wang, Xue-Qing, Kempf, Margit, Liu, Pei-Yun, Cuttle, Leila, Chang, Hong-En, Kravchuk, Olena, Mill, Julie, Phillips, Gael E., & Kimble, Roy M. (2008) Conservative surgical debridement as a burn treatment : supporting evidence from a porcine burn model. Wound Repair and Regeneration, 16(6), pp. 774-783.

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Abstract

In thermal deep-dermal burns, surgical debridement is normally used in conjunction with skin grafting or skin substitutes and debridement alone as a burn treatment is not usually practiced. The current study addresses whether or not debridement alone would enhance burn wound healing on small deep-dermal-partial thickness burns. This was a prospective and blinded experimental trial using a porcine deep-dermal-partial thickness burn model. Four burns, approximately 50 cm(2) in size, were created on each of eight pigs. Two burns from each pig were immediately surgically debrided and the other two were not debrided as the internal control. Hydrate gel together with paraffin gauze were used to cover the burns for four pigs and silver dressings for the other four. Clinical assessment of wound healing was conducted over a 6-week period. Skin samples were collected at the end of the experiment and histopathological evaluation was performed. The results show thinner scar formation and lower scar height in the debrided compared with nondebrided wounds in the hydrate gel/paraffin gauze groups. There were no statistically significant differences in wound healing assessment between the debrided and nondebrided wounds dressed with silver dressings. This study provides supporting evidence that immediate debridement with an appropriate dressing and without skin grafting may promote wound healing, suggesting its potential benefit for clinical patients.

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13 citations in Web of Science®

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ID Code: 67224
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: Animals, *Bandages, Burns/surgery/*therapy, *Debridement, Disease Models, Animal, Female, Swine
DOI: 10.1111/j.1524-475X.2008.00428.x
ISSN: 1524-475X
Divisions: Current > Schools > School of Biomedical Sciences
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2008 the Wound Healing Society
Deposited On: 26 Feb 2014 23:01
Last Modified: 25 Mar 2014 03:07

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