Sunday, October 28, 2007
12815

Use of New Dressings Based on Glycerin and Collagen on Reconstructive Plastic Surgery

Rogerio Noronha, MD, Rui Lopes Filho, MD, and Felipe Pacheco Martins Ferreira, MD.

Objective- To evaluate glycerin and high absorption polymer dressings in post-operative wounds for the following parameters: time of healing, post-op complications, prevention and quality of scars.

Methodology- A prospective, random and single blind clinical study was done on 102 patients, operated consecutively for a period of 8 months. The patients were randomized in two groups: Group A- Patients treated with glycerin and high absorption poymer dressings, immediately after surgery and up to 6 weeks. Group B- Control group treated with conventional dressings in immediate post-op and up to 6 weeks.

Results- A significant reduction in the number of post-op complications was observed, up to 50% on the second to the 12th day post-op, showing reduced hyperemia and improved cosmetic results. Dressings did not adhere to wound or newly formed cicatrization.

Conclusion- Use of this type of dressings, in our plastic surgery procedures, did improve patient outcome in almost all cases. Time of healing was reduced up to 50% less than with coventional dressings and there was a 92% overall reduction in post-op complications. These new glycerin and high absorption strip dressings reduce hyperthropic scarring as well as silicone products and carried a much lower cost to our facilities and patients.