RNOtherAdvances in skin & wound care2025

An Open, Noncomparative, Clinical Follow-up Study to Confirm Performance and Safety of a Gelling Fiber Dressing When Used on Split-thickness Skin Graft Donor Sites.

Sinan Dogan, Anders Kjölhede, Matilda Karlsson

PMID 40833509

WHAT IT FOUND

Split-thickness skin graft donor sites improved in 29 of 33 patients when a gelling fiber dressing with foam and tape or bandage was left in place for about 14 days.

No comparator was used, so this does not show the regimen caused improvement.

Key findings

01Twenty-nine of 33 donor sites were judged improved at the final visit while the gelling fiber dressing was used under foam and fixation.

02Twenty of 33 participants were judged healed while the gelling fiber dressing was used, and 25 of 33 were healed by day 21 when follow-up included care after the dressing was stopped.

03Removal was not always easy: ease of removal was judged poor for 11 (35.5%) participants, staff moistened the dressing before removal for all but one, and 2 participants had device-related trauma on removal.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

No comparator group was used, so the study cannot show that the dressing regimen improved healing or comfort more than usual care. It was a single-site study, so results may not generalize. Wound progress and healing were judged subjectively by study staff, and healing was assessed only when dressings were removed, often at day 14. Because most dressings were left in place for 14 days, healing before day 14 was not observed for 30 of 33 participants. Follow-up stopped at day 21, so some participants were not followed until full donor-site healing. Removal was not uniformly easy: 11 (35.5%) were rated poor, and staff moistened the dressing before removal for all but one. Five of 38 enrolled participants did not complete the study. The manufacturer/sponsor was closely involved in data systems, access, and product liability insurance.

Declared interests

Mölnlycke Health Care, the gelling fiber dressing manufacturer, was the sponsor: it provided the electronic case report form, had controlled access to study records, and held product liability insurance for the devices. The supplied text does not include a separate funding or conflict-of-interest declaration.

The easy way to misread this

Do not conclude that the gelling fiber dressing, foam, and tape or bandage regimen is better than standard donor-site care. This was a single-arm study with no comparator, subjective wound assessments, and most dressings left in place until day 14, so the study cannot separate the regimen's contribution from expected healing and routine postoperative care.

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