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GMS Interdiscip Plast Reconstr Surg DGPW. 2018 Jun 12;7:Doc03. doi: 10.3205/iprs000123. eCollection 2018.

Management of donor site infections in split-thickness skin graft with water-filtered infrared-A (wIRA).

GMS Interdisciplinary plastic and reconstructive surgery DGPW

Anas Aljasir, Thomas Pierson, Gerd Hoffmann, Henrik Menke

Affiliations

  1. Klinik für Plastische, Ästhetische und Handchirurgie - Zentrum für Schwerbrandverletzte, Sana Klinikum, Offenbach am Main, Germany.
  2. Institut für Sportwissenschaften, Johann Wolfgang Goethe-Universität, Frankfurt am Main, Germany.

PMID: 29977732 PMCID: PMC6007794 DOI: 10.3205/iprs000123

Abstract

Infection of donor sites in split-thickness skin grafts is one of the complications of skin transplantation. Nutrition status and associated diseases play important roles in healing of donor sites. There are different ways used to treat infected donor sites. Water-filtered infrared-A (wIRA), as a special form of heat radiation with a high tissue penetration and a low thermal load to the skin surface, can improve the healing of acute and chronic wounds both by thermal and thermic as well as by non-thermal and non-thermic effects. Water-filtered infrared-A (wIRA) increases tissue temperature, tissue oxygen partial pressure and tissue perfusion. These three factors are decisive for a sufficient supply of tissue with energy and oxygen and consequently also for wound healing and infection defense. This was confirmed in a case with a late severe healing disturbance of the donor sites after skin transplantation.

Keywords: infection of donor site; skin transplantation; water-filtered infrared-A (wIRA)

Conflict of interest statement

GH was working for the Dr. med. h.c. Erwin Braun Foundation, Basel, a charitable, non-profit Swiss scientific foundation approved by the Swiss Federal Administration. The foundation supports clinical

References

  1. GMS Krankenhhyg Interdiszip. 2009 Dec 16;4(2):Doc12 - PubMed
  2. Chirurg. 2014 Nov;85(11):980-92 - PubMed
  3. Ger Med Sci. 2016 Jun 29;14:Doc08 - PubMed

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