THE CORRELATIONAL STUDY OF HAEMOGLOBIN PERCENTAGE IN PATIENTS WHO ARE UNDERGOING SPLIT SKIN GRAFT PROCEDURE
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Abstract
Aims and Objectives: To assess the split skin graft uptake in patients with mild to moderate anaemia.
Background: Traditional wisdom is that wound healing is directly related to haemoglobin in the blood, therefore blood transfusion is given in anaemic patients to raise the haemoglobin level for better wound healing.
Methods: This study is conducted in tertiary health care centre in North Karnataka, evaluation of wound healing in the form of split thickness skin graft take was done in 20 anaemic patients (haemoglobin level of < 10gm/dl) and compared with control group (patients with a haemoglobin level of 10 or > 10gm/dl).
Results: There was no statistically significant difference in mean graft take between the two groups.
Conclusion: It is not mandatory to keep haemoglobin level at or >10g/dl for skin graft take, as mild to moderate anaemia per se does not cause any deleterious effects on wound healing, provided perfusion is maintained by adequate circulatory volume. Prophylactic transfusion to increase the oxygen-carrying capacity of the blood for the purpose of wound healing is not indicated in asymptomatic anaemic patients (with haemoglobin levels greater than 6g/dl) without significant cardiovascular or pulmonary disease.
Limitations: Further studies with a larger population are required.
Background: Traditional wisdom is that wound healing is directly related to haemoglobin in the blood, therefore blood transfusion is given in anaemic patients to raise the haemoglobin level for better wound healing.
Methods: This study is conducted in tertiary health care centre in North Karnataka, evaluation of wound healing in the form of split thickness skin graft take was done in 20 anaemic patients (haemoglobin level of < 10gm/dl) and compared with control group (patients with a haemoglobin level of 10 or > 10gm/dl).
Results: There was no statistically significant difference in mean graft take between the two groups.
Conclusion: It is not mandatory to keep haemoglobin level at or >10g/dl for skin graft take, as mild to moderate anaemia per se does not cause any deleterious effects on wound healing, provided perfusion is maintained by adequate circulatory volume. Prophylactic transfusion to increase the oxygen-carrying capacity of the blood for the purpose of wound healing is not indicated in asymptomatic anaemic patients (with haemoglobin levels greater than 6g/dl) without significant cardiovascular or pulmonary disease.
Limitations: Further studies with a larger population are required.
References
1. GRABB AND SMITH’S PLASTIC SURGERY 8th EDITION
2. Polk HC Jr. Principles of preoperative preparation of the surgical patient. In: Sabiston DC, editor. Textbook of surgery, Vol 1.Philadelphia: WB Saunders; 1986. p. 90
3. Madden JW, Arem AJ. Wound healing: Biological and clinical features. In: Sabiston DC, editor. Textbook of surgery, Vol 1. Philadelphia: WB Saunders; 1986. p. 207.
4. Sittig KM, Deitch EA. Blood transfusion: For the thermally injuredor for the doctor? J Trauma 1994;36:369-72.
5. Waymack JP, Alexander JW. Blood transfusion as animmuno mudulator: A review. Microbiol Infect Dis 1986;9:177-83.
2. Polk HC Jr. Principles of preoperative preparation of the surgical patient. In: Sabiston DC, editor. Textbook of surgery, Vol 1.Philadelphia: WB Saunders; 1986. p. 90
3. Madden JW, Arem AJ. Wound healing: Biological and clinical features. In: Sabiston DC, editor. Textbook of surgery, Vol 1. Philadelphia: WB Saunders; 1986. p. 207.
4. Sittig KM, Deitch EA. Blood transfusion: For the thermally injuredor for the doctor? J Trauma 1994;36:369-72.
5. Waymack JP, Alexander JW. Blood transfusion as animmuno mudulator: A review. Microbiol Infect Dis 1986;9:177-83.
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Published
Sep 23, 2024
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THE CORRELATIONAL STUDY OF HAEMOGLOBIN PERCENTAGE IN PATIENTS WHO ARE UNDERGOING SPLIT SKIN GRAFT PROCEDURE. (2024). Journal of Population Therapeutics and Clinical Pharmacology, 31(9), 1629-1635. https://doi.org/10.53555/53xk5507
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Author Biographies
Dr. Irappa S Lamani
(MBBS) 3rd Postgraduate, S. Nijalingappa Medical College and HSK Research Centre, Bagalkote, Karnataka
Dr. Mahanthesh Math
MBBS MS Mch, Assistant Professor in General Surgery, S. Nijalingappa Medical College and HSK Research Centre, Bagalkote, Karnataka
Dr. Shobha C
(MBBS, MS) Associate Professor, Department of General Surgery, S. Nijalingappa Medical College and HSK Research Centre, Bagalkote, Karnataka
How to Cite
THE CORRELATIONAL STUDY OF HAEMOGLOBIN PERCENTAGE IN PATIENTS WHO ARE UNDERGOING SPLIT SKIN GRAFT PROCEDURE. (2024). Journal of Population Therapeutics and Clinical Pharmacology, 31(9), 1629-1635. https://doi.org/10.53555/53xk5507