The NHS and the financial storm: practical solutions with Jelonet dressing

The NHS and the financial storm: practical solutions with Jelonet dressing Eur J Plast Surg (2011) 34:315 DOI 10.1007/s00238-011-0559-0 LETTER TO THE EDITOR The NHS and the financial storm: practical solutions with Jelonet dressing Thomas F. E. Clarke & S. Haroon A. Shah & Saadia Syed Received: 17 January 2011 /Accepted: 7 February 2011 /Published online: 1 March 2011 Springer-Verlag 2011 Sir, Surgical procedures at anatomical sites where hair is Jelonet is a sterile tulle gras paraffin gauze dressing widely present can be challenging, for example, during pinnaplasty known for its properties of low adherence, allowance for or scalp surgery. Hair can often obstruct the operating field, exudate passage and suitability for combination with use of making preparation, draping and the procedure itself other topical agents. These features have allowed its global difficult. The paraffin residue on Jelonet's enveloping paper use for burns, scalds, donor and recipient skin graft sites, can be very helpful in sticking back hair and thus reducing skin loss wounds and leg ulcers [1]. this unnecessary complication [3]. In our daily practice, we have developed uses for the Financial restraints have never been more prevalent than Jelonet enveloping paper. A major use of this is as a today. Whereas, in the past, they may not have had such an template for planning full-thickness skin grafts. The paper impact on the choice and use of dressings in theatre, today is placed over the host site with low adherence, and the this is not the case [4]. By employing the techniques impression from the wound gives an exact outline of the described above, the uses of the Jelonet dressing can be graft needed from the donor site. more far reaching and reduce the need for additional The properties of low adherence extend its use as a materials in the operating room. foundation to place a harvested split-thickness skin graft for We look forward to and hope this article will stimulate fenestration. This is often done on the theatre trolley or on other departments to find innovative methods to improve the surface of a kidney dish. This could result in the cost efficiency and also reduce waste. potential for shearing of the epidermal or dermal layers of the graft. Conflict of interests None. Some of the paraffin that is impregnated into the Jelonet remains as a residue on the enveloping paper. This can be used on the donor site for split-thickness skin grafts as an Funding None. alternative to other agents such as Vaseline [2]. This residue can also lubricate multifilament suture materials to encour- age smooth and atraumatic passage through the tissues. References : : 1. Jelonet dressing. At T. F. E. Clarke S. H. A. Shah S. Syed asp?NodeId=738 Access Nov. 2, 2010 Department of Plastic and Reconstructive Surgery, 2. Chen J, Su GL, Li Q, Tang ZJ, Su SJ, Shi JW (2009) Effect of Royal Preston Hospital, different dressing materials in various combinations on wound Sharoe Green Lane, microenvironment of donor site in burn patients. Zhonghua Shao Preston PR29HT, UK Shang Za Zhi 25(3):218–221 3. Wain RA, Shah SH (2011) Practical perioperative pinnaplasty T. F. E. Clarke (*) preparation. Aesthetic Plastic Surgery (in press) 68 Wellin Lane, Edwalton, 4. Mahajan AL, Riordan CL, Regan PJ (2003) Why have paper when Nottingham NG124AH, UK you can have silk? Plast Reconstr Surg 111(5):1759–1760 e-mail: European Journal of Plastic Surgery Springer Journals

The NHS and the financial storm: practical solutions with Jelonet dressing

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Copyright © 2011 by Springer-Verlag
Medicine & Public Health; Plastic Surgery
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