A comparative study between hydrocolloid dressing and conventional vaseline gauze dressing in healing of donor site wound in split skin graft
DOI:
https://doi.org/10.18203/2349-2902.isj20251167Keywords:
Hydrocolloid, Dressing, Paraffin gauze, Post-operative pain, Skin graft, PruritisAbstract
Background: One of the frequently performed procedures by plastic surgeons, and general surgeons is skin graft. Pain in the donor region is a typical patient complaint. Paraffin dressing usually covers the area of the skin graft donor location. Split-skin grafting is commonly used by surgeons to treat skin abnormalities in the event of ulcers, deep burns and subsequent trauma. Epidermis harvesting and upper 1/3rd of dermis resulting in a wound called donor site wound (DSW) are needed for the technique of split-skin graft harvesting. These wounds pose a sort of burden to patients during the procedure and after the wound healing process. These injuries tend to cause immense discomfort, are at risk of infection, and may cause scratching of the patient (pruritus) and cosmetic inconvenience. Care and management of local donor site wound (DSW) should aim to create an environment that promotes early epithelialization for the patient with shortened hospital stay period with minimal pain and discomfort. This study was done to evaluate effectiveness of hydrocolloid dressing in comparison to paraffin gauze dressing in healing of split skin graft donor site wound, and in comparing the parameters like pain, pruritis, requirement of analgesics of donor site wound.
Methods: The study was done on 50 patients, 25 as study group who received effectiveness of hydrocolloid dressing and 25 as paraffin gauze dressing.
Results: Statistics proved that study group (hydrocolloid dressing) had lesser pain than control group (paraffin gauze dressing).
Conclusions: The hydrocolloid dressing on skin graft donor area reduces pain in post-operative period.
Metrics
References
Ottawa ON. Dressings and Care of Skin Graft Sites: A Review of Clinical Evidence and Guidelines. Rapid Response Report: Summary with Critical Appraisal: Canadian Agency for Drugs and Technologies in Health; 2013.
Braza ME, Fahrenkopf MP. Split-Thickness Skin Grafts: 2020. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020.
Prohaska J, Cook C. Skin Grafting. 2020. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020.
Aumailley M, Krieg, T. Laminins: A family of diverse multifunctional molecules of basement membranes. Journal of Investigative Dermatology. 2020;106(2):209–14. DOI: https://doi.org/10.1111/1523-1747.ep12340471
Ayuk F, Savani BN. Skin, Hair and Musculoskeletal Complications. In: Carreras E, Dufour C, Mohty M, Kröger N (editors). The EBMT Handbook: Hematopoietic Stem Cell Transplantation and Cellular Therapies [Internet]. 7th ed. Chapter 54, Cham (CH): Springer; 2019. DOI: https://doi.org/10.1007/978-3-030-02278-5_54
Boulant JA. Role of the preoptic-anterior hypothalamus in thermoregulation and fever. Clinical Infectious Diseases. 2000;31(Suppl 5):S157–S161. DOI: https://doi.org/10.1086/317521
Braza ME, Fahrenkopf MP. Split-Thickness Skin Grafts. 2020. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020.
Brooks EM, Morgan AL, Pierzga JM, Wladkowski SL, O’Gorman JT, Derr JA, et al. Chronic hormone re- placement therapy alters thermoregulatory and vasomotor func- tion in postmenopausal women. Journal of Applied Physiology. 1997;83(2):477–84. DOI: https://doi.org/10.1152/jappl.1997.83.2.477
Caputo R, Peluchetti D. The junctions of normal human epidermis: A freeze-fracture study. Journal of Ultrastructure Research, 1997;61(1),44–61. DOI: https://doi.org/10.1016/S0022-5320(77)90005-3
Charkoudian N. Skin blood flow in adult human thermo- regulation: How it works, when it works, when it does not, and why. Mayo Clinic Proceedings, 2003;78(5):603–12. DOI: https://doi.org/10.4065/78.5.603
Chu DH. Over view of biology, development, and structure of skin. In K. Wolff, L. A. Goldsmith, S. I. Katz, B. A. Gilchrest, A. S. Paller, & D. J. Leffell (Eds.), Fitz patrick’s dermatology ingeneral medicine, 7th ed., New York: McGraw-Hill; 2008: pp. 57–73.
Cooper-Jones B, Visintini S. ANoncultured Autologous Skin Cell Spray Graft for the Treatment of Burns. 2018. In: CADTH Issues in Emerging Health Technologies. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2016: pp. 168.
Coruh A, Yontar YJ. Observed that Application of split-thickness dermal grafts in deep partial- and full-thickness burns: a new source of auto-skin grafting. Burn Care Res. 2012;33(3):e94-e100. DOI: https://doi.org/10.1097/BCR.0b013e31823499e9
Cotsarelis G, Sun TT, Lavker RM. Label-retaining cells reside in the bulge of the pilosebaceous unit: Implications for follicular stem cells, hair cycle, and skin carcinogenesis. Cell. 1990;61(7):1329–37. DOI: https://doi.org/10.1016/0092-8674(90)90696-C
Danby FW. Why we have sebaceous glands. Journal ofthe American Academy of Dermatology, 2005;52(6):1071–2. DOI: https://doi.org/10.1016/j.jaad.2005.02.016
Daniel RC, Scher RK. Nail changes secondary to systemic drugs and ingestants. In R.K. Scher & R.C. Daniel (Eds.), Nails: Therapy, diagnosis, surgery (2nded., pp. 251–258). Philadelphia: Saunders: 1997.
Danilenko DM, Ring BD, Pierce GF. Growthfactors and cytokines in hair follicle development and cycling: Recent insights from animal models and the potentials for clinical therapy. Molecular Medicine Today. 1996;2(11):460–7. DOI: https://doi.org/10.1016/1357-4310(96)10045-9
Fairley JA, Scott GA, Jensen KD, Goldsmith LA, Diaz LA. Characterization of kerato calmin, a calmodul in-binding protein from human epidermis. Journal of Clinical Investigation. 1991;88(1):315–22. DOI: https://doi.org/10.1172/JCI115294
Flaxman BA, Sosis AC, Van Scott EG. Changes in melanosome distribution in Caucasoid skin following topical application of nitrogen mustard. Journal of Investigative Dermatology. 1973;60(5):321–6. DOI: https://doi.org/10.1111/1523-1747.ep12723167
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