A COMPARATIVE STUDY OF COLLAGEN SHEET DRESSING VERSUS PETROLEUM GAUZE DRESSING IN REDUCING PAIN AT SPLIT THICKNESS SKIN GRAFT DONOR SITE IN A TERTIARY CARE CENTRE IN SOUTH KERALA.
Main Article Content
Keywords
Collagen sheet dressing, petroleum gauze dressing, split skin graft, Post-operative complications,
Abstract
Split thickness skin graft harvesting results in a partial thickness injury, which takes 10-14 days for the donor-site wound to heal, after which it may be used again when more grafts are required. Proper management of the donor site is important to accelerate re-epithelialization and to prevent significant complications, out of which pain is the most frequent complaint. The primary objective was to compare collagen sheet dressing with traditional petroleum gauze dressing in controlling post-operative pain on the split thickness skin graft donor area. A longitudinal comparative study involving 62 patients was conducted at a tertiary healthcare center in Thiruvananthapuram. Patients undergoing split thickness skin grafting with comparable wound sizes were selected and were divided into two groups, among which one group was dressed with collagen sheet and the other with petroleum gauze dressing. Assessment of post-operative pain was done using NPR scale from 0 to 10, were patients verbally select a value, most in line with the intensity of pain that they have experienced in the last 24 hours. Data was coded, entered in MS Excel and was analyzed using SPSS 26.0. Chi square tests and unpaired t test were done to test the statistical association and a p value of less than 0.05 was considered significant. Both the studied groups were comparable in age and gender wise distribution. The collagen sheet dressing was found to reduce pain in the donor area post operatively, reduction in soakage at the donor site, and more area of epithelization when compared to that of petroleum gauze dressing and these associations were found to be statistically significant. This study revealed that Collagen sheet dressing helped to achieve better reduction in pain at donor area of split thickness skin grafting compared to Petroleum gauze dressing. It was also observed that collagen sheet dressing was superior to Petroleum gauze dressing to reduce soakage and to promote epithelialization at donor area of split thickness skin grafting.
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Dr Amalson Thomas
Assistant Professor Department of General Surgery, Malabar Medical College Hospital and Research Centre, Modakkallur, Calicut,
Dr P. Anish Immanuel
Associate Professor, Department of General Surgery, Dr Somervell Memorial CSI Medical College, Karakonam,
Dr Nishima P.R
Assistant Professor, Department of Community Medicine, Dr Somervell Memorial CSI Medical College, Karakonam,
Dr Sandeep Kumar David
Professor, Department of General Surgery, Dr Somervell Memorial CSI Medical College, Karakonam,
Dr G Joael George
Assistant Professor, Department of General Surgery, Dr Somervell Memorial CSI Medical College, Karakonam,
Dr Alisha P
Assistant Professor, Department of General Surgery, Dr Somervell Memorial CSI Medical College, Karakonam,