A COMPARATIVE STUDY BETWEEN COLLAGEN & SIMPLE PARAFFIN DRESSING APPLIED ON SKIN GRAFT DONOR SITE WITH SPECIAL EMPHASIS ON VANCOUVER SCAR SCALE AND PATIENT & OBSERVER SCAR ASSESSMENT SCALE (POSAS)
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 8
Abstract
BACKGROUND Split skin grafting (SSG) is a commonly performed surgical procedure. Ideal donor site scar should be soft, supple, and flat with normal pigmentation. Collagen sheets have been used as a donor site dressing which comes close to being called an ideal donor site dressing. The objective of the study was to compare effect of collagen and simple paraffin dressing on wound healing and scar formation on skin graft donor site. MATERIALS AND METHODS This is a comparative study, based on inclusion and exclusion criteria with a sample size of 30 patients, study carried out in patients posted for skin grafting in Department of Surgery, M.G.M Medical College and M.Y. Hospital, Indore, by dividing the donor site wound into medial half and lateral half by doing half dressing with collagen and other half by simple liquid paraffin and assess the scar at 21st day and compare the scar healing by Vancouver Scar Scale and Patient and Observer Scar Assessment Scale (POSAS). RESULTS Wound healing is better with collagen when compared to simple paraffin dressing as a material for donor site wound. Significant reduction in pain (p-value= 0.007) and pruritus (p-value= 0.001) in patients with collagen dressing was noted on post op day 21. CONCLUSION Collagen application to donor site wound (DSW) is better than simple paraffin dressing in relation to early wound healing with better scar results and patient comfort.
Authors and Affiliations
Pancy Sonia Moses, Sharad Gova, Sachin Verma, Rajkumar Mathur
Keywords
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- EP ID EP610987
- DOI 10.18410/jebmh/2019/109
- Views 75
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