DOI: http://dx.doi.org/10.18203/2349-2902.isj20211958

A retrospective study of comparison of collagen dressing versus conventional dressing for skin graft donor site

Tushar J. Dave, Shashirekha C. A., Krishnaprasad K.

Abstract


Background: Split-skin grafting is commonly employed for covering skin defects in case of ulcers, deep burns and following trauma. It involves harvesting of the epidermis and upper 1/3rd of dermis resulting in a wound called donor site wound (DSW). These wounds pose a kind of burden to patients during the process and after the process of wound healing. These wounds tend to cause pain, are at risk of getting infected, pruritis and cosmetic inconvenience. DSW has been managed with closed or open dressings. Out of many methods, we aim to compare the efficacy of collagen dressing with that of conventional dressing in this study.

Methods: A retrospective study including 30 subjects were stratified into 2 groups; group A-collagen dressing and group B- conventional dressing. Patients aged between 18 to 60 years undergoing split thickness skin grafting were included. Patients who are immunocompromised, diabetic, with underlying skin disease and infected wounds were excluded. The outcome was compared in terms of pain, pruritis and scar assessment using Vancouver scar scale.

Results: In the present study there was significant difference in median pain score, pruritus and median Vancouver scar score in collagen group compared to conventional group at all the intervals. Also, the incidence of surgical site infection was lower in the collagen dressing group.

Conclusions: Collagen dressing is superior compared to conventional dressing in terms of lower pain score, pruritus score and Vancouver scar score.

 


Keywords


Collagen dressing, Conventional dressing, Skin graft donor site

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References


Johnson TM, Ratner D, Nelson BR. Soft tissue reconstruction with skin grafting. J Am Acad Dermatol. 1992;27(2):151-65.

Stephenson AJ, Griffiths RW, La Hausse-Brown TP. Patterns of contraction in human full thickness skin grafts. Br J Plast Surg. 2000;53(5):397-402.

Halankar P, Gomes DC, Chaudhari C. Collagen dressing in the management of donor site of split thickness skin grafts. Bombay Hosp J. Available at: http://www.bhj.org.in/journal/april2005/htm/original_Collagen_114.htm. Accessed on 02 March 2017.

Elenbaas, RM, Elenbaas, JK, Cuddy, PG. Evaluating the medical literature, part II: Statistical analysis. Ann Emerg Med. 1983;12:610-20.

Singh O, Gupta SS, Soni M, Moses S, Shukla S,Mathur RK. Collagen dressing versus conventional dressings in burn and chronic wounds: A retrospective study. J Cutan Aesthet Surg. 2011;4:12-6.

Ayaz SM, Pai MV, Rai BKS, Bhat RR. Comparative Study between Collagen Dressing and Conventional Vaseline Gauze Dressing in Healing of Donor Site Wound in Split Skin Graft. J Dent Med Sci. 2016;15(10):34-41.

Sreekumar NC, Bhandari PL, Praveen N. Comparative study of collagen and paraffin gauze dressing on skin graft donor site. Indian J Burns 2015;23:81-3.

Pontén B, Nordgaard JO. The use of collagen film (Cutycol) as a dressing for donor areas in split skin grafting. Scand J Plast Reconstr Surg. 1976;10:237-40.

Horch RE, Stark GB. Comparison of the effect of a collagen dressing and a polyurethane dressing on the healing of split thickness skin graft (STSG) donor sites. Scand J Plast Reconstr Surg Hand Surg. 1998;32:407-13.

Fernandes de Carvalho V, Paggiaro AO, Isaac C, Gringlas J, Ferreira MC. Clinical trial comparing 3 different wound dressings for the management of partial-thickness skin graft donor sites. J Wound Ostomy Continence Nurs. 2011;38:643-7.