Comparing Banana Leaf Dressing and Vaseline Gauze Dressing for Split-Thickness Skin Graft Donor Sites in a Ugandan Hospital
Introduction: This study compared the effectiveness of banana leaf dressing (BLD) with the commonly used Vaseline gauze dressing (VGD) on split-thickness skin graft (SSG) donor sites. VGD is not completely nonadherent and is associated with pain on removal. BLD is smooth, non-adherent, pain-fre...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Surgical Society of Kenya
2021-01-01
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| Series: | The Annals of African Surgery |
| Subjects: | |
| Online Access: | https://www.annalsofafricansurgery.com/banana-leaf-vs-vaseline-gauze-dress |
| _version_ | 1798028245880274944 |
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| author | Naomi Leah Kekisa George Galiwango Andrew Hodges |
| author_facet | Naomi Leah Kekisa George Galiwango Andrew Hodges |
| author_sort | Naomi Leah Kekisa |
| collection | DOAJ |
| description | Introduction: This study compared the effectiveness of
banana leaf dressing (BLD) with the commonly used
Vaseline gauze dressing (VGD) on split-thickness skin
graft (SSG) donor sites. VGD is not completely nonadherent
and is associated with pain on removal. BLD is
smooth, non-adherent, pain-free and available.
Methods: In this prospective study, consecutive patients
were dressed with either BLD or VGD. Ease of applying
and removing the dressings was scored. Pain scores
were taken on postoperative days 3, 5, 7, 9 and 10. On
day 10, the dressing was changed, epithelialization
recorded and a swab taken for microbial culture.
Average cost of each dressing was calculated. Results:
There was no significant difference between
postoperative pain scores with either dressing
(p=0.992). BLD patients had less pain on dressing
change (p=0.006). Both dressings were easy to apply;
BLD was easier to remove (p=0.000). Wounds with
BLD re-epithelialized faster (p=0.0158). 40% of wounds
grew no organism on microbial culture, 25% grew
Staphylococcus aureus and 35% grew unusual
organisms (p=0.482). VGD was 4 times more expensive
than BLD (p=0.000). Conclusion: Banana leaf dressing
is effective and highly recommended for dressing SSG
donor sites. |
| first_indexed | 2024-04-11T19:04:48Z |
| format | Article |
| id | doaj.art-0815c802c53f466798efdd5f1a5276fc |
| institution | Directory Open Access Journal |
| issn | 1999-9674 2523-0816 |
| language | English |
| last_indexed | 2024-04-11T19:04:48Z |
| publishDate | 2021-01-01 |
| publisher | Surgical Society of Kenya |
| record_format | Article |
| series | The Annals of African Surgery |
| spelling | doaj.art-0815c802c53f466798efdd5f1a5276fc2022-12-22T04:07:49ZengSurgical Society of KenyaThe Annals of African Surgery1999-96742523-08162021-01-0118149Comparing Banana Leaf Dressing and Vaseline Gauze Dressing for Split-Thickness Skin Graft Donor Sites in a Ugandan HospitalNaomi Leah Kekisa0George Galiwango1Andrew Hodges2Department of Plastic Surgery, Mbarara University of Science and TechnologyDepartment of Plastic Surgery, Mbarara University of Science and TechnologyDepartment of Plastic Surgery, Mbarara University of Science and TechnologyIntroduction: This study compared the effectiveness of banana leaf dressing (BLD) with the commonly used Vaseline gauze dressing (VGD) on split-thickness skin graft (SSG) donor sites. VGD is not completely nonadherent and is associated with pain on removal. BLD is smooth, non-adherent, pain-free and available. Methods: In this prospective study, consecutive patients were dressed with either BLD or VGD. Ease of applying and removing the dressings was scored. Pain scores were taken on postoperative days 3, 5, 7, 9 and 10. On day 10, the dressing was changed, epithelialization recorded and a swab taken for microbial culture. Average cost of each dressing was calculated. Results: There was no significant difference between postoperative pain scores with either dressing (p=0.992). BLD patients had less pain on dressing change (p=0.006). Both dressings were easy to apply; BLD was easier to remove (p=0.000). Wounds with BLD re-epithelialized faster (p=0.0158). 40% of wounds grew no organism on microbial culture, 25% grew Staphylococcus aureus and 35% grew unusual organisms (p=0.482). VGD was 4 times more expensive than BLD (p=0.000). Conclusion: Banana leaf dressing is effective and highly recommended for dressing SSG donor sites.https://www.annalsofafricansurgery.com/banana-leaf-vs-vaseline-gauze-dresssplit-thickness skin graftdonor sitesbanana leaf dressingvaseline gauze dressing |
| spellingShingle | Naomi Leah Kekisa George Galiwango Andrew Hodges Comparing Banana Leaf Dressing and Vaseline Gauze Dressing for Split-Thickness Skin Graft Donor Sites in a Ugandan Hospital The Annals of African Surgery split-thickness skin graft donor sites banana leaf dressing vaseline gauze dressing |
| title | Comparing Banana Leaf Dressing and Vaseline Gauze Dressing for Split-Thickness Skin Graft Donor Sites in a Ugandan Hospital |
| title_full | Comparing Banana Leaf Dressing and Vaseline Gauze Dressing for Split-Thickness Skin Graft Donor Sites in a Ugandan Hospital |
| title_fullStr | Comparing Banana Leaf Dressing and Vaseline Gauze Dressing for Split-Thickness Skin Graft Donor Sites in a Ugandan Hospital |
| title_full_unstemmed | Comparing Banana Leaf Dressing and Vaseline Gauze Dressing for Split-Thickness Skin Graft Donor Sites in a Ugandan Hospital |
| title_short | Comparing Banana Leaf Dressing and Vaseline Gauze Dressing for Split-Thickness Skin Graft Donor Sites in a Ugandan Hospital |
| title_sort | comparing banana leaf dressing and vaseline gauze dressing for split thickness skin graft donor sites in a ugandan hospital |
| topic | split-thickness skin graft donor sites banana leaf dressing vaseline gauze dressing |
| url | https://www.annalsofafricansurgery.com/banana-leaf-vs-vaseline-gauze-dress |
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