A comparative study to access healing of the donor area by conventional paraffin gauze dressing versus Centella Asiatica Herbal Silk dressing.

Dr.Ruchi Pathak Kaul; Ms.Sheeja S; Ms.Kavita Garg; Dr.Subodh Kumar; Dr.Maneesh Singhal; Dr.Amit Gupta; Dr.Sushma Sagar

Volume : VII, Issue : I, January - 2018

A comparative study to access healing of the donor area by conventional paraffin gauze dressing versus Centella Asiatica Herbal Silk dressing.

Dr. Ruchi Pathak Kaul, Ms. Sheeja S, Ms. Kavita Garg, Dr. Subodh Kumar, Dr. Maneesh Singhal, Dr. Amit Gupta, Dr. Sushma Sagar

Abstract :

Objective:-This study aims to compare conventional paraffin gauze dressing with Centella Asiatica Herbal Silk Dressing (Fioheal^TM) in the healing of wounds of donor area.

Methods:-A blinded, prospective, randomized trial was conducted on 30 adult inpatients at Level 1 Trauma Centre under the Division of Trauma Surgery & Critical Care from November 2013 to September 2014, who had wounds requiring skin grafting. After grafting, each donor site wound was half covered with Fioheal sheets and half with paraffin gauze dressing. Donor site assessment was performed on the basis of 6 parameters on weekly basis till 4 weeks by a single observer blinded to the randomization. After performing a thorough assessment the wound was washed with saline and 1 Fioheal sheet (10x10cm) was placed on site 1 while site 2 was dressed with paraffin gauze followed by secondary dressing.

Results: - Size of the wound was compared for both the sites every 7^th day. Significant reduction in size was noted and P-value(<.01) was calculated using Wilicoxon Signed Rank Test. Mc Nemar test was used to analyse presence of infection and pus discharge on the basis of wound culture. Tenderness, erythema and oedema was measured as present and absent. Pain was measured using VAS Scale every 7^th day. Centella Asiatica Herbal Silk dressing provided less pain due to its smothering effect as compared to paraffin gauze which adheres to the wound. Henceforth the low adherent nature of Centella Asiatica Herbal Silk dressing is definitely beneficial for the wound in terms of pain and healing.

Conclusion: - Centella Asiatica Herbal Silk dressing significantly improved the quantitative and qualitative appearance of donor site as compared to paraffin gauze dressing. This dressing has promising future for wounds due to its versatility and low adherence to wound. The study was uneventful.