A comparison between banana leaf dressing and Vaseline gauze dressing for split-thickness skin graft donor sites at a Ugandan hospital

Naomi Leah Kekisa, George W. Galiwango, Andrew M Hodges

Department of Plastic Surgery, Mbarara University of Science and Technology.

Correspondence to: Naomi Leah Kekisa, Mbarara. Email: naomileahk@gmail.com. Telephone: +256776809494

Abstract

Introduction: This study compared the effectiveness of Banana Leaf Dressing (BLD) to the commonly used Vaseline Gauze Dressing (VGD) on Split thickness skin graft donor sites. VGD is not completely non-adherent and is associated with pain on removal. BLD is smooth, non-adherent, pain-free and available. Methods: In this prospective study (PACTR202002762137087), consecutive patients were dressed with either BLD or VGD. Ease of dressing application and removal were scored.  Pain scores were taken on postoperative days 3, 5, 7, 9 and 10. On day 10, dressing change was done, 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.

 

Key words: SSG donor sites, Banana leaf dressing, Vaseline gauze dressing. 

Ann Afr Surg. 2020; **(*):*** DOI:http://dx.doi.org/10.4314/aas.v***.*

Conflicts of Interest: None

Funding: None

© 2020 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.

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