A prospective, comparative study of outcomes with Melolin, collagen sheet and traditional vaseline gauze dressing for healing of skin graft donor site in burns cases

Abstract

Donor site following skin graft harvest have plenty of options available for dressing. We compared outcomes of Melolin, Collagen sheet and traditional Vaseline gauze for this purpose. Aim: The aim of the present study was to evaluate the outcomes Melolin, Collagen sheet and traditional Vaseline gauze for healing of skin graft donor site. Materials and Methods: Total 45 patients of Skin grafting procedure between August 2020 and July 2021 Burns unit affiliated to a tertiary care-teaching unit in Mumbai were taken in this research. Data was collected as VAS scores for pain evaluation, re-epithelialization time in days, infection rate and VSS score for scar quality for each dressing material. Mean Values of all parameters were calculated and compared. Results: Mean VAS score in Melolin group was 3.6, Collagen sheet group was 2.73 and Vaseline gauze group was 5.2. Re-epithelialization in Melolin group was achieved in 13.53 days (Mean), Collagen sheet group in 12.73 days (Mean) and Vaseline gauze group in 15.2 days (Mean). Mean Infection rate in Melolin group was 0.2143, Collagen sheet group was 0.0667 whereas Vaseline gauze showed 0.3333. Mean VSS score of 4.73 in Melolin group, 4.6 in Collagen sheet group and 5.2 in Vaseline gauze group. Mean VSS score of 4.73 in Melolin group, 4.6 in Collagen sheet group and 5.2 in Vaseline gauze group. Conclusion: Melolin, Collagen Sheet showed low pain scores, faster re-epithelialization, low infection rate and comparable VSS scores with regularly used Vaseline gauze.