Abstract

Background: Peri-ileostomy skin excoriation is an inevitable complication following Ileostomy specially in children. To prevent such excoriation Zinc oxide paste and several other conventional modalities has been used with some demerits. So in search of an alternative, Linseed oil has been proposed to prevent peri-ileostomy skin excoriation as it contains an omega-3 α Linolenic acid having anti-inflammatory, anti-allergic, skin soothing, healing and revitalizing properties. The aim of the study is to compare the effectiveness of Linseed oil and Zinc oxide paste in preventing peri-ileostomy skin excoriation. Material & Methods: This was a prospective comparative interventional study conducted in 76 children (ranging from 1 day to 18 years) admitted at Dhaka Shishu (Children) Hospital requiring Ileostomy care from March 2017 to September 2019. Out of 76 children, 38 were purposively selected and randomly allocated in each of Group A (Linseed oil Group) and Group B (Zinc oxide Group). Patients were followed up for 1 month after operation. During this period, 5 children were lost from follow-up in Group A and 4 in Group B. So we studied with 67 patients among which 33 enrolled in Group A and 34 in Group B. SPSS version 25 statistical software was used to analyze. Results: Age, sex, weight, primary diagnoses and types of operation showed no significant statistical differences between two groups. Area of excoriation was absent in 22 (66.7%) patients in Group A and 8 (23.5%) patients in Group B. No patient in Group A had > 3 cm excoriation while in Group B 8 (23.5%) patients had > 3 cm excoriation which was statistically significant (p < 0.001). 1st degree excoriation was significantly more in group B 24 (70.6%) than Group A 10 (30.3%) (p -value = 0.001). Conclusions: Linseed oil is more effective than Zinc oxide in preventing peri-ileostomy skin excoriation. It is locally available, easy to use and potential to minimize the peri-ileostomy skin excoriation.

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