Comparison of STSG Donor Site Healing, Dressing with Betamethasone + Polymyxin B Vs Sterile Tulle Dressing Impregnated with 1% Framycetin Sulphate

Shahid Ahmed; Tahir Masood Ahmed; Abdul Qadeer; Khurshid Alam; Khawaja Umer Majeed; Zafarullah

doi:10.70749/ijbr.v3i1.487

Authors

Shahid Ahmed Department of Plastic Surgery, CMH Rawalpindi, Punjab, Pakistan.
Tahir Masood Ahmed Department of Plastic Surgery, CMH Rawalpindi, Punjab, Pakistan.
Abdul Qadeer Department of Plastic Surgery, CMH Rawalpindi, Punjab, Pakistan.
Khurshid Alam Department of Plastic Surgery, Royal Cosmetic Surgery Islamabad, Pakistan.
Khawaja Umer Majeed Plastic Surgery, Department of Health AJK, Pakistan.
Zafarullah Department of Plastic Surgery, CMH Rawalpindi, Punjab, Pakistan.

DOI:

https://doi.org/10.70749/ijbr.v3i1.487

Keywords:

Split-thickness Skin Graft, Donor Site Healing, Betamethasone, Framycetin Sulfate, Wound Care

Abstract

Background: Wound healing at the split-thickness skin graft (STSG) donor site is an important aspect of reconstructive surgery that has been characterized by pain, delayed healing, and complications. Improving patient outcomes is the ultimate goal, and it is critical and possible to do all that is needed to optimize donor site management. Objectives: Experimental objectives to determine the effectiveness of Betamethasone + Polymyxin B dressing to that of sterile tulle dressing soaked in 1% framycetin sulfate in enhancing donor site healing and minimizing complications. Materials and Methods: A prospective randomized controlled trial was carried out for 12 months at CMH Rawalpindi, Pakistan in the duration from 1st November 2023 to 30th November 2024. Out of 100 patients, both groups were formed, and the donor sites were treated with the dressing. Recovery period, reported pain, and adverse outcomes were assessed at 2-week, 4-week, and 6-week intervals. Results: The beta-methadone and polymyxin B dressing was found to have reduced the length of healing time (12 ± 2.5) as compared to framycetin sulfate dressing (16 ± 3.2) p<0.05 for pain scores and infection rates. Other post-operative-related complications that were lowered included scarring and hyper granulation. Conclusion: Betamethasone + Polymyxin B dressing is more effective in managing the donor site of STSG, has lesser healing time, and less pain and complications.

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