Randomized Control Trial To Study The Efficacy Of Tumescent Technique Over Non Tumescent Technique By Using Adrenaline In Healing Of Split Thickness Skin Graft (Stsg) Donor Site

Abstract

Split thickness skin grafting (STSG) have an important place in many areas of plastic surgery. Though the technique of skin grafting is more or less standardized the treatment of donor site differs greatly and has been topic for debate. Thus it is not uncommon for patients to complain more about pain at the donor site than at the site of surgery. To overcome this the tumescent technique is used now a days. The tumescent technique is very useful in reducing post-operative complications at donor site. Objective: To study the efficacy of tumescent technique over non tumescent technique by using adrenaline in healing of split thickness skin graft (STSG) donor site on 10thpost operative day. Design: Randomized control trial Setting: KLES Dr.Prabhakar Kore Hospital and Medical Research centre, Belagavi, Karnataka, India Population: 90 adult patients requiring STSG for various etiologies between 1st January 2016 to 31st December 2016. Materials and Methods: The study included 90 adult patients. Half of them underwent tumescent technique and rest 45 underwent non-tumescent technique. Group A patients would undergo sub-dermal infiltration of skin graft donor site with a solution formula of 1 mg (1:1000) adrenaline added to 500 ml of saline. Both groups will be monitored for donor site healing by inspection on 10th post-operative day. Results: On 10th postoperative day, the rate of epithelisation in tumescent technique (group A) patient is 80% or more faster than non tumescent technique (group B). Conclusion: Tumescent technique by using adrenaline is more efficient than non-tumescent technique in the healing of donor site.