Comparing the Effects of Silicon Coating Along with the Silver Nano Crystal with Normal Vaseline Gauze on the Donor Graft Among the Patients of Plastic Surgery Clinic of Isfahan University of Medical Sciences in 2016

Background: Skin grafting is used for recovering the scars of which the stitching is difficult or led to remaining of the big scars. In this method, skin is taken from the healthy donor site and transferred to the scar area which itself creates a new scar requiring the rapid improvement with the least scar, pain and cost. To cover this new scar, there are various ways including the normal Vaseline Gauze, silver Nano-silicon and etc. where this study tries to examine the different impacts on the same person including the rapid recovery, reduction of pain, scar and costs, etc. Methods: In this clinical trial study, 49 patients were selected randomly from among those suffering trauma and burning on hand and leg. Scar of their donor area was divided into two parts; one part was covered by Vaseline gauze and the other by silver Nano-silicon. Then, a questionnaire was filled for recording the data related to recovery, scar, costs, pain and comfort of patient and nursing crew within distances of one day, two days, two weeks, four weeks, three months and six months. Finally, the obtained information were analysed by SPSS. Results: The average of dressing s detachment was different significantly in two parts (p > 0.05). Results showed that coating of silver Nano crystal is detached earlier. Also, pain in two parts was not different significantly in early days and at the end of the second week, pain on the Nano crystal part was significantly low (p  0.05). In the second week, itching in Nano crystal was lower, skin colour returned back faster to its natural status; the skin covered by the Nano crystal required less moisturizer (p  0.05). Patient’s and nurse’s comfort were in higher level in Nano crystal part and they preferred it over the Vaseline gauze. Hypertrophic scar was not observed in any group and was not comparable. Costs of Vaseline gauze was significantly lower than the silver Nano-silicon. Conclusion: With regards to the results, it seems that silver Nano-silicon coating is preferred due to rapid recovery as well as fast reduction of pain and high itching and finally comfort of patient and nursing crew over the normal Vaseline gauze. In connection to the costs, the raw cost of silver Nano-silicon is higher, but in this study, the hidden costs was considered like the patient’s return to normal life, cost of other medicines and emulsions (pain killer and moisturizer). Silver Nano-silicon coating decreases such costs. Based on what said above, it is suggested to use it more in donor site scars and other similar scar.

کلیدواژه ها:

AG Coat ، Vaseline Gauze ، Donor Site