Use of Banana Leaf Dressing on Donor Site Wounds

Use of Banana Leaf Dressing on Donor Site Wounds: A Prospective Randomized Control Study

Prospective Randomized double-blind controlled trial comparing the healing rate, infection rate, pain score, ease of care and scar formation of Banana leaf dressing versus hydrocolloid dressing.

Study Overview

• Status: Unknown
• Conditions: Burn
• Intervention / Treatment: Device: Banana Leaf Dressing; Drug: Hydrocolloid Dressing (DuoDERM CGF)

Detailed Description

Prospective Randomized double-blind controlled trial comparing the healing rate, infection rate, pain score, ease of care and scar formation of Banana leaf dressing versus hydrocolloid dressing.

Adult patients with no uncontrolled medical condition admitted at Philippine General Hospital Burn Center requiring split thickness skin graft for their burn. this is to compare the efficacy and safety of Banana Leaf Dressing with Hydrocolloid dressing among patients undergoing split thickness skin graft for their burn.

• Study Type: Interventional
• Enrollment (Actual): 10
• Phase: Phase 2

Contacts and Locations

Study Locations

• Philippines
  • Metro Manila
    • Manila, Metro Manila, Philippines, 1000
      • Philippine General Hospital - University of the Philippines Manila

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 40 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Patient undergoing harvesting of skin graft one or both thigh
• Surgery under general anesthesia
• Given informed consent and has accomplished a written inform consent

Exclusion Criteria:

• Patient with uncontrolled medical condition such as diabetes or hypertension
• Pregnant females
• Patients in whom legs or back was used as donor site
• Surgery under regional anesthesia
• Refused inclusion into the study
• Patients who had previous skin harvesting on the area of the study

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Banana Leaf Dressing Group; The Banana Leaf Dressing site will receive a single layer of banana leaf dressing	Device: Banana Leaf Dressing; Banana leaf dressing will be prepared by cutting the mid rib of the leaf cutting the leaf into standard size of 12 x 12 inches to facilitate packing. The leaves are rolled and packed in polypropelene bags and subject to gamma irradiation or packed in paper bags for autoclaving. The Banana Leaf Dressing site will receive a single layer of banana leaf without any topical antibiotic applied to the wound followed by a layer of dry gauze for absorption of exudates. The dressing is secured with cling wrap to maintain an occlusive environment. This is then covered by rolled gauze and elastic bandage.
Active Comparator: Hydrocolloid Dressing Arm; The donor under Hydrocolloid dressing was covered with hydrocolloid (DuoDERM CGF).	Drug: Hydrocolloid Dressing (DuoDERM CGF); The donor under HCD was covered with hydrocolloid (DuoDERM CGF). The hydrocolloid dressing was cut to the size of the donor site with an overlap of at least 2 centimeter around the wound edge. After pulling off the adhesive backing, care was taken to ensure that the adhesive was in direct contact with the raw surface. This was likewise covered with a top dressing of gauze for absorption of exudates and an elastic bandage to secure dressing.; Other Names: DuoDERM CGF

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Healing Assessment and Efficacy of the dressing	After 8th post harvest day The degree of healing will be assessed. Direct inspection of the wound will be made by experienced burn surgeon. The degree of re-epithelialization will be graded as follow: No Re-epithelialization = zero (0); Less than 50% = one (1); More than 50% but not complete = Two (2), and Complete (90% or more) = Three (3). Complete Re-epithelialization is synonymous to healing on which 90% or more of the wound surface is re-epithelialized.	8th post harvest day

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain Scores	This pain score shall be determined on each patient using a visual analog pain intensity scale the score is as follows: 0-1=no pain; 2-3= Mild pain; 4-5=Moderate pain; 7-8= Severe pain; 9-10=Worst possible.	taken from 24hours, on the 48th and 72 hour post skin harvest

Collaborators and Investigators

• Sponsor: University of the Philippines
• Investigators: Principal Investigator: Jeane Azarcon, MD, UP Manila

Study record dates

Study Major Dates

• Study Start: October 1, 2006
• Primary Completion (Actual): September 1, 2007

Study Registration Dates

• First Submitted: February 24, 2014
• First Submitted That Met QC Criteria: March 6, 2014
• First Posted (Estimate): March 11, 2014

Study Record Updates

• Last Update Posted (Actual): April 24, 2020
• Last Update Submitted That Met QC Criteria: April 21, 2020
• Last Verified: April 1, 2020

More Information

Terms related to this study

• Other Study ID Numbers: NIH (TRB) 2005-002