Open Access Open Access  Restricted Access Subscription Access

MANAGEMENT OF POST OPERATIVE SKIN EXCORIATION DUE TO FORMATION OF STOMA OR FAECAL FISTULA

Jatin K. Punia, Karan Vats, P. R. Bayes, Gourav Saxena, Swapnil Wadhwa

Abstract


Post operative excoriation of skin is not very common but usually seen in long standing case of faecal fistula, bust abdomen and either near or at the site of stoma formation. Various treatment options are available now days including opsite (self-adhesive drape) and zinc oxide. Zinc oxide is used with different applications for example Vaseline jelly, calamine lotion and sometime as zinc oxide local application. On other hand, opsite is also having some controversial benefits. As compare to zinc oxide applications, opsite is technically much more difficult in applying. Both zinc oxide and opsite has its own advantages as well as disadvantages.

In this study we compared different treatment option for curing skin excoriation. Among the patients with skin excoriation combination of Zinc Oxide with Calamine Lotion shows recovery from skin excoriation on an average of 5 days and a delayed recovery is seen in Opsite (self-adhesive drape) as of 10 days (on an average). Side effect of opsite is much more than zinc oxide including Itching, irritations & Redness. Zinc Oxide with Calamine Lotion shows mild itching with early wound healing.


Keywords


Skin excoriation, Faecal fistula, Bust abdomen, Stoma formation, Calamine Lotion, Opsite.

Full Text:

PDF

References


Agren MS. (1990). “Studies on zinc in wound healing”, Acta Derm Venerol Suppl (Stockh), Vol.154, pp.1-36.

Agren MS. (1993). “Zinc oxide increases degradation of collagen in necrotic wound tissue”, Br J Dermatol, Aug, Vol.129(2), p.221.

Agren MS, Chvapil M, and Franzen L. (1991). “Enhancement of reepithelialization with topical zinc oxide in porcine partial-thickness wounds”, J Surg Res, Feb, Vol.50(2), pp.101-105.

Agren MS, Krusell M, and Franzen L. (1991). “Release and absorption of zinc from zinc oxide and zinc sulfate in open wounds”, Acta Derm Venerol, Vol.71(4), pp.330-333.

Agren MS, and Steenfos HH. (2001). “Zinc Oxide”, EWWA Journal, Vol.1(1).

Agren MS, Soderberg TA, Reuterving CO, Hallmans G, and Tengrup I. (1991). “Effect of topical zinc oxide on bacterial growth and inflammation in full-thickness skin wounds in normal and diabetic rats”, Eur J Surg, Feb, Vol.157(2), pp.97-101.

Calamine lotion [cited 2010 oct 17]. Available online http://www.buzzle.com/articles/calamine-lotion-uses.html.

Gupta M, Mahajan VK, Mehta KS, and Chauhan PS. (2014). “Zinc therapy in Dermatology: A review”, id:709152, available online: https://www.hindawi.com/journals/drp/2014/709152/.

Hopper L, Kaur S, and Sharma RK. (2012). “Effect of application of calamine lotion on donor graft site itching among patients under Burn and Plastic surgery unit”, NMRJ, Vol.8(1), pp.21-28.

Khattar JA, Musharrafieh UM, Tamim H, and Hamadeh GN. (2007). “Topical zinc oxide v/s Salicylic acid in treatment of wards”, International Journal of Dermatology, Vol.46(4), pp.427-430.

Landsdown ABG. (1996). “Zinc in the healing wound”, Tlancet, Vol.347(9003), pp.706-707.

Parikh RS, Upasani V, and Mathur SK. (2000). “Self adhesive drape (opsite) for management of leaked abdominal wounds”, Indian J Gastroenterol, Oct-Dec, Vol.19(4), pp.178-180.

Portes WJ, Henzel JH, and Rob CG, et. al. (1967). “Acceleration of wound healing in man with zinc sulfate given by mouth”, Lancet, Vol.21, p.121.


Refbacks

  • There are currently no refbacks.


Send mail to ijsss@ijsss.com with questions or comments about this web site. 

International Journal of Surgery and Surgical Sciences, All rights reserved.