Twice Daily Saline Dressing versus Single Dressing before Split Skin Grafting Among Diabetic Foot Ulcer Patients and its Role in the Percentage of Graft Uptake: A Cross-Sectional Study
Objective: The objective of the study is to assess the percentage of graft uptake among diabetic foot ulcer patients undergoing
twice daily saline dressing versus single saline dressing for a week before split skin grafting.
Methodology: This is a cross-sectional study involving 50 diabetic foot ulcer patients, above 18 years of age who have undergone
split skin grafting at Saveetha Medical College. Out of the 50 patients, 25 of them underwent twice daily normal saline dressing,
and the other 25 underwent normal saline dressing once daily before split skin grafting. The percentage of graft uptake after split
skin grafting was assessed at 1st week, 2nd week, and 3rd week and compared between the two groups during regular follow up.
Results: In the study group, out of the 50 patients 33 were male (66%) and 17 were female (34%). Among the study population,
most of them had Type II diabetes mellitus for a period of 1–10 years, 44 patients(88%), and the average duration of ulcer was
<1 month, 32 patients (64%). Average graft uptake among diabetic foot ulcer patients undergoing split skin grafting with single
daily saline dressing for a week before the procedure is, at 1st look 78%, at 2nd look 72%, at 3rd look 69%. The average graft uptake
among diabetic foot ulcer patients undergoing split skin grafting with twice daily saline dressing for a week before the procedure
is, at 1st look 93%, at 2nd look 89%, at 3rd look 87%.
Conclusion: The percentage of graft uptake is higher and better among patients undergoing twice daily normal saline dressing
than among patients undergoing single daily normal saline dressing for a week before split skin grafting. Hence twice daily normal
saline dressing before split skin grafting helps in better graft uptake and wound healing, among diabetic foot ulcer patients which
will greatly help in reducing the morbidity of the disease.
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