Keywords
Zinc oxide
parastomal excoriation
Peristomal dermatitis
How to Cite
Abstract
Introduction: Peristomal excoriation is the common complication after stoma formation due to the effluent of stoma leading to breakdown of skin. This lead to pain and bleeding and decreases quality of life of the patient. Many agents have been used for management of Peristomal excoriation. Zinc oxide is considered as standard for managing Peristomal excoriation but because of its cost and synthetic nature, a search for better or equally effective natural agent in going on. Linseed oil has been used for multiple purposes since ancient times and it has good effects on skin. This study is conducted to see the outcome of linseed oil by comparing it with zinc oxide for prevention of excoriation around stoma.
MATERIALS AND METHOD:
Study Design It is a Randomized Trial (parallel type), registered on TCTR with registration number ( TCTR20250222002).
Methodology: A total of 120 patients (60 in each group) with stomas due to various diseases were included in study using Balloting method .Data analyzed with SPSS 25 with chi-sqaure test for qualitative and independent sample t-test for quantitative analysis.patients were followed after the 1st week, 3rd week and 6th week to see effects and results were compared
Place of Study: carried out at pediatric surgery department in the Childrens Hospital and the University of Child Health,Lahore w.e.f 25/08/2022 till 24 /08/2023.
Objective: To evaluate the outcomes of linseed oil vs zinc oxide over a one-year period.
Results: On the 1st week, 3rd week and 6th week follow up, linseed oil showed comparable results with zinc oxide. On 1st week follow up, linseed oil prevented excoriation in 66.7%whereas zinc oxide prevented excoriation in 75% of patients (p-value 0.308). On 3rd week and 6th week follow up, linseed oil prevented Peristomal excoriation in 20% of patients as compared to 26.7% with zinc oxide.
Conclusion: Peristomal excoriation is a common issue in patients after stoma formation. It decreases the quality of life and health of a patient. Linseed oil is a cheap agent which is easily available and is near to standard care in preventing Peristomal excoriation