Young Banana Leaf with Herbal Oil and Egg Yolk as Instead Gauze

Abstract

Gauze dressings are one of the most common problems associated with dressings which are often found in abrasions burns, scalds wound from motorcycle exhaust pipe and wounds from other accidents. It is caused by lymph that has absorbed the gauze when it dries, it is very sticky and difficult to remove from the wound. Each time the gauze is removed, the patient will feel pain and the wound may bleed again. This causes the growing tissue to be pulled away from the gauze every time of removing. The wound therefore heals more slowly than usual, especially if the wound is caused by a child or young child who will allow very little cooperation in the wound healing. Currently, the general public health service uses Sofra Tulle to cover the wound, these materials are quite expensive and are not available in sufficient quantities. Tambon Huachang Health Promoting Hospital realizes the importance of this problem. This hospital decided to create the innovation: young banana leaf with cold pressed herbal oil, egg yolk (from duck) and old betel nuts as instead gauze by using local wisdom and locally available materials to effectively and safely solve the problem of gauze wounds. This innovation have 3 steps: (1) young banana leaf preparation, (2) herbal yolk production, and (3) sterilization. In the current study, after applying young banana leaf with herbal oil and egg yolk to 32 patients during June 2020 - May 2022, it was found that all patients (100%) expressed satisfaction at high level (100%), and 5 public health staff expressed satisfaction at high level (100%) as well. The young banana leaf with cold pressed herbal oil, egg yolk (from duck) and old betel nuts could solve problem of very sticky. difficulty to remove from the wound, covering the wounds instead gauze and plaster; and there was no complication of wound. The adventage points of this innovation were: low cost, easy to produce, and easy to find materials in local area. However the product had to be kept away from ants and bugs. The product should be used day by day to prevent product contamination. Young banana leaf could be re-steamed to be reused. The innovation product could be kept for several day and steamed every 7 days. The cost of 1 set of this innovation was about 15 Baht (excluded stainless pack).