A closer examination of atraumatic dressings for optimal healing

Int Wound J. 2015 Oct;12(5):510-6. doi: 10.1111/iwj.12144. Epub 2013 Sep 13.

Abstract

The concept that undisturbed wound healing, optimised by dressing choice, improves wound outcomes has become a focal point of consideration when evaluating wound management regimens in recent years. However, little evidence exists related to wound contact layers and the potential detrimental effects of the intimate contact with the wound bed. The aim of this study was to evaluate the effects of atraumatic wound contact dressings on the healing of partial-thickness wounds in comparison to untreated air-exposed wounds. Using an in vivo porcine wound model the handling properties of each dressing in terms of adhesion were analysed. Methods of wound characterisation included histological analysis of granulation tissue formation and epithelialisation and this was correlated with various clinical observations. Differences were found between dressings in terms of adherence to the wound bed and surrounding skin, capacity to retain wound exudates and enhancement of healing.

Keywords: Adherence; Dressings; Porcine model; Wound healing.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Bandages*
  • Disease Models, Animal
  • Exudates and Transudates
  • Female
  • Granulation Tissue / pathology
  • Polyesters
  • Silicones
  • Skin Ulcer / etiology
  • Skin Ulcer / pathology
  • Skin Ulcer / therapy*
  • Surgical Mesh
  • Swine
  • Tissue Adhesions / prevention & control*
  • Wound Healing / physiology*
  • Wounds and Injuries / etiology
  • Wounds and Injuries / pathology
  • Wounds and Injuries / therapy*

Substances

  • Polyesters
  • Silicones
  • mepitel