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Official Journal of the Italian Association for Cutaneous Ulcers
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Online ISSN 1827-1774
Valente M., Parisi D., Grieco M., Giannini G., Portincasa A.
Scuola di Specializzazione in Chirurgia Plastica e Ricostruttiva, Università degli Studi Foggia, Foggia, Italia
Aim. The management of the exude is a fundamental aspect to promote the healing process: its presence determines damage to the granulation tissue, the fibrin onset, and the delay of the recovery. The exude could be evaluated with the following physical parameters: volume, colour, consistence and odour. The polyurethane foams are helpful devices, but they promote a pabulum in the infected ulcers, which increased bacterial growth.
Methods. The aim of this study (open, not controlled, not randomized) was to evaluate the clinical effectiveness of the gel polyurethane foam with Hydrofiber® technology. The study has been carried out for four week on 23 patients (age between 30 and 73) affected by chronic and non infected ulcers. The goals of this study where: valuation and management of the injuries; valuation of wound dimensions, measured with a planimetric system; aspect of the wound’s bed; number of dressing changes; pain at each dressing change; exudation degree; aesthetical results; patient’s compliance. As to the dressing characteristics, we evaluated: ease of dressing application and removal, ability of exudate absorption, aspect of the skin around the injury after dressing removal, global evaluation of the product after four weeks. We assigned to each item a score from 1 to 4. Dressing has been changed twice a week on the average.
Results. Using the photographic monitoring and the planimetric device, we observed a sensible reduction of wound dimensions in the space of 30 days. We had positive results in term of ease of dressing application and removal and in term of absorption. In the choice of the correct wound dressing it must be considered: effectiveness in term of healing, simplicity of application, atraumatic removal, endurability, and low frequency of changes. Results: the 95% of the patients profited by the new dressing; quality of life has improved due to the high tolerability, ease of employment, absence of adverse reactions. The great wound management was also due to the prolonged time of application (on the average 3 days).
Conclusion. The main features of this dressing are: preservation of the skin around the injury, with a reduction in term of maceration and pain decreasing during dressing removal, preservation against traumatism thank to its pad effect created by the gel action. The absence of local and systemic complications allows the use of this particular dressing in association both with a soft or elastocompressive bandage. The results could be considered positive, but the short time of observation advises for more clinical close examinations.