A Thoroughgoing Detail of Surgical Dressings
Abdul Kader Mohiuddin
Citation: Mohiuddin AK (2019) A Thoroughgoing Detail of Surgical Dressings. J Pharma Drug Develop 6(1): 101 Injury to the skin provides a unique challenge, as wound healing is a complex and intricate process. Acute wounds have the potential to move from the acute wound to chronic wounds, requiring the physician to have a thorough understanding of outside interventions to bring these wounds back into the healing cascade. Surgical enrichment/dressings are applications for wounds, burns, and ulcers. They should be regarded as supportive of healing; are desirable but not essential in an emergency. There are currently plenty of dressings available in the market to aid in wound healing. Before choosing a dressing for a specific injury, a physician must assess carefully the needs of the wound to understand which dressing would ensure maximum interest. Basically, there is nothing called best choice, and it is crucial that the merits/demerits of each dressing system be understood. This article has provided a framework to assist in dressing assessment. This article reveals measurement of wound healing and the functions of wound dressings. A variety of dressings and their respective details are detailed. Abstract
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Hand in glove – VAC dressing with active mobilisation
Yeong Pin Peng
Journal of Plastic, Reconstructive & Aesthetic Surgery, 2006
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A comparison of three primary non-adherent dressings applied to hand surgery wounds
P. Terrill
Journal of Wound Care, 2000
A comparison of three primary non-adherent dressings applied to hand surgery wounds This study reports the results of a prospective randomised controlled trial that compared three non-adherent wound dressings applied to hand surgery wounds. Paraffinimpregnated gauze (Jelonet) was compared with a cellulose, acetate fibre dressing coated with a petrolatum emulsion (Adaptic) and a polyamide net dressing impregnated with silicone gel (Mepitel). The dressings were assessed for their ease of application and removal, pain on removal and wound appearance.
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Dressing assemblies for wound treatment using reduced pressure
Robert Wilkes
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Compression Dressings to Stop Digital Bleeding: A Cautionary Note
Adam Blackburn
Journal of Emergency Nursing, 2015
When diabetic campers came to test their blood sugar levels and inject insulin, I observed and visited with them about their camp experience-music, drama, dance, and art. Because of their discipline and talent, these were not "typical" junior high kids. They were mature and focused. I was on call 24/7 but was in the health lodge for an 8hour shift. I was called out only once, late in the evening, to talk with a girl with exercise asthma until she slowed her breathing and stopped coughing. I was the only one on staff allowed to use an otoscope and also made decisions about when to send campers to a nearby outpatient clinic for medication. Camp is a child-centered and nature-loving environment, and it can be nurturing and maturing for the camper. 2 Despite the 8 out of 10 days of rain, my camp experience was very rewarding and I encourage other emergency nurses to give it a try.-Susan J. Black, MS, RN, CNE,
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A Tie-Over Dressing Using a Silicone Tube to Graft Deep Wounds
Ruser Baris
Archives of Plastic Surgery, 2013
A skin graft involves completely separating a portion of the epidermis with varying amounts of the underlying dermis from its blood supply and donor-site attachments in order to transfer it to cover to an open wound when direct suture closure is not possible . Skin grafting is used by many surgical specialties in a variety of clinical situations, such as traumatic injuries, burn reconstruction, or surgical wounds. The most common cause of skin graft failure is the collection of blood or serous fluid underneath the graft. Immobilization and the closest possible contact of the skin graft to the wound bed has therefore become an important factor for increasing the success of the skin graft-ing. A commonly used technique to secure immobilization of a skin graft to the wound bed is a tie-over dressing, which is easy to teach to a surgeon-in-training . Although a tie-over dressing is very useful in obtaining pressure in the centre of a skin graft until revascularisation occurs, it does not provide enough pressure and contact in the graft margins and its periphery. That undesirable situation occurs particularly in the skin grafting procedure of deep wounds, which have a difference in height between the skin graft and recipient bed. Therefore, skin graft failure could be visible over the graft margins depending on local hematoma and fluid collection because of less close contact.
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Wound dressings
Keith Harding
BMJ, 2006
Traditionally wet-to-dry gauze has been used to dress wounds. Dressings that create and maintain a moist environment, however, are now considered to provide the optimal conditions for wound healing. Moisture under occlusive dressings not only increases the rate of epithelialisation but also promotes healing through moisture itself and the presence initially of a low oxygen tension (promoting the inflammatory phase). Gauze does not exhibit these properties; it may be disruptive to the healing wound as it dries and cause tissue damage when it is removed. It is not now widely used in the United Kingdom. Occlusive dressings are thought to increase cell proliferation and activity by retaining an optimum level of wound exudate, which contains vital proteins and cytokines produced in response to injury. These facilitate autolytic debridement of the wound and promote healing. Concerns of increased risk of infection under occlusive dressings have not been substantiated in clinical trials. This article describes wound dressings currently available in the UK. Low adherent dressings Low adherent dressings are cheap and widely available. Their major function is to allow exudate to pass through into a secondary dressing while maintaining a moist wound bed. Most are manufactured in the form of tulles, which are open weave cloth soaked in soft paraffin or chlorhexidine; textiles; or multilayered or perforated plastic films. They are designed to reduce adherence at the wound bed and are particularly useful for patients with sensitive or fragile skin.
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Pediatric Hand Dressing: Technical Report
William Cooney
The Journal of Hand Surgery, 2005
A compressive or conforming dressing is an important aspect of hand surgery, particularly the role of uniform pressure to the entire hand. Pediatric hand patients require special considerations with respect to appropriate postoperative dressing to maintain equal limb compression and to maintain the dressing during the postoperative period. This article describes a specific upper-limb hand dressing that can be used in the infant and young child.
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Gauze vs XSTAT in wound packing for hemorrhage control
Michael Dubick
The American Journal of Emergency Medicine, 2015
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Use of wound dressings to enhance prevention of pressure ulcers caused by medical devices
Evan Call
International Wound Journal, 2013
M. Use of wound dressings to enhance prevention of pressure ulcers caused by medical devices.
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