Author(s): Dr. H.M. Umar Bashir Hashmi (MBBS), Dr. Mohammad Mughese Amin (FCPS Plastic Surgery) Dr. Fahad Nazar (MBBS), Dr. Zahra Babar (MBBS)
Pages: 17-22 |
Backdround: Traditional dressing on dirty wounds was cotton and gauze pads. Due to high cotton fibers and loose threads and low absorption rates we were struggling with this dressing. Secondly preparing these dressings also need lots of labor and resources. OBJECTIVES: The comparative study was conducted to compare foam dressing and conventional gauze dressing with reference to healing time and chances of infection in exudative wounds and on skin graft. MATERIALS AND METHODS: One hundred patients were included in the study, from Plastic Surgery Ward, Bahawal Victoria Hospital (BVH) during twelve months, from 1st November 2012 to 31st October 2013. Fifty patients with exudative wounds had foam dressings while fifty had gauze dressings, which were observed over time. RESULTS: Results showed that granulation with foam dressing is almost 7 days as compared to gauze dressing, which on average takes 12 days to heal. Whereas chances of infection with foam dressing also reduces two times as that from gauze dressing. CONCLUSION: In conclusion foam dressing is recommended for dirty exudative wounds because of its high absorptive nature, a kind of low negative suction effect, easy to prepare and low cost.
1. Chirag B. Shah, PH.D, Hansen P. BS; Brian J Dowd, MBA (Covidien, Basingstroke, UK) literature over “efficacy and mode of action of a new PHMB impregnated polyurethane foam dressing” page #1 (abstract)
2. Téot L, MD, PhD b Faure C, PhD a Burns and P l a s t i c U n i t , H ô p i t a l L a p e y r o n i e , Montpellier, France researched wound dressing interface. Wound Healing Southern Africa 2009 Volume 2 No 1 .page 2
3. Téot L, MD, PhD b Faure C, PhD a Burns and P l a s t i c U n i t , H ô p i t a l L a p e y r o n i e , Montpellier, France researched wound dressing interface. Wound Healing Southern Africa 2009 Volume 2 No 1. Page 4
4. Chirag B. Shah, PH.D, Hansen P. BS; Brian J Dowd, MBA (Covidien, Basingstroke, UK) literature over “efficacy and mode of action of a new PHMB impregnated polyurethane foam dressing” page #3 (conclusion)
5. . Helen shaw and Racheal Matheson of conva tech wound therapeutics studied the role of aquacel foam dressing in stage 1 pressure ulcers prognosis. Page# 8, para# 5 (conclusion). © Conva Tech Inc. 2013 .
6. Gee TC, Xing N, Chen J, Zhou JJ, Su GL, Shi JW, Zheng YS.from Burn Institute of Rui’an, the Third Affiliated Hospital of Wenzhou Medical College, Rui’an 325200, China. “Compared several foam dressings in the properties of water absorption, water locking a n d a i r p e r m e a b i l i t y ” p a r a g r a p h 4 (conclusion). PMID; 23290760 [PubMedindex].
7. Payne JL, Ambrosio AM. Of Global R&D, Kinetic Concepts, Inc., San Antonio, Texas, USA. Did “Evaluation of an antimicrobial silver foam dressing for use with VAC
therapy” paragraph #1 (abstract). PMID: 1 9 2 7 4 7 2 4 [ P u b M e d – i n d e x e d f o r MEDLINE]. J. biomed mater Res-b biomater 2 0 0 9 a p r ; 8 9 ( 1 ) http://www.ncbi.nlm.nih.gov/pubmed/?term =Evaluation+of+an+antimicrobial+silver+f oam+dressing+for+use+with+VAC+therap
8. Rahmanian-Schwarz A, Willkomm LM, Gonser P, Hirt B, Schaller HE. Department of Plastic, Reconstructive, Hand and Burn Surgery, BG-Trauma Center, Eberhard Karl’s University Tubingen, Germany introduced a novel option in negative pressure wound therapy (NPWT) for chronic and acute wound care. Burn.2012 Jun; 38(4). PMID; 22100423 [PubMed-indexed for MEDLINE] http://www.ncbi.nlm.nih.gov/pubmed/?term =A+novel+option+in+negative+pressure+w ound+therapy (NPWT)+for+chronic+and+ acute+wound+care
9. Usman Ghani, Momin Malik, Zahid Hussain, Javed-Ur-Rehman and Irfan Shukr from Combined Military Hospital, Rawalpindi. P u b l i s h e d “ VA C U U M A S S I S T E D C L O S U R E ( VA C ) T H E R A P Y F O R DIFFICULT WOUND MANAGEMENT”. Issue Year : 2009, Issue Number : 2, Issue M o n t h : M a r c h . http://www.pafmj.org/showdetails.php?id=2
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