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Monday, January 13, 2014

Surgical Dressings


  • Debriding Agents : Benoxyl-benzoic acid ( used in necrotic sloughing ulcer)

  • Enzymatic Agents : Varidase-streptokinase/streptodornase (activate fibrinolysis and liquefy pus on chronic skin ulcer )

  • Polymaric films : Opsite (primary adhesive transparent dressing for sutured wounds or donor site)

  • Hydrogels : Intrasite (semi permeable, allow gas exchange, used for deep cavity wounds)

  • Hydrocolloids : Comfeel (complete occlusion, promote epithelialistaion and granulation tissue)

  • Fibrous Polymers : Kaltostat (absorptive alginate dressing they can be used to pack deep wounds)

  • Biological Membranes : Porcine skin, amnion (used for superficial chronic skin ulcers)

  • Miscellaneous : Gauzes (viscose/cotton with simple absorptive dressings only used as secondary dressings to absorb non adherent coating exudate)




Ideal Wound Dressing 

  • Maintain a moist environment at wound interface

  • Remove excess exudate 

  • Provide thermal insulation and mechanical protection 

  • Acts as a barrier to micro-organisms

  • Allow gaseous exchange 

  • Non adherent and easily removed without trauma

  • Leaves no foreign particles in wound 

  • Non toxic, non allergic and non sensitising 

  • Sterile

  • Easy to use 

  • Conforms to wound contours 

  • High absorption and retension under compression 

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