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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