A randomised, controlled, non‐inferiority trial comparing the performance of a soft silicone‐coated wound contact layer (Mepitel One) with a lipidocolloid wound contact layer (UrgoTul) in the treatment of acute wounds

Abstract

Wound contact layer (WCL) dressings are intended to protect tissue during the healing process. A randomised controlled trial was undertaken to compare 2 such dressings. Outpatients with acute wounds were randomly allocated to treatment with either a soft silicone‐coated WCL (intervention group, n = 59) or a lipidocolloid‐impregnated WCL (control group, n = 62). At the first dressing removal (day 3), 89.8% of patients in the intervention group experienced non‐painful dressing removal (defined as a pain rating <30 mm on a 100 mm visual analogue scale), compared with 73.6% of patients in the control group (P = .017) (per protocol population). At day 21, wounds were considered as healed in 66.1% of patients in the intervention group compared with 43.5% in the control group (P = .012) (intention‐to‐treat population). Both dressings were well tolerated and rated highly in terms of in‐use characteristics, although the soft silicone‐coated WCL was rated significantly higher than the lipidocolloid‐impregnated WCL in terms of its ability to remain in place (P= .016). The results indicate that the soft silicone‐coated WCL is suitable for the management of acute wounds as it can minimise dressing‐associated pain and support healing.

Retrospective Study on the Clinical Superiority of the Vacuum-Assisted Closure System with a Silicon-Based Dressing over the Conventional Tie-over Bolster Technique in Skin Graft Fixation

“…According to related studies, postoperative wound pain can lead to psychological depression, which may result in physiological stress and delay wound healing [7,26]. The psychological results and somatic symptoms of depression that are not normally felt by the sensory route can be interpreted as disgraceful or even painful [27], resulting in a vicious cycle, where the clinical situation deteriorates before wound care is appropriately managed [26]. In the current study, the conventional tie-over bolster technique produced significantly higher levels of postoperative pain (p < 0.05) when compared with the VAC plus silicon-based dressing method.…”

How to survive a periviable birth baby with birth weight of 450g: A case report

“…[2] Individualized DSC: soft silicone hydrocolloidal dressings were used to prevent sticky materials induced skin damage, as the reported benefits to facilitate atraumatic and non-painful adhesive dressing removal. [6] Indeed, DSC effectively maintained skin integrity, minimizing stress and pain, promoting comfort and safeguarding sleep, and thus reducing brain injury. These results agreed with previous study that DSC provides a healing environment to maximize safe and comfort whilst minimizing potential harms.…”

Yara Bakımında Kullanılan Yara Örtüsü Teknolojileri: Randomize Kontrollü Çalışmaların İncelenmesi

“…Yara örtüleri yara bölgesini örterek, zarar gören dokuyu dış etkilerden korumakta, yapısı uygunsa hücre üretimini aktive ederek iyileşme sürecine katkı sağlamaktadır 39 . (2017) 34 .…”