Hydrocolloid dressing versus conventional wound care after dermatologic surgery

Abstract

Background Hydrocolloid dressings (HCD) are helpful in chronic wound care, but research is limited in acute postoperative wounds. HCD can potentially be incorporated into a simplified wound care regimen after excisional surgeries. Objective To examine whether a one-time HCD application after dermatologic surgery results in greater patient satisfaction and improved postoperative outcomes compared with conventional daily dressings (CDD). Methods We examined patients who underwent Mohs or standard surgical excision with linear closure followed by HCD. The patients additionally had a history of excisional surgery with CDD in the past 5 years. A modified version of the validated Bluebelle Wound Healing Questionnaire was administered. Results The survey response rate was 74.4% (64/86). Compared with CDD, HCD rated higher in comfort, convenience, scar appearance, and simplicity of wound care instructions ( P < .0001). Nearly all patients (96.8%) preferred HCD over CDD. Limitations Variability in time from prior dermatologic surgery may introduce recall bias. Prior surgeries involving CDD were sometimes performed by a different surgeon, which could introduce other confounding factors. Conclusions A simplified wound care regimen involving HCD can potentially lead to increased comfort, convenience, simplicity, and a subjective improvement in scar appearance, though additional studies are needed.

Effect of hydrocolloid dressing combined with low molecular weight heparin and calcium on scar hyperplasia in burn patients with venous thromboembolism

“…It is widely used in chronic wounds such as pressure ulcers and venous ulcers, as well as acute wounds such as surgical wounds, superficial wounds and skin donation wounds. [7][8][9] Low molecular weight heparin calcium is a widely used anticoagulant in the clinic, which can effectively prevent venous thrombosis, and the occurrence of venous thrombosis can aggravate scar or hinder scar healing, and low molecular weight heparin calcium can effectively improve the burn with microcirculation of venous thromboembolism, accelerate local blood supply, so as to improve scar hyperplasia. 8,10 At present, there are few clinical reports about hydrocolloid dressing combined with low molecular weight heparin calcium in burn patients with venous thromboembolism.…”

“…Hydrogel dressing is a kind of medical dressing prepared by mixing polymer hydrogel with synthetic rubber and adhesive with strong elasticity. It is widely used in chronic wounds such as pressure ulcers and venous ulcers, as well as acute wounds such as surgical wounds, superficial wounds and skin donation wounds 7‐9 . Low molecular weight heparin calcium is a widely used anticoagulant in the clinic, which can effectively prevent venous thrombosis, and the occurrence of venous thrombosis can aggravate scar or hinder scar healing, and low molecular weight heparin calcium can effectively improve the burn with microcirculation of venous thromboembolism, accelerate local blood supply, so as to improve scar hyperplasia 8,10 .…”

Antimicrobial Shape Memory Polymer Hydrogels for Chronic Wound Dressings

“…Thus, improved wound dressing materials that effectively cover wounds and conform to wound walls to block entry of external bacteria could improve outcomes in chronic wounds. One such option involves moderately adsorbent hydrocolloids that can absorb small amounts of wound exudate and seal the wound . However, there is a possibility that hydrocolloids can trap the bacteria already present in the wound, rendering them unsuitable in cases where chronic wounds are already infected.…”

“…One such option involves moderately adsorbent hydrocolloids that can absorb small amounts of wound exudate and seal the wound. 6 However, there is a possibility that hydrocolloids can trap the bacteria already present in the wound, rendering them unsuitable in cases where chronic wounds are already infected.…”

Evaluation of the Performance of a ZnO-Nanoparticle-Coated Hydrocolloid Patch in Wound Healing

“…A hydrocolloid (HC) comprises a gel-able self-adhesive impermeable layer implemented on a polyurethane film. HCs have been applied in wound treatment to absorb exudate leakage [ 26 , 27 , 28 , 29 ]. A hydrocolloid helps maintain a suitably moist environment for tissue development for injured areas without any interference of pathological agents [ 30 , 31 ].…”