Say Goodbye to Wet-to-Dry Wound Care Dressings

Dale, B. A. B.; Wright, Denise H.

doi:10.1097/nhh.0b013e31821b726e

Cited by 17 publications

(9 citation statements)

References 6 publications

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“…One proposed alternative is the “wet-to-moist” dressing, whereby the moistened gauze is changed more frequently before it is allowed to dry out. Although this reduces nonselective debridement, wound healing is further impeded by the local cooling effect that causes vasoconstriction and transient tissue hypoxia each time the gauze is removed 36 …”

Section: Management Of Extrafascial Dehiscencementioning

confidence: 99%

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Optimizing Surgical Wound Care in Obstetrics and Gynecology

Salinaro,

Jones,

Beatty

et al. 2023

Obstetrical &Amp; Gynecological Survey

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Importance Obstetrics and gynecology (OB/GYN) accounts for at least half of all open abdominal surgeries performed. Rates of surgical wound complications after open procedures in OB/GYN range from 5% to 35%. Therefore, optimizing management of surgical wound complications has the potential to significantly reduce cost and morbidity. However, guidelines addressing best practices for wound care in OB/GYN are limited. Objective The objectives of this review are to describe the fundamentals of wound healing and to evaluate available evidence addressing surgical wound care. Based on these data, we provide recommendations for management of extrafascial surgical wound dehiscence after OB/GYN procedures. Evidence Acquisition Literature search was performed in PubMed, Medline, OVID, and the Cochrane database. Relevant guidelines, systematic reviews, and original research articles investigating mechanisms of wound healing, types of wound closure, and management of surgical wound complications were reviewed. Results Surgical wound complications in OB/GYN are associated with significant cost and morbidity. One of the most common complications is extrafascial dehiscence, which may occur in the setting of hematomas, seromas, or infection. Management includes early debridement and treatment of any underlying infection until healthy granulation tissue is present. For wounds healing by secondary intention, advanced moisture retentive dressings reduce time to healing and are cost-effective when compared with conventional wet-to-dry gauze dressings. Negative pressure wound therapy can be applied to deeper wounds healing by secondary intention. Review of published evidence also supports the use of delayed reclosure to expedite wound healing for select patients. Conclusions Optimizing surgical wound care has the potential to reduce the cost and morbidity associated with surgical wound complications in OB/GYN. Advanced moisture retentive dressings should be considered for wounds healing by secondary intention. Data support delayed reclosure for select patients, although further studies are needed. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After reading this article, the provider will be better able to explain the clinical significance of surgical wound complications, particularly in OB/GYN; identify the stages of wound healing and types of wound closure; discuss the TIME framework for wound care; and describe a recommended approach for the management of extrafascial wound dehiscence.

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Section: Management Of Extrafascial Dehiscencementioning

confidence: 99%

“…These characteristics expedite healing, reducing the burden on the patient and the health care system. Although advanced dressings are more expensive, fewer nursing services are required and healing times are reduced, thereby rendering them cost-effective for wounds healing by secondary intention 36 …”

Section: Management Of Extrafascial Dehiscencementioning

confidence: 99%

Optimizing Surgical Wound Care in Obstetrics and Gynecology

Salinaro,

Jones,

Beatty

et al. 2023

Obstetrical &Amp; Gynecological Survey

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“…Hydrogels can be placed over the skin tear and if there is a need to manage exudate, absorbent dressings such as hydrofibers and alginates can be used. These dressings are considered a method of mechanical debridement and can be a significant source of pain when removed (Dale & Wright, 2011). Closure of the skin tear, based on wound characteristics, should be considered.…”

Section: Maintain Skin Integritymentioning

confidence: 99%

Skin Tears

Holmes

Davidson

Thompson

et al. 2013

Home Healthcare Nurse

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Skin tears experienced by older adults require special skills to promote healing. Home healthcare providers are in key positions to manage skin tears and prevent further skin trauma. Several guidelines, risk assessments, classifications, and products exist to manage high-risk patients. Frequent evaluation of the effectiveness of the treatment and prevention strategies in an overall skin care protocol for home care patients is critical to reduce skin tear incidence and promote prompt healing when skin tears are present.

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“…10–12 Wet to dry dressings with antiseptic solutions such as Dakins or betadine are also used, 13 although there is growing concern that they do not provide an appropriate moist wound healing environment. 14…”

Section: Introductionmentioning

confidence: 99%

Honey-Based Salve and Burdock Leaf Dressings as an Alternative to Surgical Debridement of a Traumatic Wound Eschar

Schell

Copp

Bogie

et al. 2019

Advances in Wound Care

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Objective: Nonviable necrotic eschar is an impedance to wound healing and can ultimately lead to failure of soft tissue coverage in traumatic or high-risk wounds. Topical therapeutic agents can provide a less invasive management alternative to surgical debridement of eschar.Approach: The case of a 40-year-old male with a traumatic right lower extremity amputation complicated by surgical incision ischemic eschar formation is reported. Honey-based salve with burdock leaf dressings was used to noninvasively manage eschar extending over the incision site. Images were obtained for 5 months of follow-up.Results: Five-month follow-up demonstrated complete resolution of eschar and re-epithelialization of skin in the affected region.Innovation: Honey-based salve with burdock leaf dressings shows promise for enhancing healing outcomes in traumatic wounds that develop nonviable eschar.Conclusion: Surgical debridement of an amputation stump with large ischemic eschar was avoided with the use of honey-based salve with burdock leaf dressings.

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Say Goodbye to Wet-to-Dry Wound Care Dressings

Cited by 17 publications

References 6 publications

Optimizing Surgical Wound Care in Obstetrics and Gynecology

Optimizing Surgical Wound Care in Obstetrics and Gynecology

Skin Tears

Honey-Based Salve and Burdock Leaf Dressings as an Alternative to Surgical Debridement of a Traumatic Wound Eschar

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