The Role of Mepitel Silicone Net Dressings in the Management of Fingertip Injuries in Children

Abstract

Forty-five children with isolated fingertip injuries were randomized for treatment with either Mepitel silicone net dressings or paraffin gauze dressings. Over a 4 week period, the objective adherence of the dressing, and the perceived level of stress caused to the child by the dressing change were scored by linear analogue scales. The wounds were also assessed for the progress of healing and presence of infection. Twenty children received Mepitel dressings and 25 had paraffin gauze dressings. There was no difference in duration of healing or complication rates between the two groups. Statistically lower scores were seen for the Mepitel group for the first 3 weeks in both adherence and stress scores. These results suggest that silicone net dressings may be a less adherent and less painful method of dressing fingertip injuries in children.

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

“…Such a difference in favour of a silicone‐coated WCL dressing has previously been observed in studies involving post‐surgical wounds and benign burns in children . In these studies, control groups were treated with petrolatum‐impregnated WCL dressings, whose performances might be inferior to that of lipidocolloid WCL dressings.…”

“…Pain severity is a commonly used outcome measure in the clinical evaluation of WCLs . In the present study, the main outcome was the frequency and percentage of patients experiencing a pain level <30 mm on a 100 mm VAS at day 3 (V2) immediately after the first allocated dressing had been removed.…”

Mohs Micrographic Surgery for Squamous Cell Carcinoma Associated with Epidermolysis Bullosa

“…Mepitel silicone‐covered mesh net dressings that conform to the skin surface are frequently utilized by EB patients for chronic wound management. Some clinicians have found it useful for securing BSSs to chronic EB wounds and potentially useful for postoperative wound management 27,28 …”

“…Some clinicians have found it useful for securing BSSs to chronic EB wounds and potentially useful for postoperative wound management. 27,28 Other issues unique to EB patients include the increased risk of infection owing to chronic skin colonization and denuded epidermal barriers. Staphylococcus aureus is the most common pathogen colonizing EB skin.…”

Biopolymers as Wound Healing Materials: Challenges and New Strategies

“…It has low toxicity, low allergic properties and high biocompatibility in the body (O'Donovan et al, 1999;Jansson & Tengvall, 2001). This polymer, which is resistant to biodegradation, is used in the preparation of implant elastomers used in soft tissue repair and in the production of hypodermic needles and syringes (Van den Kerckhove et al, 2001;Park et al, 2002).…”