Wound bed preparation: A novel approach using HydroTherapy

Abstract

Wounds that fail to heal quickly are often encountered by community nursing staff. An important step in assisting these chronic or stalled wounds progress through healing is debridement to remove devitalised tissue, including slough and eschar, that can prevent the wound from healing. A unique wound treatment called HydroTherapy aims to provide an optimal healing environment. The first step of HydroTherapy involves HydroClean plus™, this dressing enables removal of devitalised tissue through autolytic debridement and absorption of wound fluid. Irrigation and cleansing provided by Ringer's solution from the dressing further removes any necrotic tissue or eschar. Once effective wound bed preparation has been achieved a second dressing, HydroTac™, provides an ongoing hydrated wound environment that enables re-epithelialisation to occur in an unrestricted fashion. This paper presents 3 case studies of slow healing wounds treated with HydroClean plus™ which demonstrates effective wound debridement.

The clinical impact of hydroresponsive dressings in dynamic wound healing: Part I

“…Other studies have also shown similarly significant reductions in surface areas of wounds treated with the hydroresponsive wound dressing. 13,14 In addition, the clinician assessments of the wound response to the hydroresponsive wound dressing indicated that they felt that the treated wounds showed a 'very significant' or 'significant' improvement in 88.6% of cases (Fig 2). The PUSH exudation scores from the overall PUSH tool score indicated an overall reduction in the levels of exudate production.…”

“…© 2021 MA Healthcare ltd removing devitalised tissue and enabling healing progression. 13,14,32 The removal of devitalised tissue and progress of healing in two hard-to-heal wounds-a pilonidal cyst wound and a leg ulcer of mixed aetiology (arterial/venous)-are shown in Fig 5 and 6.…”

“…This hydroresponsive wound dressing has been used in several clinical trials to enable wound cleansing and debridement, and to promote the development of healthy granulation tissue. [13][14][15] For example, it has been reported to be successful in the debridement and cleansing of hard-to-heal wounds in which eschar/ slough were barriers to healing, and in enabling good wound bed preparation in acute wounds, hard-to-heal wounds and burns. [13][14][15] Aim The main aim of the study was to evaluate the response of patients with hard-to-heal wounds to treatment with the hydroresponsive wound dressing to the point where wound cleansing and debridement had been achieved; the wounds could then be treated with wound dressings designed to promote the development of healthy granulation tissue to further wound progression.…”

Nanoceutical Adjuvants as Wound Healing Material: Precepts and Prospects

“…Hydrotherapy, ultraviolet C radiation (UV-C), vacuum-assisted closure, hyperbaric oxygen, and electrical stimulation are a few worth naming [ 93 ]. Hydrotherapy, being one of the oldest adjuvant therapies, is effective for burn wounds where a continuous rotation of water and air eliminates debris and toxic components and dilutes microbial colonization [ 94 ]. Hydrotherapy is advantageous for individuals with venous stasis dermatitis, pyoderma gangrenosum, peripheral artery disease, teeth lacerations, and rarely, diabetes mellitus acute wounds.…”

“…With several advantages, there are also a few disadvantages. A particular pressure of the water circulation is needed at the wound surface for rinsing of granulation tissue, which might impair the developing granulation tissue, restrict epidermal cell migration, and cause skin maceration [ 94 ]. In addition, bacterial infections can emerge if the moisture circulation is prolonged and proper drying of the wound is not done.…”