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{{Short description|Type of self-adhesive pad for wounds}} |
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{{Refimprove|date=June 2007}} |
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{{distinguish|Hydrogel dressing}} |
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A '''hydrocolloid dressing''' ([[trade name]]s '''Duoderm'''<ref>[http://www.dressings.org/Dressings/duoderm-et.html Surgical Materials Testing Laboratory Dressings Datacard: Duoderm extra thin ]</ref>, '''Granuflex'''<ref name=granuflex>[http://www.dressings.org/Dressings/granufl-brd.html Surgical Materials Testing Laboratory Dressings Datacard: Bordered Granuflex]</ref>) is an opaque [[dressing (medical)|dressing]] used in [[medicine]] to provide a moist [[wound]]-healing environment, while protecting from [[contamination]]. Hydrocolloids were initially utilized in medicine as a reliable, skin-friendly adhesive, useful for securing [[colostomy]] appliances to the patient's [[abdomen]]{{Citation needed|date=June 2011}}. Clinicians observed that acute abdominal wounds from colostomy operations healed more rapidly when a hydrocolloid was used. It is [[biodegradeable]], [[nonbreathable]] and adheres to the [[skin]] so no separate taping is needed. |
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A '''hydrocolloid dressing''' is an opaque or transparent<ref>[https://www.coloplast.co.uk/comfeel-plus-transparent-en-gb.aspx Coloplast (UK)] {{Webarchive|url=https://web.archive.org/web/20171021220315/https://www.coloplast.co.uk/comfeel-plus-transparent-en-gb.aspx |date=2017-10-21 }}- Reviewed 2017-10-21 (Primary)</ref> [[dressing (medical)|dressing]] for wounds. A hydrocolloid dressing is [[biodegradable]],<ref>{{Citation |last1=Kennedy |first1=J.F. |title=The use of 'smart' textiles for wound care |date=2009 |url=https://linkinghub.elsevier.com/retrieve/pii/B9781845692711500108 |work=Advanced Textiles for Wound Care |pages=254–274 |access-date=2023-11-08 |publisher=Elsevier |language=en |doi=10.1533/9781845696306.2.254 |isbn=978-1-84569-271-1 |last2=Bunko |first2=K. |s2cid=107857160 |archive-date=2024-04-26 |archive-url=https://web.archive.org/web/20240426111358/https://linkinghub.elsevier.com/retrieve/pii/B9781845692711500108 |url-status=live }}</ref> breathable, and depending on the dressing selected, may adhere to the [[skin]], so no separate taping is needed.<ref>{{Citation |last=Wietlisbach |first=Christine M. |title=Wound Care |date=2020 |url=https://linkinghub.elsevier.com/retrieve/pii/B978032352479700017X |work=Cooper's Fundamentals of Hand Therapy |pages=154–166 |access-date=2023-11-08 |publisher=Elsevier |language=en |doi=10.1016/b978-0-323-52479-7.00017-x |isbn=978-0-323-52479-7 |s2cid=243089436 |archive-date=2024-07-03 |archive-url=https://web.archive.org/web/20240703010745/https://linkinghub.elsevier.com/retrieve/pii/B978032352479700017X |url-status=live }}</ref> |
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The active surface of the dressing is coated with a cross-linked adhesive mass containing a dispersion of gelatin, pectin and |
The active surface of the dressing is coated with a cross-linked adhesive mass containing a dispersion of gelatin, [[pectin]] and [[carboxymethyl cellulose]] together with other polymers and adhesives forming a flexible wafer. In contact with wound [[exudate]], the polysaccharides and other polymers absorb water and swell, forming a gel. The gel may be designed to drain, or to remain within the structure of the adhesive matrix.<ref name=3M_paid_article>{{Cite web |url=http://www.worldwidewounds.com/1997/july/Thomas-Hydronet/hydronet.html |title=World Wide Wounds |access-date=2017-02-09 |archive-date=2019-11-25 |archive-url=https://web.archive.org/web/20191125102003/http://www.worldwidewounds.com/1997/july/Thomas-Hydronet/hydronet.html |url-status=live }}</ref> |
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The moist conditions produced under the dressing are intended to promote [[fibrinolysis]], [[angiogenesis]] and wound healing, without causing softening and breaking down of tissue. The gel which is formed as a result of the absorption of wound exudate is held in place within the structure of the adhesive matrix. Most hydrocolloid dressings are waterproof, allowing normal washing and bathing.<ref name="granuflex">{{Cite web |url=http://www.dressings.org/Dressings/granufl-brd.html |title=Surgical Materials Testing Laboratory Dressings Datacard: Bordered Granuflex |access-date=2011-06-23 |archive-date=2019-11-08 |archive-url=https://web.archive.org/web/20191108154227/http://dressings.org/Dressings/granufl-brd.html |url-status=live }}</ref> |
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The dressing is applied to a cleaned wound. It helps wounds to heal faster. Many people like to apply these patches on the [[face]] in order to heal [[acne]]. They are also used to secure [[nasogastric tube]]s or [[CPAP]] masks to the patient's face, without causing skin irritation. Hydrocolloid dressings are often used to heal [[bedsore]]s (also known as pressure ulcers). {{Citation needed|date=June 2011}} |
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== Uses == |
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It can also be used in the treatment of [[eczema]], where it can seal steroid ointment underneath and allow it to work more effectively, as well as providing a barrier to prevent the patient from scratching. |
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{{More medical citations needed|section|date=February 2017}} |
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Hydrocolloid dressings are used to treat uninfected wounds.<ref>{{Citation |last1=Andrews |first1=Karen L. |title=Prevention and Management of Chronic Wounds |date=2021 |url=https://linkinghub.elsevier.com/retrieve/pii/B9780323625395000242 |work=Braddom's Physical Medicine and Rehabilitation |pages=469–484.e4 |access-date=2023-11-08 |publisher=Elsevier |language=en |doi=10.1016/b978-0-323-62539-5.00024-2 |isbn=978-0-323-62539-5 |last2=Derby |first2=Kelly M. |last3=Jacobson |first3=Therese M. |last4=Sievers |first4=Beth A. |last5=Kiemele |first5=Lester J. |s2cid=224870006 |archive-date=2023-11-23 |archive-url=https://web.archive.org/web/20231123103132/https://linkinghub.elsevier.com/retrieve/pii/B9780323625395000242 |url-status=live }}</ref> Dressings may be used, under medical supervision, even where [[Aerobic organism|aerobic infection]] is present; the infection should be treated appropriately.{{Citation needed|date=November 2023}} |
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The dressing is applied to a cleaned wound. Hydrocolloid patches are sometimes used on the [[face]] for [[acne]]. Smaller sizes are used on acne, not only to get rid of acne, but to avoid acne scars.<ref>{{Cite web |date=2020-12-21 |title=This TikTok acne remedy really does work |url=https://wexnermedical.osu.edu/blog/tiktok-bandaids-for-acne |access-date=2023-11-08 |website=wexnermedical.osu.edu |language=en |archive-date=2023-11-08 |archive-url=https://web.archive.org/web/20231108195711/https://wexnermedical.osu.edu/blog/tiktok-bandaids-for-acne |url-status=live }}</ref> They are also used to secure [[nasogastric tube]]s or [[Continuous positive airway pressure|CPAP]] masks to the patient's face.{{Citation needed|date=November 2023}} Hydrocolloid dressings are used for [[pressure ulcer]]s (also known as bed sores).<ref>{{Cite journal |last1=Heyneman |first1=Alexander |last2=Beele |first2=Hilde |last3=Vanderwee |first3=Katrien |last4=Defloor |first4=Tom |date=2008 |title=A systematic review of the use of hydrocolloids in the treatment of pressure ulcers |url=https://pubmed.ncbi.nlm.nih.gov/18416792 |journal=Journal of Clinical Nursing |volume=17 |issue=9 |pages=1164–1173 |doi=10.1111/j.1365-2702.2007.02218.x |issn=1365-2702 |pmid=18416792 |access-date=2023-11-08 |archive-date=2023-11-08 |archive-url=https://web.archive.org/web/20231108201105/https://pubmed.ncbi.nlm.nih.gov/18416792/ |url-status=live }}</ref> |
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As well as promoting healing, hydrocolloid dressings provide great comfort to the patient, as this type of wound is often extremely uncomfortable and an added layer of protection is soothing. |
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Hydrocolloid dressings are useful in drawing out liquids from [[Granulation tissue|granulating]] (open) wounds. Some are also suitable for use on wounds with dry slough or [[necrosis]]; the dressing rehydrates the dead tissue, which is then removed by autolysis<ref name=granuflex/>. |
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The results of meta-analyses indicate no significant difference in healing rates between hydrocolloid dressings and other dressings (including simple dressings) for [[venous ulcer]]s,<ref>{{cite journal|last=Palfreyman|first=SJ|author2=Nelson EA |author3=Lochiel R |author4=Michaels JA. |editor1-first=Simon SJ|editor1-last=Palfreyman|title=Dressings for healing venous leg ulcers.|journal=Cochrane Database of Systematic Reviews|year=2006|issue=3|pmid=16855958|doi=10.1002/14651858.CD001103.pub2|pages=CD001103}}<!--|access-date=15 July 2012--></ref> or for diabetic foot ulcers.<ref>{{Cite journal|last1=Dumville|first1=Jo C.|last2=Deshpande|first2=Sohan|last3=O'Meara|first3=Susan|last4=Speak|first4=Katharine|date=2013-08-06|title=Hydrocolloid dressings for healing diabetic foot ulcers|journal=The Cochrane Database of Systematic Reviews|volume=2013 |issue=8|pages=CD009099|doi=10.1002/14651858.CD009099.pub3|issn=1469-493X|pmid=23922167|pmc=7111300}}</ref> |
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There is tentative but unclear evidence for hydrocolloid dressings for superficial and partial thickness [[burn]]s.<ref>{{cite journal|last1=Wasiak|first1=J|last2=Cleland|first2=H|last3=Campbell|first3=F|last4=Spinks|first4=A|title=Dressings for superficial and partial thickness burns.|journal=The Cochrane Database of Systematic Reviews|date=28 March 2013|volume=2013|issue=3|pages=CD002106|pmid=23543513|doi=10.1002/14651858.CD002106.pub4|pmc=7065523|hdl=10072/58266|hdl-access=free}}</ref> Hydrocolloid dressings were, however, superior to other substrates (i.e., alginate, film, gauze, hydrofiber, silicone) for treating skin graft donor sites.<ref>{{cite journal |vauthors=Sinha S, Schreiner AJ, Biernaskie J, Nickerson D, Gabriel VA |title=Treating pain on skin graft donor sites: review and clinical recommendations. |journal=J Trauma Acute Care Surg |volume= 83|issue= 5|pages= 954–964|date=June 2017 |pmid=28598907 |doi=10.1097/TA.0000000000001615|s2cid=44520644 }}</ref> |
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{{Expand section|date=June 2011}} |
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The results of a meta-analysis indicate no significant difference in healing rates between hydrocolloid dressings and simple, low-adherent dressings when used beneath compression for healing venous leg ulcers.<ref>[http://www2.cochrane.org/reviews/en/ab001103.html Cochrane Collaboration metareview: Dressings for healing venous leg ulcers]</ref> |
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==References== |
==References== |
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{{reflist}} |
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<references/> |
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==External links== |
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*[http://saveritemedical.com/duoderm-cgf-sterile-dressings-4-inch-x-4-inch-5bx-p-50125.html DuoDerm] |
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*[http://www.worldwidewounds.com/1998/april/Hydrocolloid-FAQ/hydrocolloid-questions.html World Wide Wounds - Frequently Asked Questions: Hydrocolloid Dressings] |
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[[Category:Medical |
[[Category:Medical dressings]] |
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{{Med-stub}} |
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"They are also used to secure nasogastric tubes or CPAP masks to the patient's face, without causing skin irritation". The FDA MAUDE website (Manufacturers and Users Device Events) reports that Duoderm has an |
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allergic response in some patients and is used "off-label" by the manufacturer in a response to a reported event. |
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[http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfmaude/detail.cfm?mdrfoi__id=1034993] |
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Latest revision as of 14:43, 11 October 2024
A hydrocolloid dressing is an opaque or transparent[1] dressing for wounds. A hydrocolloid dressing is biodegradable,[2] breathable, and depending on the dressing selected, may adhere to the skin, so no separate taping is needed.[3]
The active surface of the dressing is coated with a cross-linked adhesive mass containing a dispersion of gelatin, pectin and carboxymethyl cellulose together with other polymers and adhesives forming a flexible wafer. In contact with wound exudate, the polysaccharides and other polymers absorb water and swell, forming a gel. The gel may be designed to drain, or to remain within the structure of the adhesive matrix.[4]
The moist conditions produced under the dressing are intended to promote fibrinolysis, angiogenesis and wound healing, without causing softening and breaking down of tissue. The gel which is formed as a result of the absorption of wound exudate is held in place within the structure of the adhesive matrix. Most hydrocolloid dressings are waterproof, allowing normal washing and bathing.[5]
Uses
[edit] | This section needs more reliable medical references for verification or relies too heavily on primary sources. (February 2017) |  |
Hydrocolloid dressings are used to treat uninfected wounds.[6] Dressings may be used, under medical supervision, even where aerobic infection is present; the infection should be treated appropriately.[citation needed]
The dressing is applied to a cleaned wound. Hydrocolloid patches are sometimes used on the face for acne. Smaller sizes are used on acne, not only to get rid of acne, but to avoid acne scars.[7] They are also used to secure nasogastric tubes or CPAP masks to the patient's face.[citation needed] Hydrocolloid dressings are used for pressure ulcers (also known as bed sores).[8]
Effectiveness
[edit]The results of meta-analyses indicate no significant difference in healing rates between hydrocolloid dressings and other dressings (including simple dressings) for venous ulcers,[9] or for diabetic foot ulcers.[10]
There is tentative but unclear evidence for hydrocolloid dressings for superficial and partial thickness burns.[11] Hydrocolloid dressings were, however, superior to other substrates (i.e., alginate, film, gauze, hydrofiber, silicone) for treating skin graft donor sites.[12]
References
[edit]- ^ Coloplast (UK) Archived 2017-10-21 at the Wayback Machine- Reviewed 2017-10-21 (Primary)
- ^ Kennedy, J.F.; Bunko, K. (2009), "The use of 'smart' textiles for wound care", Advanced Textiles for Wound Care, Elsevier, pp. 254–274, doi:10.1533/9781845696306.2.254, ISBN 978-1-84569-271-1, S2CID 107857160, archived from the original on 2024-04-26, retrieved 2023-11-08
- ^ Wietlisbach, Christine M. (2020), "Wound Care", Cooper's Fundamentals of Hand Therapy, Elsevier, pp. 154–166, doi:10.1016/b978-0-323-52479-7.00017-x, ISBN 978-0-323-52479-7, S2CID 243089436, archived from the original on 2024-07-03, retrieved 2023-11-08
- ^ "World Wide Wounds". Archived from the original on 2019-11-25. Retrieved 2017-02-09.
- ^ "Surgical Materials Testing Laboratory Dressings Datacard: Bordered Granuflex". Archived from the original on 2019-11-08. Retrieved 2011-06-23.
- ^ Andrews, Karen L.; Derby, Kelly M.; Jacobson, Therese M.; Sievers, Beth A.; Kiemele, Lester J. (2021), "Prevention and Management of Chronic Wounds", Braddom's Physical Medicine and Rehabilitation, Elsevier, pp. 469–484.e4, doi:10.1016/b978-0-323-62539-5.00024-2, ISBN 978-0-323-62539-5, S2CID 224870006, archived from the original on 2023-11-23, retrieved 2023-11-08
- ^ "This TikTok acne remedy really does work". wexnermedical.osu.edu. 2020-12-21. Archived from the original on 2023-11-08. Retrieved 2023-11-08.
- ^ Heyneman, Alexander; Beele, Hilde; Vanderwee, Katrien; Defloor, Tom (2008). "A systematic review of the use of hydrocolloids in the treatment of pressure ulcers". Journal of Clinical Nursing. 17 (9): 1164–1173. doi:10.1111/j.1365-2702.2007.02218.x. ISSN 1365-2702. PMID 18416792. Archived from the original on 2023-11-08. Retrieved 2023-11-08.
- ^ Palfreyman, SJ; Nelson EA; Lochiel R; Michaels JA. (2006). Palfreyman, Simon SJ (ed.). "Dressings for healing venous leg ulcers". Cochrane Database of Systematic Reviews (3): CD001103. doi:10.1002/14651858.CD001103.pub2. PMID 16855958.
- ^ Dumville, Jo C.; Deshpande, Sohan; O'Meara, Susan; Speak, Katharine (2013-08-06). "Hydrocolloid dressings for healing diabetic foot ulcers". The Cochrane Database of Systematic Reviews. 2013 (8): CD009099. doi:10.1002/14651858.CD009099.pub3. ISSN 1469-493X. PMC 7111300. PMID 23922167.
- ^ Wasiak, J; Cleland, H; Campbell, F; Spinks, A (28 March 2013). "Dressings for superficial and partial thickness burns". The Cochrane Database of Systematic Reviews. 2013 (3): CD002106. doi:10.1002/14651858.CD002106.pub4. hdl:10072/58266. PMC 7065523. PMID 23543513.
- ^ Sinha S, Schreiner AJ, Biernaskie J, Nickerson D, Gabriel VA (June 2017). "Treating pain on skin graft donor sites: review and clinical recommendations". J Trauma Acute Care Surg. 83 (5): 954–964. doi:10.1097/TA.0000000000001615. PMID 28598907. S2CID 44520644.