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Hydrocolloid dressing: Difference between revisions

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References: Cochrane update. No change in conclusion
Inclusion of one of the most popular brand, "Himom Band", which is originally from South Korea.
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A '''hydrocolloid dressing''' is an opaque or transparent<ref>https://www.coloplast.co.uk/comfeel-plus-transparent-en-gb.aspx</ref> [[dressing (medical)|dressing]] for wounds. A hydrocolloid dressing is [[biodegradeable]], non-breathable, and adheres to the [[skin]], so no separate taping is needed.
A '''hydrocolloid dressing''' is an opaque or transparent<ref>https://www.coloplast.co.uk/comfeel-plus-transparent-en-gb.aspx</ref> [[dressing (medical)|dressing]] for wounds. A hydrocolloid dressing is [[biodegradeable]], non-breathable, and adheres to the [[skin]], so no separate taping is needed.


[[Trade name]]s include '''Exuderm''', '''Comfeel Plus''', '''Duoderm''', '''Granuflex''', '''Ultec''', and '''3M Tegaderm Hydrocolloid'''.
[[Trade name]]s include '''Exuderm''', '''Comfeel Plus''', '''Duoderm''', '''Granuflex''', '''Ultec''', '''Himom Band''', and '''3M Tegaderm Hydrocolloid'''.


The active surface of the dressing is coated with a cross-linked adhesive mass containing a dispersion of gelatin, pectin and carboxy-methylcellulose 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>http://www.worldwidewounds.com/1997/july/Thomas-Hydronet/hydronet.html</ref>
The active surface of the dressing is coated with a cross-linked adhesive mass containing a dispersion of gelatin, pectin and carboxy-methylcellulose 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>http://www.worldwidewounds.com/1997/july/Thomas-Hydronet/hydronet.html</ref>

Revision as of 01:55, 18 September 2017

A hydrocolloid dressing is an opaque or transparent[1] dressing for wounds. A hydrocolloid dressing is biodegradeable, non-breathable, and adheres to the skin, so no separate taping is needed.

Trade names include Exuderm, Comfeel Plus, Duoderm, Granuflex, Ultec, Himom Band, and 3M Tegaderm Hydrocolloid.

The active surface of the dressing is coated with a cross-linked adhesive mass containing a dispersion of gelatin, pectin and carboxy-methylcellulose 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.[2]

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.[3]

Uses

Hydrocolloid dressing are used to treat uninfected wounds.[4] Dressings may be used, under medical supervision, even where aerobic infection is present; the infection should be treated appropriately.

The dressing is applied to a cleaned wound. Hydrocolloid patches are sometimes used on the face for acne. They are also used to secure nasogastric tubes or CPAP masks to the patient's face. Hydrocolloid dressings are used for pressure ulcers (also known as bed sores). They are used in the treatment of eczema, to seal steroid ointment underneath and to provide a barrier against scratching.

Other Uses

There are also acne size to get rid of acne and avoid acne scars. Trade names: 3M, Miacare, Nexcare, Peace Out Acne, Dots Pro canada, Dream dots, Cover-Dot Acne Care.

Effectiveness

The results of meta-analyses indicate no significant difference in healing rates between hydrocolloid dressings and other dressings (including simple dressings) for venous ulcers,[5] or for diabetic foot ulcers.[6]

There is tentative but unclear evidence for hydrocolloid dressings for superficial and partial thickness burns.[7]

References

  1. ^ https://www.coloplast.co.uk/comfeel-plus-transparent-en-gb.aspx
  2. ^ http://www.worldwidewounds.com/1997/july/Thomas-Hydronet/hydronet.html
  3. ^ Surgical Materials Testing Laboratory Dressings Datacard: Bordered Granuflex
  4. ^ https://www.bedsorefaq.com/what-is-duoderm-and-why-is-it-used-to-treat-bed-sores/
  5. ^ Palfreyman, SJ; Nelson EA; Lochiel R; Michaels JA. (2006). "Dressings for healing venous leg ulcers". Cochrane Database of Systematic Reviews (3): CD001103. doi:10.1002/14651858.CD001103.pub2. PMID 16855958.
  6. ^ 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 (8): CD009099. doi:10.1002/14651858.CD009099.pub3. ISSN 1469-493X. PMID 23922167.
  7. ^ Wasiak, J; Cleland, H; Campbell, F; Spinks, A (28 March 2013). "Dressings for superficial and partial thickness burns". The Cochrane database of systematic reviews. 3: CD002106. doi:10.1002/14651858.CD002106.pub4. PMID 23543513.