Wound Dressings for Office-Based Surgery

Since the turn of the 20th century, our understanding of wound healing has changed completely. Because of this, we now realize that wounds heal better under occlusive or semi-occlusive conditions. This revelation has led to the creation of a vast array of wound-dressing techniques and products that any office-based surgeon must use on a daily basis. This article reviews these techniques and products and offers the reader a framework of techniques that will help to achieve optimal surgical outcomes while at the same time maximize patient comfort and convenience.

KEYWORDS

Wound dressings - occlusive dressings - bandages - skin equivalents

REFERENCES

• 1 Bennett R G. Dressings and miscellaneous surgical materials. In: Fundamentals of Cutaneous Surgery. St. Louis, MO; Mosby 1988: 310
• 2 Cho C Y, Lo J S. Dressing the part.  Dermatol Clin. 1998;  16 (1) 25-47
• 3 Gilje O. On taping (adhesive tape treatment) of leg ulcers.  Acta Derm Venereol. 1948;  28 454-467
• 4 Winter G D. Formation of the scab and the rate of epithelialization of superficial wounds of the young domestic pig.  Nature. 1962;  193 293-294
• 5 Cunningham B B, Bernstein L, Woodley D T. Wound dressings. In: Roenigk RK, Roenigk HH Jr Roenigk & Roenigk's Dermatologic Surgery: Principles and Practice, 2nd ed. New York; Marcel Dekker 1996: 131
• 6 Scales J T, Towers A G, Goodman N. Development and evaluation of a porous surgical dressing.  Br Med J. 1956;  12 962-968
• 7 Eaglstein W H, Davis S C, Mehle A L, Mertz P M. Optimal use of an occlusive dressing to enhance healing: effect of delayed application and early removal on wound healing.  Arch Dermatol. 1988;  124 392-395
• 8 Knighton D R, Fiegel V D. Macrophage-derived growth factors in wound healing. Regulation of growth factor production by the oxygen microenvironment.  Am Rev Respir Dis. 1989;  140 1108-1111
• 9 Matthews D N. Dressing of open wounds and burns with tulle gras.  Lancet. 1941;  1 43
• 10 Ersek R A. Ischemic necrosis and elastic net bandages.  Tex Med. 1982;  78 47
• 11 Zitelli J A. Wound healing by first and second intention. In: Roenigk RK, Roenigk HH Jr Roenigk & Roenigk's Dermatologic Surgery: Principles and Practice, 2nd ed. New York; Marcel Dekker 1996: 117
• 12 Rubio P A. Use of semiocclusive, transparent film dressings for surgical wound protection: experience in 3937 cases.  Int Surg. 1991;  76 253-254
• 13 Gilmore W A, Wheeland R G. Treatment of ulcers on legs by pinch grafts and a supportive dressing of polyurethane.  J Dermatol Surg Oncol. 1982;  8 177
• 14 Wheeland R G. Wound healing and the new surgical dressings. In: Moschella SL, Hurley HJ, et al Dermatology. Philadelphia, PA; WB Saunders 1992: 2305-2311
• 15 Hien N T, Prawer S E, Katz H I. Facilitated wound healing using transparent film dressing following Mohs micrographic surgery.  Arch Dermatol. 1988;  124 903-906
• 16 Buchan I A, Andrewa J K, Lang S M. Clinical and laboratory investigation of the composition and properties of human skin wound exudate under semipermeable dressings.  Burns. 1991;  7 326
• 17 Gilchrist B, Reed C. The bacteriology of chronic venous ulcers treated with occlusive hydrocolloid dressings.  Br J Dermatol. 1989;  121 337-344
• 18 Mandy S H. A new primary wound dressing made of polyethylene oxide gel.  J Dermatol Surg Oncol. 1983;  9 153-155
• 19 Geronemus R G, Robins P. The effect of two new dressings on epidermal wound healing.  J Dermatol Surg Oncol. 1982;  8 850-852
• 20 Mandy S H. A new primary wound dressing made of polyethylene oxide gel.  J Dermatol Surg Oncol. 1983;  9 153-155
• 21 Placquadio D, Nelson D B. Alginates: a “new” dressing alternative.  J Dermatol Surg Oncol. 1992;  18 90-98
• 22 Hillstrom L. Iodosorb compared to standard treatment in chronic venous leg ulcers-a multicenter study.  Acta Chir Scand Suppl. 1988;  544 53-56
• 23 Holloway G A, Johansen K H, Barnes R W, Pierce G E. Multicenter trial of cadexomer iodine to treat venous stasis ulcers.  West J Med. 1989;  151 35-38
• 24 Xakellis C, Chrischilles E A. Hydrocolloid versus saline-gauze dressings in treating pressure ulcers: a cost-effectiveness analysis.  Arch Phys Med Rehabil. 1992;  73 463-469
• 25 Brown G L, Curtsinger L J, White M et al.. Acceleration of tensile strength of incisions treated with EGF and TGFβ.  Ann Surg. 1988;  208 788-794
• 26 Falanga V, Eaglstein W H, Bucalo B, Katz M H, Harris B, Carson P. Topical use of human recombinant epidermal growth factor (h-EGF) in venous ulcers.  J Dermatol Surg Oncol. 1992;  18 604-606
• 27 Steed D L, Donohoe D, Webster M W, Lindsey L. Effect of extensive debridement and treatment on the healing of diabetic foot ulcer.  J Am Coll Surg. 1996;  183 61-64
• 28 Wieman T J, Smiell J M, Su Y. Efficacy and safety of a topical gel formulation of recombinant human platelet-derived growth factor-BB (Becaplermin) in patients with chronic neuropathic diabetic ulcers.  Diabetes Care. 1998;  21 822-827
• 29 Jaschke E, Zabernigg A, Gattringer C. Recombinant human granulocyte-macrophage colony-stimulating factor applied locally in low doses enhances healing and prevents recurrence of chronic venous ulcers.  Int J Dermatol. 1999;  38 380-386
• 30 Horwitz L R, Burke T J, Carnegie D. Augmentation of wound healing using monochromatic infrared energy.  Adv Wound Care. 1999;  12 35-40
• 31 Santilli S M, Valusek P A, Robinson C. Use of a non-contact radiant heat bandage for the treatment of chronic venous stasis ulcers.  Adv Wound Care. 1999;  12 89-93
• 32 Falanga V, Margolis D, Alvarez O et al.. Rapid healing of venous ulcers and lack of clinical rejection with an allogeneic cultured human skin equivalent.  Arch Dermatol. 1998;  134 293-300
• 33 Smith D J. Use of Biobrane in wound management.  J Burn Care Rehabil. 1995;  16 317-320
• 34 Yang J-Y, Tsai Y-C, Noordhoff D B. Clinical comparison of commercially available Biobrane preparations.  Burns. 1989;  15 197-202
• 35 Medical Economics of Integra™ Artificial Skin. Plainsboro, NJ; Integra Life Sciences 1996
• 36 Prystowsky J H, Siegel D M, Ascherman J A. Artificial skin for closure and healing of wounds created by skin cancer excisions.  Dermatol Surg. 2001;  27 653-654
• 37 Newman J P, Fitzgerald P, Koch R J. Review of closed dressings after laser resurfacing.  Dermatol Surg. 2000;  26 (6) 562-571
• 38 Onouye T, Menaker G, Christian M, Moy R. Occlusive dressing vs. oxygen mist therapy following CO₂ laser resurfacing.  Dermatol Surg. 2000;  26 572-576