Observing the irrigo-absorbent dressing efficiency, during granulation wound, partially made of adipose tissues, in order to improve thoughts and care related to these wounds.
Observing the development of 6 post-surgical wounds treated with irrigo-absorbent dressing, compared to 6 similar wounds with non-standardized care (retrospective analysis) included hydrofiber, hydrocellular, NPWT, oxygen-therapy.
12 womens, aged from 21 to 68 years, with a BMI average 30 [15 à 52] participated. They had wounds after cancer surgery: mastectomy, reconstructive surgery (e.g: deep inferior epigastric perforator) and 1 hip disarticulation. Granulation tisue was obtained in 10 days [8-14] with an Irrigo-absorbent and in 17 days [5-23] for other group. Patients had a BMI significantly higther in the first group. The second group present others delay factors of wound healing.
These positive results suggest different questions : does the dressing normalize the wound environment, regulating the acid-base balance? Does it have an impact on less vascularized tissues angiogenesis? Is there a link between acid-basic balance and fibroblasts activity change? These first encouraging results would deserve to be faced on a larger patient’s panel.
Irrigo-absorbent dressing seems especially effective on wounds with adipose tissue.