LINK Scientific Content – Congress Abstract

Observing the performance of irrigo-absorbent dressing (HydroClean®) on adipose tissues on post-surgical wounds

Scientific Content

Observing the performance of irrigo-absorbent dressing (HydroClean®) on adipose tissues on post-surgical wounds

Type
Congress Abstract
Topics
Debridement
Language
EN
Publication Year
2017
Author(s)
M. Nicodeme, M. Cheron, V.Fourchotte, I. Fromantin
Approx. reading time
5 min (1 pages)

Aim

Patients who have been operated on breast reconstruction (DIEP, PAM), on a mastectomy or a hip disarticulation have sometimes wound healing disorders and emerging necrosis. Once the necrosis is demarcated, a debridement can be achieved. The wound bed is often made of partially adipose tissues, less well vascularized whose granulation is difficult.

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.

Methods

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.

Results

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.

Conclusion

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.

Clinical relevance

Irrigo-absorbent dressing seems especially effective on wounds with adipose tissue.

Authors

Marguerite Nicodeme
Institut Curie, Paris, France

Maxime Cheron
Institut Curie, Paris

Virginie Fourchotte
VirgInstitut Curie, Paris, France

Isabelle Fromantin
Institut Curie, Paris, France

References

  • Atkin L, Ousey K. Wound bed preparation: A novel approach using HydroTherapy. Br J Community Nurs. 2016 Dec;21(Sup12):S23-S28

  • Colegrave M1, Rippon MG2, Richardson C3. The effect of Ringer's solution within a dressing to elicit pain relief. J Wound Care. 2016 Apr;25(4):184, 186-8, 190

  • Nicodeme M, Rollot F, Fromantin I. Neutral and impregnated dressings and products. Soins. 2016 Jan-Feb;(802):36-7 (French)

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