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.
Marguerite Nicodeme
Institut Curie, Paris, France
Maxime Cheron
Institut Curie, Paris
Virginie Fourchotte
VirgInstitut Curie, Paris, France
Isabelle Fromantin
Institut Curie, Paris, France