= me,
= | Charcteritis of thin desing
(ctivedrnings ae howto income cell liferation al acy iy
‘suaing on opti levee woapd ext, which onan itl teins on
‘ytokines roded in sponse o injury. Thee fsa aly deteideren
‘he wound and romete healing, Concer of ncesed isk of infin under
Geers woud deiner carey sable inthe UR,
Low adherent crossings oot
Los hee doings te coup ad wel ave, Tit sor fron
stow erodato pas tuoogh to a secondary desing Wise ain 4m
dba
Mot ce manor in th frm of ls, which open wears cloth sae
sof pein chloe; ets or mulated or prorat past ls
‘The me desand to ede arene a the wound Ded ao ae paicaaty
‘wil fr pate wih sense or aie sn.
Semipermeable mins cow
‘Sensparmenle ins were oo ofthe fst major adancss ia wound managemen
‘nd evaded a major change inthe Way wounds were managed. They css of
‘tril plat seats of peljuetiane costed wih typellerenic ay ahenve
and as wood manly transparent primary wound cover
Athogh thy ampoule to Dien bacteria, hy ae permeable tit
‘ad ater taper the contl of wicks dependet on the moist nd apoor
‘wammisio rt, which vanes pending onthe ban i thoogh this
‘mechan tht is renin rates aot wound ea zeene
‘ie ar ery Heil an ae goo fer wounds oli” anatomical
ster_forcrmple overeat They ae unable to ope with aes aout of|
‘runs, however and ay came macon of the sin sureunding he wound |
‘bal they ar sed inicioSomipermeable ae
Hyarocottoigs oot
-Muders dressing technology te bared onthe principle of ereating
‘sinaining a mest wound envirnmes
Sodium endorses, gaat peti, lasomers, and adie ae
‘onde toca of semipemeable in ora foam sheet produce at
‘ecu, ihe drs tht orm a olen the wound eae, romot
‘moist woud healing. Cross nage ofthe mati wed ioenes the viscosity
‘oft gl under tho rs Th a, whch may be ol ee edo
‘be isin infin ty the ua: Hyco oe vial impemesbie
‘te water vapour andi al can bo wed tft ry aot scar and
remote lytic dcritemert. They ae rept to rece wud pi ni th
tar pope allow the peo bate or sower an coin wth nora
iy caver waht dating erring contamination ofthe wound, Case
sould be exerted when ing roel for wound tht rou Hogue!
inspection—for exanpe, for dabei ot ers
Hsu s
Foot wound complicate by htop aleifcaton
‘sia for desing wth fies
TE | Hyarocotts dessins lnctading byrombes)
Hycosllod fires ar now abl th frm of «hyo onsnoren £
shew refed ow oitee denna. On contact with exe See ae
“overt fe ey desing to aso cert gl set making then ssbleHydrogets core
Hyhoges const ofa matric of lable plymers with upto 96% water center
tos eovisoameat atthe wound bat. As the poles ie oly paral Iyaed
Inyrogetsiae healt to absorb a dere of woud exw, the amount
‘ying ete ferent bands. They ust moist pour a oxy Be8 BO
‘the ctrl nd uid pemeabiy is dependeat on the ype of secondary
“rssing ed
Diaktcfe ulcer wih maceration o sarong
sin mtb fr dese with lsete
Hydoges promote wound debridement by rey dation of aval isie thas
facing ty proces of aura oye. Amorous hydrops th mos
‘ommonl wed and th, 8008 aa
Hyhoges re omsidred to standard form of management or soy ot
cots wounds, They a ot nied for wounds prods high evel
cunts o where hare ic evidence of gangrenous iss which soul be kept
{eredoce he rk of nto
Alginates cow
Alias ze reed fom the ntl eccuring cleo son sls of
‘cai od ina aly af brn stance (Phaoptieste) Thy weerlh
flo one of wo kinds Has containing 10% cleum alga oe hose that
‘conan combination ocala wh dian asia aol in ai of S02
Alene ae ihn iter mannuonie Acido gutwonic ac he elatve wow
ofeach snfsesing the aout of nate erie an the bape the drecing
Sil ein. laine ply diols oo orac wah worl frm a
Ibyropbic gla area ofthe exchans of sd os wot for
‘ncn jens nthe dressing. Thos ih a manure sid (uch at Kaloo)
‘arte wake off the wound ely wh sine bt thn ih in glen sid
(uch a Sortan tend toon thai baie streamed
the wound bedi nw plac,
rabies
laine‘Mydrocltld hee (hydrombrs are fen sed om wounds wher
‘adiionaly alginate have been used
Algiuts cn abso 1 0 20 sins tr mea of id, making them ube fo
‘ht exdingwounde, They shoud oot be wed wes, on womnde wih ile
‘eo ents they wil ate othe heing wound src, sing in and
‘enous eg eration nck gouad of tonic
edema table or desing wath oa
Foam dressings con
‘Foam resins are manfacired sche plyurethan of one fam They
{ei Poijrctine funy consist of tw o tre Inver eli pte
‘pound contact tine anda dropbie backing ans tem ily abvcrbent
“They ciate tom tinperton of exe throeghow the sorbent yer and
revent exterior edge rikeirugh) dt the presence ef eemipameste
ochre
Baus
op et Soughy, infected aril ke suitable for
essing wih compound antimicrobial essing
(cher orioine bed) Topi Gangrene fat
‘ible fo dria wth ninierbial ine
‘npregaed drain Left Malooroa aime.
Foam dressings
Pobrthane fam dressings ae ko seaable a ait dresina eal chips
‘tye pajartane fo else nt membrane of perersted polymer
‘Si. ing sey ile as
Auer deanngsScone fume cms ofa polymer of icon tomer derived om me
Iga, tic when med topthr form fam we expanding oe
‘wound shape foming asf opewcel eam resting. The major advantige of
‘um the abies tocooin exude Inodtion, othone fou desing prec,
‘he oren sound he wound om father damage
‘Antimicrobial dressings cows
Sve. in ini or aoceeystaline form as for many yer been wed a an
aumstbil get yrtcunty in th teste of bors ath fom er
‘stn team). The eer developmeet of desing prep with ser
‘ns wind ofr many te wound pet tht ar ar seco oF
infected
{odin ko baste aii tlw te mcobologisl oad in croc wound,
‘tinal tsi wen one oft formes fs povidaneoine
(potyinslpolden-oin comple) an opto @ compound of dine inkec
‘a porini sufctan), whichis prod ay an impregnated al; and) 28
‘enlexoner iodine (ate dersionl arch tie cong 09% oda
‘Cadexomer iodine hs wood amore properties 1p afeadexomer iodine a
‘byob up 7m eis As tid s absorbed ine slowly leased eins
‘eitats he delay of ade ora pelonged ei of tinea in theory
‘maining «const vel si in the woul bs
‘Caton sete in pret wth ood iscase owing to possible syseac
pa fede Fer ths oun tyteid fasten sould be mentored i pate
Matonidaoi gain fan vu for the contol of aor cana ty anodic
‘cern This pariclary el inthe management of aging ligt
wounds rm bese lone or as an june ate sings
Unwanted eftects of dressings core
Maswaten oft ska surouadag 2 wound may osc ia dosing with we
sorte caps is sed on a evil exeding wound be desinasiely|
absorpie ten more equen desing anges my be nein aon to
lnvosteton od aieapement ofthe cab of th se ach ae into).
“The om exchange properties f sme aint make them wofat
Inaemostte agente anda uch they are pareaaey weal or
postoperative mound packing
{Inappropriate se of renngs may en‘he skin surounding ashy crane wound may be fiherpotced oust
the we of emolnts (ach S50 min of white ot pasa an liquid pret
the applization of ie fins (uh as Cava). Conversely, we of high
shorts desing ona dy wousd nay edt rion fest ste on
‘wean src and cae pin whan omoved
Fiawes
_Ablominoperinel esetion wound uted with
‘enmm ated lore The sin edges ae
tered with bai ream to preveet maceration
Alles reacting re not uncommen the resin should be seid a the
sileay may acd be ested wih potent topical teri. Taper edo beep
“resins in pce are common cases fale. Many essing euie
secon dressings—for example dingo highly exsing wounds)
‘uy mae them aly. Secomlary desig sould 01 be two tit, epesaly
tents with peripheral vnc dee
Figue
ef Alley to dressing used to teat arc eg
‘zuatin Now eythematous skin wih shiply
enacted fees comesenting othe shape ofthe
fending dressing Right Uleration over the
ster apt ofthe ane cased by napeupistly‘Wound dressings
‘seca dona esp Eryn th Hard
“Taitcoly watery amzs as been sate dees wounds: Dring hat
ented mains oi enorme however now coniered to rie
‘he optinal ondsions for wound heling. Mowture under occlusive designe
‘nly increases the ae fepittastion but a preteen ova
‘oir lf andthe presence tally of low oxyzen tena promoting the
‘natn pan), Gus dow a i ev oper i aay be dap
‘oth bealing wound wit ies cue tite datage when dis temoved
‘oto wey wed i tb United Kindo
inte
eft Heath vena ee suitable or resing
st ow adheres doo Right Wound sutable
Toe desing with semiprime