WOUND DRESSING9(

Pembimbing:
dr. Fajar Sidik, Sp.BP-RE

Oleh:
Putty Nabilla
(2016730086)

KEPANITERAAN KLINIK ILMU BEDAH

FAKULTAS KEDOKTERAN UNIVERSITAS MUHAMMADIYAH JAKARTA
RUMAH SAKIT ISLAM JAKARTA CEMPAKA PUTIH
2021
INTRODUCTION
The main purpose of wound dressings is to provide the ideal environment
for wound healing.

Wound healing is most successful in a moist, clean, and warm

environment.

Not all dressings can provide all of these characteristics, and not all
wounds require all of them; hence, the choice of dressing should match
the prevailing wound conditions.

Sabiston Textbook of Surgery 20th Edition

Schwartz's Principles of Surgery, 9 Edition
Schwartz's Principles of Surgery, 9 Edition
Sabiston Textbook of Surgery 20th Edition
Dressings can be classified as primary or secondary.

• A primary dressing is placed directly on the wound and may provide

absorption of fluids and prevent desiccation, infection, and adhesion of a
secondary dressing
• A secondary dressing is one that is placed on the primary dressing for
further protection, absorption, compression, and occlusion

Schwartz's Principles of Surgery, 9 Edition

Two concepts that are critical when selecting appropriate dressings for
wounds are occlusion and absorption

Sabiston Textbook of Surgery 20th Edition

Schwartz's Principles of Surgery, 9 Edition
Absorptive dressings
•Absorptive dressings are useful for wounds with a significant amount of
exudate.
•Examples include wide-mesh gauze, and foam dressings

Sabiston Textbook of Surgery 20th Edition

Schwartz's Principles of Surgery, 9 Edition
Gauze
•Function :
• Removing exudates,
• prevents maceration

•Examples : wide-mesh gauze

•Indications : wound-moderate exudate.

Sabiston Textbook of Surgery 20th Edition

Schwartz's Principles of Surgery, 9 Edition
Cambridgeshire & Peterborough System Wide Wound Care Guidelines and Dressings Formulary
DRESSING FOAMS
•Function :
• Protection,
• absorption of exudate

•Examples : Lyofoam, Allevyn, Curafoam, Flexzan, Vigifoam

•characteristics:
• Absorption level : high
• Adhesive quality : Nonadhesive
• Not hydrating

•Indications :
• wound-moderate to high exudate.
Sabiston Textbook of Surgery 20th Edition
Schwartz's Principles of Surgery, 9 Edition
Cambridgeshire & Peterborough System Wide Wound Care Guidelines and Dressings Formulary
Occlusive dressings
•Occlusive dressings provide moisture retention, mechanical protection,
and a barrier to bacteri

Sabiston Textbook of Surgery 20th Edition

Schwartz's Principles of Surgery, 9 Edition
Cambridgeshire & Peterborough System Wide Wound Care Guidelines and Dressings Formulary
DRESSING FILMS
•Function :
• Insulation,
• moisture retention,
• protective barrier acts against bacteria

•Examples : Tegaderm, Mefilm, Carrafilm, etc

•characteristics:
• Absorption level : None
• Adhesive quality : Fully adhesive surface
• Will hydrate slowly

•Indications :
• Superficial wound - low exudate, blister, grazes,
• I.V dressings Sabiston Textbook of Surgery 20th Edition
Grabb & Smith's Plastic Surgery 6th ed
Cambridgeshire & Peterborough System Wide Wound Care Guidelines and Dressings Formulary
Hydrocolloids
•Function :
• Insulation, moisture retention, protective barrier acts against bacteria, absorbs water from wound exudates, swells,

•Examples : Duoderm, NuDerm, Comfeel, Hydrocol, Cutinova, Tegasorb

•characteristics:
• Absorption level : Low to moderate
• Adhesive quality : Fully adhesive surface
• Will hydrate moderately to quickly depending on water content

•Indications :
• Blisters,
• light to moderately exuding wounds
Sabiston Textbook of Surgery 20th Edition
Grabb & Smith's Plastic Surgery 6th ed
Cambridgeshire & Peterborough System Wide Wound Care Guidelines and Dressings Formulary
Alginates
•Alginates are derived from brown algae and contain long chains of polysaccharides containing
mannuronic and glucuronic acid.

•characteristics:
• Absorption level : High
• Adhesive quality : Nonadhesive
• Not hydrating

•Indications :
• Moderate to heavy e xudate,
• when there is skin loss,
• in open surgical wounds with medium exudation,
• and on full-thickness chronic wounds.
Sabiston Textbook of Surgery 20th Edition
Grabb & Smith's Plastic Surgery 6th ed
Cambridgeshire & Peterborough System Wide Wound Care Guidelines and Dressings Formulary
Hydrogels
•Hydrogels are useful in maintaining a moist wound healing and rehydrating the wound to support healing
through autolytic debridement.

•The form can be gel, sheet, and impregnated into gauze.

•Function : rehydrating agents for dry wounds; little water absorption

•characteristics:
• Absorption level : Low
• Adhesive quality : Nonadhesive
• Will hydrate moderately

•Indications :
• dry or low exuding wounds
Sabiston Textbook of Surgery 20th Edition
Grabb & Smith's Plastic Surgery 6th ed
Cambridgeshire & Peterborough System Wide Wound Care Guidelines and Dressings Formulary
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