Beldon_subbed.qxp 19/5/09 12:52 pm Page 78
Wound Management
Figure 1: Patient with Contact Dermatitis Due to Use of a Figure 2: Patient Suffering from Extensive Venous
Bordered Wound Dressing over a Venous Leg Ulcer Leg Ulceration
This patient requires a non-adherent wound contact layer with a high
fluid-handling capability.
Silicone-coated Dressings
Molnlycké produce a comprehensive range of dressings that use the exudate. Sorbion Sana can be used on moderately exuding wounds or
Safetac technology and have hypoallergenic benefits. There are two wounds with variable amounts of exudate. It provides active absorption,
products in the range that are not bordered dressings: Mepitel
®
and capacity and retention of fluid, and thus improves the healing process
Mepilex
®
. Mepitel is a transparent polyamide net that is enclosed by by preventing skin maceration. Dressing changes are painless due to the
soft silicone and lets wound exudate pass through to the outer atraumatic wound contact layer. While absorbing exudate, Sorbion Sana
dressing/bandaging (the dressing can be removed without modulates matrix metalloproteases (MMPs) by absorbing, deactivating
traumatising the wound bed). It is widely used in the management of and binding. Bacterial control is similarly provided by absorbing and
acute and chronic wounds due to its proven ability to be removed retaining bacteria within the dressing. Sorbion Sana actively improves
without causing trauma.
19
Mepilex is a soft and conformable dressing the quality of life of patients by providing protection against maceration
that absorbs exudate and maintains a moist environment; the soft or allergy and reducing dressing changes.
silicone layers prevents exudate from leaking onto the surrounding
skin, thus minimising the risk of maceration.
20
A group of 10 patients, all with one or more known allergies (see Table
1), and their skin reactions to Sorbion Sana were evaluated.
22
None of
Both of these products are advantageous in treating chronic wounds the patients reacted to Sorbion Sana. While this was a small group
since neither will stimulate a contact sensitivity (see Figure 1) and so of patients, it is important to note that not only did the patients not
can be used with confidence by a practitioner. N/A Ultra
®
is a knitted react to the Sorbion Sana, they also all found the dressing very
viscose fabric sheet that has a polymerised silicone coating (Johnson comfortable and, due to its high capacity for absorption (see Figure 2),
and Johnson Medical Ltd.). The dressing acts a primary wound contact the dressing allowed a reduction in the frequency of dressing/
layer that can be easily removed without causing trauma to a wound compression bandage change, thus effecting a time and cost saving for
bed. Exudate will not clog the pores of the dressing, but passes freely the practitioner and improved quality of life for the patient.
through to the secondary dressing, thus preventing tissue maceration.
21
Conclusion
Sorbion Sana
®
When considering a range of topical chronic wound dressings, the
Sorbion Sana
®
is a highly absorbent atraumatic wound dressing practitioner should consider including a proven non-adherent,
enveloped within a contact layer that can be applied either side and hypoallergenic dressing. Where there are high levels of exudate, a
prevents contact sensitivity. Sorbion Sana absorbs and binds exudate, dressing that has a high fluid-handling capability should be used. By
but maintains a moist environment to enable epithelialisation while using a dressing that has such qualities, practitioners can honestly
absorbing and retaining large volumes of exudate within the dressing. state they are providing the safest care for the patient with a chronic
The core within the dressing is capable of absorbing at least 100ml of wound who is vulnerable to contact sensitivity. ■
1. Kulozik M, Powell SM, Cherry G, Ryan TJ, Clin Exper Dermatol, 2006;57:242–5. London MEP Ltd. http://www.wuwhs.org/datas/2_1/9/
1988;13:82–4. 10. Lim K-S,Tang MBY, Goon ATJ, Leow YH, Contact Dermatitis, Compression_VLU_English_WEB.pdf
2. Gallenkemper G, Rabe E, Bauer R, Contact Dermatitis, 2007;56:9–8. 17. European Wound Management Association (EWMA), MEP
1998;38:274–8. 11. Tomljanovic-Veselski M, Zelic I, Acta Clinica Croatica, Ltd, London, 2003. Availabe at: www.ewma.org/
3. Gooptu C, Powell SM, Contact Dermatitis, 1999;41:89–93. 2006;45:203–6. fileadmin/user_upload/EWMA/pdf/Position_Documents/
4. Marasovic D, Vukvic I, Contact Dermatitis, 1999;41:107–9. 12. Beldon P, Br J Community Nursing, 2006;11:S6–12. 2003/Spring_2003__English_.pdf
5. Tavadia S, Bianchi J, Dawe RS, et al., Contact Dermatitis, 13. Royal College of Nursing, RCN, London, UK. 2006. 18. Wilson CL, Cameron J, Powell SM, et al., Clin Exper Dermatol,
2003;48:261–5. Available at: www.rcn.org.uk/__data/assets/pdf_file/ 1991;16:250–53.
6. Saap L, Fahim S, Arsenault E, Arch Dermatol, 0003/107940/003020.pdf 19. Davies P, Rippon M, J Wound Care, 2008;(Suppl. 11):1–32.
2004;140:1241–7. 14. White R, Cutting KC, World Wide Wounds Electronic 20. Zillmer R, Agren MS, Gottrup F, Karlsmark T, J Wound Care,
7. Jankicevic J, Vesic S, Vukicevic J, et al., Contact Dermatitis, Journal, 2009 www.worldwidewounds.com/ 2006;15:187–91.
2008;58:32–6. 2006/september/White/Modern-Exudate-Mgt.html 21. Surgical Material Testing Laboratory, Datacard, 2008.
8. Hunter J, Savin J, Dahl M, Clinical Dermatology, Blackwell 15. Scottish Intercollegiate Guidelines Network, SIGN, 1998. Available at: www.dressings.org/Dressings/silicone.na.html
Publishing; Oxford, 2002:77–9. Available at: www.sign.ac.uk/pdf/sign26.pdf 22. Beldon P, 2008 Poster Presentation, Wounds UK,
9. Kober A, Kohaus S, Geisheimer M, et al., Hautarzt, 16. World Union of Wound Healing Societies (WUWHS), 2008. Harrogate, UK.
78 EUROPEAN DERMATOLOGY
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