Granulating wounds:

How to promote and protect the formation of new tissue.

Keyword: Granulation tissue.

Today, the principle of moist wound healing is well accepted as the therapy concept of choice for chronic wounds. It has been confirmed in daily practice that moisture has various beneficial effects in the wound bed:

 

  • nutrients, growth factors, enzymes can easily spread across the wound
  • moisture facilitates the proliferation of new cells
  • epithelialisation is much quicker than in dry wounds

 

The major requirement for modern wound dressings is to support a balanced level of moisture in the wound bed.

 

Why fluid handling is so important:

State-of-the-art foam dressings are designed to maintain a moist wound environment which means that they must be able to handle different amounts of exudate.

 

Caregivers can rely on the high fluid handling capacity of Cutimed Siltec products, which is the result of a high absorption capability and superior vapour permeability.

 

The effect:

  • superior fluid handling = longer wear time = less nursing time required = cost effective therapy!

 

In daily practice the amount of fluid handling is important. Vertical absorption describes the ability of Cutimed Siltec dressings, to direct the exudate vertically from the wound bed instead of spreading it in the dressing.

 

The effect:

  • Vertical absorption is a key feature that helps to avoid the risk of maceration.

 

In addition, super absorbent particles embedded in the foam structure of Cutimed Siltec dressings not only absorb exudate, even more they reliably bind the fluid, even under compression!

 

Maintain a moist wound environment:

Maintaining a physiological moist wound environment is the primary target in this phase of wound healing. Cutimed Siltec dressings are designed to support this in the best possible way by their superior fluid handling and the atraumatic silicone wound contact layer. This layer ensures a gentle adherence on the surrounding skin.

 

Choose the appropriate dressing for each level of exudate:

  • Cutimed Siltec: for moderate to high levels of exudate
  • Cutimed Siltec L: for low to moderate exudate levels
  • Cutimed Siltec B: border dressing for low to moderate exudate levels.


 

Application:

  • Carefully rinse the wound (and debride, where necessary).
  • Carefully dry the wound margins and peri-wound skin.
  • Apply the dressing and allow it to overlap the wound size by approx. 2 cm.
  • Apply medical skin care as skin conditions require.
  • Finally: apply the compression bandages or compression stockings.

Important:

Adequate compression remains a vital part of a patient’s therapy in order to support venous flow. Products of choice are:

  • if edema is present: Comprilan or Gelocast Compression Bandages
  • if no edema is present: JOBST UlcerCARE Compression System

  • Medical skin care provides moisture. Adding urea helps very dry and itching skin (e.g. Cutimed ACUTE 5% or 10%).
  • Wound margins and peri-wound skin are protected from maceration by providing a barrier film (e.g. Cutimed PROTECT spray or foam applicator).

To top

The moist wound environment enables the undisturbed granulation and epithelialisation of the wound from the margin inwards.

Moisture loss
Absorbency

Minimises the risk of macerations: In-vitro tests confirm the outstanding fluid handling of Cutimed.*
(SMTL test 2008, data on file).

 

* legal distributors of brands mentioned above:
Mepilex®: Mölnlycke Health Care Ltd., Allevyn® Gentle: Smith & Nephew plc, Biatain® Soft Hold: Coloplast Ltd.

Comparison: absorber particles are able to absorb 1,000 times their own weight.