Synthetic burn dressing remains the central theme for burn dressing development. The advantages and disadvantages of current available dressings were reviewed. As one of the most successful dressings, the hydrogel burn dressing, its combination with other materials and related progress in researches were presented in detail. Finally, the trend in development of synthetic burn dressing was presented.
Bandages, Hydrocolloid ; Burns ; therapy

In reconstruction of the skin defect, partial thickness skin graft (STSG) is common procedure in plastic and reconstructive surgery. Even if the graft is taken successfully, the texture of the donor site can be an aesthetic problem to the patient and the surgeon. Nowadays, occlusive dressings have been recommended for better results and accelerated healing of the donor site. Although hydrocolloid dressing is one of the popular occlusive dressings, its application is limited to the wounds that have mild to moderate discharge because of its absorption capacity. We modified the DuoDERM EXTRA THIN(TM) with multiple incisions to drain the massive discharge in acute stage in STSG donor dressing from January 2003 to May 2003. During the surgery, the half of the donor site was covered with the modified DuoDERM and the other half with original one as a control study. Dressing was changed after the 2nd day of operation. As bloody exudates were drained through the incisions areas, blood clot was less attached on experimental groups than control. Epithelialization was faster in modified dressing and skin surface was more even than the control. We are reporting the advantage of making multiple incisions on DuoDERM EXTRA THIN(TM) for dressing of the partial thickness skin graft donor site.
Absorption ; Bandages* ; Bandages, Hydrocolloid* ; Exudates and Transudates ; Humans ; Occlusive Dressings ; Skin ; Tissue Donors ; Transplants ; Wounds and Injuries

This study is to evaluate the decubitus ulcer healing effect of occlusive dressing with hydrocolloid and traditional dry dressing for home care nursing clients. Study design was quasi-experimental pre-post test design. Control group(15 person) was treated decubitus wound with traditional dry gauze dressing, and experimental group(17 persons) was treated decubitus ulcer with occlusive dressing with hydrocolloid and calcium alginate(17 persons). Study period was from 8/1/97 to 12/31/97. Subject subjects was 17 males and 15 females with 2nd phase over decubitus ulcer aged 30 to 70 who have been registered as home care nursing clients in Nurse's Association in Seoul city. Outcome variables were stages, size of decubitus ulcer, pain at dressing time and exudate amount. Study result as follows. Occlusive dressing with hydrocolloid was superior to traditional gauze dressing decreasing ulcer size and phase, and shortening treatment period. Dressing change of occlusive dressing was easier than that of traditional gauze dressing. In conclusion, occlusive dressing was recommended to treat decubitus ulcer in home care patients even if hydrocolloid is expensive to gauze dressing because of treatment effect and easiness of dressing.
Bandages* ; Bandages, Hydrocolloid* ; Calcium ; Colloids* ; Evaluation Studies as Topic ; Exudates and Transudates ; Female ; Home Care Services* ; Humans ; Male ; Nursing ; Occlusive Dressings ; Pressure Ulcer* ; Seoul ; Ulcer ; Wounds and Injuries

The pathological mechanism of wound healing is complicated and affected by multiple factors. Modern wound dressings are widely used in the clinical management of wound healing and have achieved good therapeutic effects. Clinically, wounds are often caused by different etiologies. However, there are few reviews focus on the selection of reasonable dressings for different types of wounds. This study mainly focuses on the characteristics of commonly used wound dressings and summarizes the characteristics of the most commonly used wound dressings in clinical practice and their effects. The advantages and disadvantages of pathology wounds: diabetic foot ulcers, pressure injuries, burns, and leg ulcers are reviewed. This study aims to provide references for the development and clinical selection of wound dressings for scientific researchers and first-line nursing staff who are engaged in wound dressings.
Humans ; Bandages, Hydrocolloid ; Diabetic Foot/therapy* ; Wound Healing

Even though hydrocolloid dressings have been widely used for the past 15 years in the treatment of various types of wounds; allergic contact dermatitis to these dressings have been rarely reported. Duoderm(R) is representative agent of hydrocolloid dressing, and Duoderm Extrathin(R) is a new formulation of Duoderm(R) that contains pentaerythritol ester as a tacking agent, a substance used in several other adhesives. In Korean dermatologic literature, only 1 case of the allergic contact dermatitis due to Duoderm CGF(R) has been reported. However allergic contact dermatitis due to Duoderm Extrathin(R) has not been reported. We report a case of allergic contact dermatitis in a 22-year-old female during wound management using Duoderm Extrathin(R).
Adhesives ; Bandages ; Bandages, Hydrocolloid ; Colloids ; Dermatitis, Allergic Contact ; Female ; Humans ; Propylene Glycols ; Young Adult

Hydrocolloid wound dressings have been in use for nearly two decades, and have rarely caused allergic contact dermatitis. Duoderm CGF(R) is a new version of Duoderm that contain the pentaerythritol ester of hydrogenated rosin as a tackifying agent. However, the allergic contact dermatitis to Duoderm CGF(R) has not been reported in Korean dermatologic literature. We report a case of allergic contact dermatitis in a 36-year-old female during management of leg ulcer using Duoderm CGF(R).
Adult ; Bandages ; Bandages, Hydrocolloid* ; Colloids* ; Dermatitis, Allergic Contact* ; Female ; Humans ; Hydrogen ; Leg Ulcer ; Wounds and Injuries

Allergic reaction to different fruits and vegetables has frequently been described, but an allergic reaction to mango fruit, including its sap, pericarp, stems and leaves, has rarely reported in the literature. Mango dermatitis, although not common, is the term for allergic contact dermatitis caused by mango. The Mango plant is found worldwide, and the plant shares chemical compounds that are similar to other substances of the Anacardiaceae plant. The substances uroshiol and cardol cause the allergic contact dermatitis. Any case of allergic contact dermatitis with eating mango fruit has not been reported in the Korean dermatologic literature. Here we report the first case of mango contact dermatitis in a 20-years-old female and this happened when she drank mango juice.
Anacardiaceae ; Bandages ; Bandages, Hydrocolloid ; Dermatitis ; Dermatitis, Allergic Contact ; Dermatitis, Contact ; Eating ; Female ; Fruit ; Humans ; Hypersensitivity ; Mangifera ; Plants ; Resorcinols ; Vegetables

PURPOSE: To compare the effectiveness between wearing a conventional hydrogel vifilcon A bandage contact lens (BCL) and a silicone hydrogel lotrafilcon A BCL after laser-assisted subepithelial keratomileusis (LASEK). METHODS: LASEK was performed on 38 eyes of 19 patients. Each patient was fitted with a silicone hydrogel lotrafilcon A lens in one eye and a conventional hydrogel vifilcon A lens in the other eye. The patient was masked on the type of lens in each eye. General preference between the two types of lenses, subjective symptoms (pain, photophobia, tearing, dryness, and foreign body sensation; graded as 0 to 4), and the area of non-viable corneal epithelium were assessed in each eye at one and four days after surgery. RESULTS: Patients reported preferring the lotrafilcon A lens to vifilcon A at 1 (79%) and 4 (74%) days after LASEK. The mean symptom scores of tearing and foreign body sensation at 1 day after surgery (P=0.012 and P=0.034, respectively) and foreign body sensation at 4 days after surgery (P=0.027) were significantly lower in the lotrafilcon A group. The mean area of the non-viable corneal epithelium was smaller in the lotrafilcon A lens group at 1 day and 4 days after surgery, although not statistically significant. CONCLUSIONS: Patients better tolerated the silicone hydrogel lotrafilcon A BCL compared with the conventional hydrogel vifilcon A BCL. The mean symptom scores were significantly lower in the lotrafilcon A group at both 1 and 4 days after LASEK.
Bandages ; Bandages, Hydrocolloid* ; Epithelium, Corneal ; Foreign Bodies ; Humans ; Hydrogel* ; Keratectomy, Subepithelial, Laser-Assisted* ; Masks ; Photophobia ; Sensation ; Silicones*

Compression Bandages ; Cysts ; surgery ; Humans ; Sutures

Pressure sores are a common complication of hospitalized patients. However, It is often impossible to correct surgically because the general conditions of these patients are poor. It is known that the hydrogel has a powerful autolytic effect by providing moist environments and facilitates wound healing and hydrocolloid dressing is also known to promotes granulation tissue formation and epithelialization. The patients were treated with hydrogel(Purion gel(R), Coloplast A/S, Denmark) and hydrocolloid dressing (Comfeel Plus Transparent Dressing(R), Coloplast A/S, Denmark) after surgical debridement of pressure sores progressed to stage III(n=2) and IV(n=7). This combination treatment could facilitate to debride the nectrotic tissue and promote granulation tissue formation epithelialization simultaneously. We could achieve complete healing of pressure sores using the combination treatment without requiring surgical correction. In conclusion, hydrogel in combination with hydrocolloid dressing is effective in acheiving complete healing of progressed pressure sores.
Bandages, Hydrocolloid* ; Colloids* ; Debridement ; Granulation Tissue ; Humans ; Hydrogel* ; Pressure Ulcer* ; Wound Healing