Lohmann & Rauscher (L&R) added its support to the Chronic Wound Initiative at the German Wound Congress (ICW e.v). Early May 2015 saw two conferences in Bremen focusing on the topic of “Wound care in every-day life”.1,2 The wound care specialists Zeynep Babadagi-Hardt (Duisburg) and Nesat Mustafi (Frankfurt am Main) made it clear that the L&R primary dressing Lomatuell® Pro, a tulle dressing with hydrocolloid particles, and the foam dressing Suprasorb P silicone provide effective exudate management for acute and chronic wounds. The dermatologist Professor Joachim Dissemond (Essen) underlined the significance of virtually pain-free dressing changes, which are made possible by the modern L&R dressings.
The treatment of various wound types poses a challenge both in the clinical context and outpatient setting. Suitable solutions for both wound and patient are required which provide effective, quick wound therapy which is as low-pain as possible.
Lomatuell Pro minimizes risk of adhesion to the wound
Speaking at the symposium “Wound care in every-day routine - easy, quick and effective”, Nesat Mustafi, the manager of the wound clinic in the Nordwest-Krankenhaus Frankfurt am Main, emphasized the importance of maintaining a physiological wound environment during the healing process of acute, secondary and chronic wounds. The gel-forming contact net Lomatuell Pro from L&R is suitable for the care of superficial wounds in all exudation phases. Mustafi also outlined how the wound dressing has especial advantages with wounds with moderate exudation. “When applied to areas of skin avulsion or removal, seam dehiscence, tear and avulsion points and post-traumatic wounds, the tulle wound dressing with hydrocolloid particles supports the development of a moist, warm wound environment and promotes healing without the adhesion to the wound bed or wound edge which such cases often present”, stated Mustafi.
This is supported by the findings of a multicentre observational study in which 97 per cent of dressing changes presented no or only slight adhesion of the wound dressing to the wound. The dressing was applied to both acute, secondary healing wounds and chronic wounds such as lower leg ulcers, decubitus and diabetic foot ulcers.3
Consisting of a wound contact layer made from Vaseline and hydrocolloid particles, Lomatuell Pro minimizes the risk of adhesion4 and enables low-pain, atraumatic dressing changes. In addition to the moist wound environment, the dressing ensures simultaneous moisturizing of dry wound areas and the wound edge.
Suprasorb P silicone: for the gentle treatment of wounds
Exploring the topic of chronic wounds, Zeynep Babadagi-Hardt, the wound management specialist at “Die Pflegezentrale” (Duisburg) underlined the need for an adequate, cost-effective and easy-to-use therapy concept to meet the challenges presented by the therapy of this wound type. Suprasorb P silicone has been specially developed by L&R for the gentle treatment of wounds with low to moderate levels of exudation. Babadagi-Hardt recommends the PU foam dressing as a treatment option for chronic wounds with medium amounts of exudate. The open-pored foam structure and generously sized perforations in the silicone adhesive layer ensure rapid absorption of exudate and promote a moist wound healing environment.
“All in all, the high levels of patient acceptance which Suprasorb P silicone enjoys represent a special advantage, especially in the out-patient context”, thus Babadagi-Hardt.
Wound care must be low-pain
Speaking at the conference “Everyday Wound Care - Low-Pain and Effective” the dermatologist Professor Joachim Dissemond (Essen) emphasized that “pain within the wound care process may be caused by various factors. Many patients with chronic wounds wear adhesive dressing materials over a number of weeks or even months. In such cases, it is important to minimize skin damage during the removal of the dressing”. He presented recent data which confirm the positive experience made with silicon-coated dressings, including the low level of trauma and pain associated with their removal.
The dermatologist Dr Thomas Eberlein (Leipzig) pointed out conclusively that the application of biofilms to wounds can have a negative impact and contribute substantially to the development of infections. “The removal of wound debris and detritus is an important requirement in modern wound treatment, something underlined by the EWMA position paper8”, stated Eberlein. According to Eberlein, when mechanical debridement is indicated, there is a lot in favour of using Debrisoft. “The monofilament pad based on a special fibre technique shows very good cleaning results in a short treatment time, very high treatment comfort and simple handling”. This was demonstrated in a multi-centre prospective observational study”9.
Sources:
1 The symposium “Everyday Wound Care – Easy, Quick and Effective. From Trivial to Chronic Wounds” held at the German Wound Congress of the Chronic Wound Initiative and the 11th Bremen Nursing Congress 2015, held in Bremen, on 6 May 2015
2 The symposium Everday Wound Care - Low-Pain and Effective held at German Wound Congress of the Chronic Wound Initiative and the 11th Bremen Nursing Congress 2015, held in Bremen,
on 7 May 2015
3 S. Wolber; V. Dini; A. Schätzle; Z. Babadagi-Hardt; K. Grießhammer; M. Tadej6; R. Jelnes; M. Abel. International multicentre application study to assess a polyester-tulle primary wound dressing with hydrocolloid particles in terms of usability as well as user and patient satisfaction. Poster. 19th Conférence Nationale des Plaies et Cicatrisations & International Workshop on Wound Technology (IWWT). 18-20 January 2015 Palais des Congrès de Paris, France
4 Wiegand C et al., Comparison of the adhesion disposition of conventional and modern wound dressings in vitro. IWWT 2014 Paris, Wounds UK, 2013 Harrogate (Poster)
5 Briggs M, Nelson EA, Martyn-St James M. Topical agents or dressings for pain in venous leg ulcers. Cochrane Database Syst Rev 2012; 11: CD001177. Int Wound J 2007; 4 (Suppl. 1): 4-15.
6 Dissemond J, Augustin M, Eming SA, Goerge T, Horn T, Karrer S, Schumann H, Stücker M. Modern wound care - practical aspects of non-interventional topical treatment of patients with chronic wounds. J Dtsch Dermatol Ges 2014; 12(7): 541-54.
7 Price P, Fogh K, Glynn C, Krasner DL, Osterbrink J, Sibbald RG. Managing painful chronic wounds: the Wound Pain Management Model. Int Wound J. 2007; 4 (Suppl. 1): 4
8 Strohal R. The EWMA Document: Debridement. J Wound Care. 2013 Jan; 22(1):5-14.
9 Journal Wound Care 2011 May; 20(5): 242-8. Clinical efficacy of a new monofilament fibre-containing wound debridement product. Bahr S, Mustafi N, Hättig P, Piatkowski A, Mosti G, Reimann K, Abel M, Dini V, Restelli J, Babadagi-Hardt Z, Abbritti F, Eberlein T, Wild T, Bandl K
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