PMID: 6988030Feb 1, 1980Paper

The management of the open perineal wound using a foam elastomer dressing: a prospective clinical trial

The British Journal of Surgery
J Macfie, M J McMahon

Abstract

In an attempt to improve the management of the perineal wound after abdominoperineal excision of the rectum we have assessed the value of foam elastomer, a catalysed silicone polymer dressing. The substance has already been used successfully in the treatment of open, granulating wounds at other sites (1). On the fourteenth postoperative day 50 patients with open perineal wounds were randomized to receive either conventional gauze packing or treatment with a foam elastomer dressing. Patients were received weekly until healing occurred. When no cavity remained, a dry dressing alone was used. Initial wound volume was calculated in all patients by forming a foam dressing the volume of which was measured by displacement of water. Healing times were shorter in patients who received foam elastomer, but not significantly so. However, less analgesia (P less than 0.01) and fewer district nurse visits (P less than 0.001) were required by patients in the foam elastomer group. This study suggests that foam elastomer dressing is a more comfortable alternative to a gauze pack in the management of the perineal wound and substantially reduces the amount of nursing supervision which is required. We recommend its routine use in the management of ...Continue Reading

References


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Citations

Feb 1, 1984·The British Journal of Oral & Maxillofacial Surgery·G J RadcliffeD Wilson
Sep 1, 1982·World Journal of Surgery·J Alexander-Williams, M R Keighley
Aug 1, 1981·The Australian and New Zealand Journal of Surgery·R C SmithJ M Levey
May 25, 2005·The British Journal of Surgery·H VermeulenD A Legemate
Apr 24, 2004·The Cochrane Database of Systematic Reviews·H VermeulenD Legemate
Feb 8, 2006·Annals of the Royal College of Surgeons of England·F Dinah, A Adhikari
Dec 1, 1985·Prosthetics and Orthotics International·C P Stewart
Jan 1, 1984·Langenbecks Archiv für Chirurgie·W J FröbelJ Treusch
Mar 1, 1996·Journal of Wound Care·R T Chalmers, A R Turner
May 2, 1993·Journal of Wound Care·S Thomas

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