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Dressings-and-Appliances-2021

Dressings & Appliances


The principal stages of healing are: cleansing, removal of debris; granulation, vascularisation; epithelialisation.

The ideal dressing for moist wound healing needs to ensure that the wound remains: moist with exudate, but not macerated; free of clinical infection and excessive slough; free of toxic chemicals, particles or fibres; at the optimum temperature for healing; undisturbed by the need for frequent changes; at the optimum pH value.

As wound healing passes through its different stages, different types of dressings may be required to satisfy better one or other of these requirements. Under normal circumstances, a moist environment is a necessary part of the wound healing process; exudate provides a moist environment and promotes healing, but excessive exudate can cause maceration of the wound and surrounding healthy tissue. The volume and viscosity of exudate changes as the wound heals. There are certain circumstances where moist wound healing is not appropriate (e.g. gangrenous toes associated with vascular disease).

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