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Comparative Study
. 2014 Feb;11(1):50-4.
doi: 10.1111/j.1742-481X.2012.01061.x. Epub 2012 Aug 7.

Removal of adhesive wound dressing and its effects on the stratum corneum of the skin: comparison of eight different adhesive wound dressings

Hajime Matsumura  1 , Ryutaro Imai, Niyaz Ahmatjan, Yukiko Ida, Masahide Gondo, Dai Shibata, Katsueki Wanatabe
Affiliations
Comparative Study

Removal of adhesive wound dressing and its effects on the stratum corneum of the skin: comparison of eight different adhesive wound dressings

Hajime Matsumura et al. Int Wound J. 2014 Feb.

Abstract

In recent years, adhesive wound dressings have been increasingly applied postoperatively because of their ease of use as they can be kept in place without having to cut and apply surgical tapes and they can cover a wound securely. However, if a wound dressing strongly adheres to the wound, a large amount of stratum corneum is removed from the newly formed epithelium or healthy periwound skin. Various types of adhesives are used on adhesive wound dressings and the extent of skin damage depends on how much an adhesive sticks to the wound or skin surface. We quantitatively determined and compared the amount of stratum corneum removed by eight different wound dressings including polyurethane foam using acrylic adhesive, silicone-based adhesive dressing, composite hydrocolloid and self-adhesive polyurethane foam in healthy volunteers. The results showed that wound dressings with silicone adhesive and self-adhesive polyurethane foam removed less stratum corneum, whereas composite hydrocolloid and polyurethane foam using acrylic adhesive removed more stratum corneum.

Keywords: Adhesive wound dressings; Dressing removal; Periwound skin; Stratum corneum; Wound dressing.

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Figures

Figure 1
Figure 1
Application of adhessive wound dressing.
Figure 2
Figure 2
Stained images of the stratum corneum printed on the adhesive tape from each wound dressing and the dichotomised images (wound dressings: A, polyurethane foam using acrylic adhesive: Hydrosite AD plus; G, polyurethane foam using silicone adhesive: Hydrosite AD gentle; B, Mepilex Border; T, dressing coated on one surface with a layer of soft silicone: Mepilex Transfer; U, self‐adhesive polyurethane foam: Hydrosite ultrathin; R, composite hydrocolloid film: Replicare; E, DuoACTIVE ET; C, DuoACTIVE CGF).
Figure 3
Figure 3
Percentage of desquamated area of the stratum corneum for each wound dressing (i.e. A, G, B, T, U, R, E or C).
See this image and copyright information in PMC

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