Physiopathology Healing - Controversies in the Treatment of Wounds

CONTROVERSIES in the
TREATMENT of WOUNDS

 

Dry dressing
x
Humid dressing

The humid dressing
- it protects the superficial nervous terminations reducing the pain, 
- it accelerates the process cicatricial, 
- it prevents the dehydration tecidual and the cellular death, 
- it promotes the chemical debridement.
 
The dry dressing it is recommended in clean surgical wounds with direct suture with daily change of healing to the retreat of the points
. 

Cleaning Physilogic Saline
X
Mechanical Clearing

*The cleaning with physiologic saline solution at 0,9% is indicated to moisturize the wound and it accelerates the cicatrization, avoiding the direct traumatismo of the wound.

The mechanical cleaning provokes traumatismo of the tissue cicatricial delaying the process.

 

Antiseptic
in
"Open" Wound

*Antiseptic PVPI Topic (polivinilpirrolidone): 
It has purpose of preventing the colonization. They can be neutralized quickly in the presence of organic matter and necrosis. 
- it is indicated in the anti-sepsia of the skin and mucous, of peri-catheters, peri-introductory and external fixadores, 
- contraindicated in open wounds, because it is citolítico and it delays the cicatrization process.

Antiseptic Topical Clorexidina: clorexidina solution has bacterial action so much for positive and negative gram bacterium, even so with larger effect in negative gram. The activity germicida does stay in the presence of organic materials. It possesses the same indications and contraindications of PVPI.

ALSO SEE

Physiology Cicatricial
Healing

Interferce Factores in the
Cicatrization

Nutricional Aspects in the
Treatment of  Wounds

Cicatrization Type

Scars Typies

Scars Treatment
   -
  elastic mesh
    -
  silicone plate
    - 
cortisone intralesional
    - 
topical gel

DRESSING and COVERINGS

To KNOW MORE...

It Consults the Feridologo's Book - 2006
Santos - São Paulo - Brazil.