Hydrocolloid dressing
{{Short description|Type of self-adhesive pad for wounds}}
{{distinguish|Hydrogel dressing}}
A hydrocolloid dressing is an opaque or transparent[https://www.coloplast.co.uk/comfeel-plus-transparent-en-gb.aspx Coloplast (UK)] {{Webarchive|url=https://web.archive.org/web/20171021220315/https://www.coloplast.co.uk/comfeel-plus-transparent-en-gb.aspx |date=2017-10-21 }}- Reviewed 2017-10-21 (Primary) dressing for wounds. A hydrocolloid dressing is biodegradable,{{Citation |last1=Kennedy |first1=J.F. |title=The use of 'smart' textiles for wound care |date=2009 |url=https://linkinghub.elsevier.com/retrieve/pii/B9781845692711500108 |work=Advanced Textiles for Wound Care |pages=254–274 |access-date=2023-11-08 |publisher=Elsevier |language=en |doi=10.1533/9781845696306.2.254 |isbn=978-1-84569-271-1 |last2=Bunko |first2=K. |s2cid=107857160 |archive-date=2024-04-26 |archive-url=https://web.archive.org/web/20240426111358/https://linkinghub.elsevier.com/retrieve/pii/B9781845692711500108 |url-status=live }} breathable, and depending on the dressing selected, may adhere to the skin, so no separate taping is needed.{{Citation |last=Wietlisbach |first=Christine M. |title=Wound Care |date=2020 |url=https://linkinghub.elsevier.com/retrieve/pii/B978032352479700017X |work=Cooper's Fundamentals of Hand Therapy |pages=154–166 |access-date=2023-11-08 |publisher=Elsevier |language=en |doi=10.1016/b978-0-323-52479-7.00017-x |isbn=978-0-323-52479-7 |s2cid=243089436 |archive-date=2024-07-03 |archive-url=https://web.archive.org/web/20240703010745/https://linkinghub.elsevier.com/retrieve/pii/B978032352479700017X |url-status=live }}
The active surface of the dressing is coated with a cross-linked adhesive mass containing a dispersion of gelatin, pectin and carboxymethyl cellulose together with other polymers and adhesives forming a flexible wafer. In contact with wound exudate, the polysaccharides and other polymers absorb water and swell, forming a gel. The gel may be designed to drain, or to remain within the structure of the adhesive matrix.{{Cite web |url=http://www.worldwidewounds.com/1997/july/Thomas-Hydronet/hydronet.html |title=World Wide Wounds |access-date=2017-02-09 |archive-date=2019-11-25 |archive-url=https://web.archive.org/web/20191125102003/http://www.worldwidewounds.com/1997/july/Thomas-Hydronet/hydronet.html |url-status=live }}
The moist conditions produced under the dressing are intended to promote fibrinolysis, angiogenesis and wound healing, without causing softening and breaking down of tissue. The gel which is formed as a result of the absorption of wound exudate is held in place within the structure of the adhesive matrix. Most hydrocolloid dressings are waterproof, allowing normal washing and bathing.{{Cite web |url=http://www.dressings.org/Dressings/granufl-brd.html |title=Surgical Materials Testing Laboratory Dressings Datacard: Bordered Granuflex |access-date=2011-06-23 |archive-date=2019-11-08 |archive-url=https://web.archive.org/web/20191108154227/http://dressings.org/Dressings/granufl-brd.html |url-status=live }}
Uses
{{More medical citations needed|section|date=February 2017}}
Hydrocolloid dressings are used to treat uninfected wounds.{{Citation |last1=Andrews |first1=Karen L. |title=Prevention and Management of Chronic Wounds |date=2021 |url=https://linkinghub.elsevier.com/retrieve/pii/B9780323625395000242 |work=Braddom's Physical Medicine and Rehabilitation |pages=469–484.e4 |access-date=2023-11-08 |publisher=Elsevier |language=en |doi=10.1016/b978-0-323-62539-5.00024-2 |isbn=978-0-323-62539-5 |last2=Derby |first2=Kelly M. |last3=Jacobson |first3=Therese M. |last4=Sievers |first4=Beth A. |last5=Kiemele |first5=Lester J. |s2cid=224870006 |archive-date=2023-11-23 |archive-url=https://web.archive.org/web/20231123103132/https://linkinghub.elsevier.com/retrieve/pii/B9780323625395000242 |url-status=live }} Dressings may be used, under medical supervision, even where aerobic infection is present; the infection should be treated appropriately.{{Citation needed|date=November 2023}}
The dressing is applied to a cleaned wound. Hydrocolloid patches are sometimes used on the face for acne. Smaller sizes are used on acne, not only to get rid of acne, but to avoid acne scars.{{Cite web |date=2020-12-21 |title=This TikTok acne remedy really does work |url=https://wexnermedical.osu.edu/blog/tiktok-bandaids-for-acne |access-date=2023-11-08 |website=wexnermedical.osu.edu |language=en |archive-date=2023-11-08 |archive-url=https://web.archive.org/web/20231108195711/https://wexnermedical.osu.edu/blog/tiktok-bandaids-for-acne |url-status=live }} They are also used to secure nasogastric tubes or CPAP masks to the patient's face.{{Citation needed|date=November 2023}} Hydrocolloid dressings are used for pressure ulcers (also known as bed sores).{{Cite journal |last1=Heyneman |first1=Alexander |last2=Beele |first2=Hilde |last3=Vanderwee |first3=Katrien |last4=Defloor |first4=Tom |date=2008 |title=A systematic review of the use of hydrocolloids in the treatment of pressure ulcers |url=https://pubmed.ncbi.nlm.nih.gov/18416792 |journal=Journal of Clinical Nursing |volume=17 |issue=9 |pages=1164–1173 |doi=10.1111/j.1365-2702.2007.02218.x |issn=1365-2702 |pmid=18416792 |access-date=2023-11-08 |archive-date=2023-11-08 |archive-url=https://web.archive.org/web/20231108201105/https://pubmed.ncbi.nlm.nih.gov/18416792/ |url-status=live }}
=Effectiveness=
The results of meta-analyses indicate no significant difference in healing rates between hydrocolloid dressings and other dressings (including simple dressings) for venous ulcers,{{cite journal|last=Palfreyman|first=SJ|author2=Nelson EA |author3=Lochiel R |author4=Michaels JA. |editor1-first=Simon SJ|editor1-last=Palfreyman|title=Dressings for healing venous leg ulcers.|journal=Cochrane Database of Systematic Reviews|year=2006|issue=3|pmid=16855958|doi=10.1002/14651858.CD001103.pub2|pages=CD001103}} or for diabetic foot ulcers.{{Cite journal|last1=Dumville|first1=Jo C.|last2=Deshpande|first2=Sohan|last3=O'Meara|first3=Susan|last4=Speak|first4=Katharine|date=2013-08-06|title=Hydrocolloid dressings for healing diabetic foot ulcers|journal=The Cochrane Database of Systematic Reviews|volume=2013 |issue=8|pages=CD009099|doi=10.1002/14651858.CD009099.pub3|issn=1469-493X|pmid=23922167|pmc=7111300}}
There is tentative but unclear evidence for hydrocolloid dressings for superficial and partial thickness burns.{{cite journal|last1=Wasiak|first1=J|last2=Cleland|first2=H|last3=Campbell|first3=F|last4=Spinks|first4=A|title=Dressings for superficial and partial thickness burns.|journal=The Cochrane Database of Systematic Reviews|date=28 March 2013|volume=2013|issue=3|pages=CD002106|pmid=23543513|doi=10.1002/14651858.CD002106.pub4|pmc=7065523|hdl=10072/58266|hdl-access=free}} Hydrocolloid dressings were, however, superior to other substrates (i.e., alginate, film, gauze, hydrofiber, silicone) for treating skin graft donor sites.{{cite journal |vauthors=Sinha S, Schreiner AJ, Biernaskie J, Nickerson D, Gabriel VA |title=Treating pain on skin graft donor sites: review and clinical recommendations. |journal=J Trauma Acute Care Surg |volume= 83|issue= 5|pages= 954–964|date=June 2017 |pmid=28598907 |doi=10.1097/TA.0000000000001615|s2cid=44520644 }}
References
{{reflist}}