Hydrocolloid dressing explained

Hydrocolloid dressing should not be confused with Hydrogel dressing.

A hydrocolloid dressing is an opaque or transparent[1] dressing for wounds. A hydrocolloid dressing is biodegradable, breathable, and depending on the dressing selected, may adhere to the skin, so no separate taping is needed.

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.[2]

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.[3]

Uses

Hydrocolloid dressings are used to treat uninfected wounds. Dressings may be used, under medical supervision, even where aerobic infection is present; the infection should be treated appropriately.

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.[4] They are also used to secure nasogastric tubes or CPAP masks to the patient's face. Hydrocolloid dressings are used for pressure ulcers (also known as bed sores).[5]

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,[6] or for diabetic foot ulcers.[7]

There is tentative but unclear evidence for hydrocolloid dressings for superficial and partial thickness burns.[8] Hydrocolloid dressings were, however, superior to other substrates (i.e., alginate, film, gauze, hydrofiber, silicone) for treating skin graft donor sites.[9]

Notes and References

  1. https://www.coloplast.co.uk/comfeel-plus-transparent-en-gb.aspx Coloplast (UK)
  2. Web site: World Wide Wounds . 2017-02-09 . 2019-11-25 . https://web.archive.org/web/20191125102003/http://www.worldwidewounds.com/1997/july/Thomas-Hydronet/hydronet.html . live .
  3. Web site: Surgical Materials Testing Laboratory Dressings Datacard: Bordered Granuflex . 2011-06-23 . 2019-11-08 . https://web.archive.org/web/20191108154227/http://dressings.org/Dressings/granufl-brd.html . live .
  4. Web site: 2020-12-21 . This TikTok acne remedy really does work . 2023-11-08 . wexnermedical.osu.edu . en . 2023-11-08 . https://web.archive.org/web/20231108195711/https://wexnermedical.osu.edu/blog/tiktok-bandaids-for-acne . live .
  5. Heyneman . Alexander . Beele . Hilde . Vanderwee . Katrien . Defloor . Tom . 2008 . A systematic review of the use of hydrocolloids in the treatment of pressure ulcers . Journal of Clinical Nursing . 17 . 9 . 1164–1173 . 10.1111/j.1365-2702.2007.02218.x . 1365-2702 . 18416792 . 2023-11-08 . 2023-11-08 . https://web.archive.org/web/20231108201105/https://pubmed.ncbi.nlm.nih.gov/18416792/ . live .
  6. Palfreyman. SJ. Nelson EA . Lochiel R . Michaels JA. . Simon SJ. Palfreyman. Dressings for healing venous leg ulcers.. Cochrane Database of Systematic Reviews. 2006. 3. 16855958. 10.1002/14651858.CD001103.pub2. CD001103.
  7. Dumville. Jo C.. Deshpande. Sohan. O'Meara. Susan. Speak. Katharine. 2013-08-06. Hydrocolloid dressings for healing diabetic foot ulcers. The Cochrane Database of Systematic Reviews. 2013 . 8. CD009099. 10.1002/14651858.CD009099.pub3. 1469-493X. 23922167. 7111300.
  8. Wasiak. J. Cleland. H. Campbell. F. Spinks. A. Dressings for superficial and partial thickness burns.. The Cochrane Database of Systematic Reviews. 28 March 2013. 3. 3. CD002106. 23543513. 10.1002/14651858.CD002106.pub4. 7065523. 10072/58266. free.
  9. Sinha S, Schreiner AJ, Biernaskie J, Nickerson D, Gabriel VA . Treating pain on skin graft donor sites: review and clinical recommendations. . J Trauma Acute Care Surg . 83. 5. 954–964. June 2017 . 28598907 . 10.1097/TA.0000000000001615. 44520644 .

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