An early atraumatic experience of silicone gel mesh dressing in burn wound care
5th International Conference on Wound Care, Tissue Repair and Regenerative Medicine
April 15-16, 2022 | Paris, France
Soo Jia Ying, Nor Hanipah Z and Farrah-Hani Imran
University Putra Malaysia, Malaysia
Scientific Tracks Abstracts : J Trauma Crit Care
Abstract:
Introduction: Dressing burn wounds can be painful especially in children. Conventional dressings may adhere to wounds that traumatized the newly formed granulation tissues and this results in substantial pain and contact bleeding at times. Therefore, it is essential to design a new wound care product that can address these issues during burn wound dressings. These case series aim to evaluate the use of silicone gelbased dressing (SI-AID) in burn wound management. Case Series: Case 1: A 3-year-old boy was scalded and sustained 5% partial-thickness burn over the anterior chest wall. SI-AID dressing was applied. The wound had epithelialized on day 7 post- burn injury. Case 2: A 22-yearold lady presented for scalding burns injury and sustained 5% partial-thickness burn over the bilateral upper thigh and inguinal region. SI-AID was applied as burn dressing and full epithelialisation was achieved on day 14. Case 3: A 54-year-old gentleman was involved in a motor vehicle accident. He was trapped inside the flaming automobile for a few minutes after the collision. He sustained 11% partial-thickness burn over the face, bilateral forearm, left thigh and foot. SI-AID was applied to forearms, thigh and foot. Wounds on the bilateral forearm and left thigh epithelialized after two dressing cycles (day 11). The burn on the medial aspect of the right foot required 4 cycles of dressing (total of 23 days) to completely epithelialize. All three patients tolerated SI-AID well, including the toddler. None of the patients required extra analgesics or sedation during dressing change. Moreover, upon removal, there were no evidence of trauma to the surrounding skin. Conclusion: SI-AID is a silicone gel-based dressing that can be used as a primary partial thickness burn wound dressing. It is an atraumatic and virtually pain-free burn dressing with good epithelisation outcomes. A larger-scale randomized control study is needed to conclude the cost- effectiveness and wound care outcomes using SI-AID as burn dressing. Recent Publications 1. Sood A, Granick MS, Tomaselli NL. Wound Dressings and Comparative Effectiveness Data. Adv Wound Care (New Rochelle). 2014;3(8):511-529. 2. Cutting K, White R, Hoekstra H. Topical silver-impregnated dressings and the importance of the dressing technology. Int Wound J. 2009;6(5):396-402. 3. Kim, H.; Shin, S.; Han, D. Review of history of basic principles of burn wound management. Medicina 2022, 58, 400
Biography:
Soo Jia Ying has completed her specialty training in general surgery at the National University of Malaysia. She is also a lecturer at University Putra Malaysia. Despite being general surgeon, she also shown interest in plastic and reconstructive surgery. She has spent approximately 2 years training under an established plastic and reconstructive team in a quarternary referral centre and level 1 trauma centre. She has a great passion in medical charity. With the hope of making medical services more accessible to the sick and impoverished, she often travelled to provide free consultation and wound dressing services.
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