Introduction: The periwound skin influences the evolution of the wound. Among the mechanisms that affect it are the wound's own exudate and the use of therapeutic support devices.
Objective: The objective of this scoping review is to map out topical products that have been implemented and evaluated for either the protection or treatment of injuries caused by exudate or the use of adhesives or therapeutic dressings on the periwound skin of acute or chronic wounds.
Methods: The methodology for scoping reviews proposed by the Joanna Briggs Institute was adopted, and a 3-step search strategy was carried out. The first search was limited to MEDLINE and CINAHL. Subsequently, a search was conducted with the identified key words and the terms of the index for the selected databases. Finally, additional studies were sought in the references of all identified publications. Two reviewers conducted the searches independently. Literature in the English, Spanish, and Portuguese languages was included.
Results: A total of 1229 studies were identified, 12 of which met the inclusion criteria defined for this review. From the included studies, 12 products were identified for wounds of different etiologies, with the most frequent being the alcohol-free barrier film and zinc oxide.
Conclusions: To date, the level of evidence is low. It is necessary to develop more robust research that improves the quality of the literature available for treating people with wounds.
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J Wound Care
January 2025
Coloplast A/S, Holtedam 1, Humlebæk, Denmark.
Exudate management is essential for creating a moist wound environment that promotes optimal healing, especially in highly exuding wounds, where choosing an appropriate wound dressing to handle high volumes of exudate is a key part of the wound management strategy. Superabsorbent wound dressings (SWDs) have been designed to absorb and retain large amounts of exudate. Thus, they are advocated for management of wounds with moderate-to-high levels of exudate to reduce the risk of leakage and damage to the periwound skin.
View Article and Find Full Text PDFBackground And Aim: The healing of diabetic foot ulcers (DFUs) can be hindered by the susceptibility of the surrounding intact skin to pro-inflammatory proteases. A conditioned media, known as PTT-6, derived from mesenchymal stem cells found in the lining of red deer umbilical cords, has been formulated to protect the intact peri-wound skin of DFUs. The aim is to evaluate the clinical effectiveness of PTT-6 in managing peri-wound intact skin in hard-to-heal DFUs.
View Article and Find Full Text PDFJ Wound Care
November 2024
OrthoGroup, Orthopedic Practice, Eidelstedter Platz 1, 22523, Hamburg, Germany.
Objective: Currently there is limited real-world research on the adhesion qualities, pain and clinical performance of specific silicone adhesives products, and their role in maintaining skin integrity and preventing medical adhesive-related skin injuries (MARSI). This paper presents a clinical evaluation of performance and safety parameters of two silicone adhesive dressings on lacerations or surgical wounds and the surrounding skin in daily practice on fragile skin.
Method: An observational, prospective, multicentre, uncontrolled post-market clinical observational study with Leukomed T skin sensitive and Leukomed T plus skin sensitive (both BSN medical GmbH, Essity Group) was undertaken at three sites across Germany between June 2021 to November 2022.
J Tissue Viability
November 2024
Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan.
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