- October 13, 2018
- Traumatology and surgery
- Tatyana Andreeva
Human skin performs barrier functions. But there are situations when she herself needs protection. This could be a serious operation or a minor household injury, burn, or cut. In this condition, the skin ceases to cope with its tasks, and therefore the risk of infection and the development of dangerous complications increases. The Cosmopore E patch is designed to reliably protect the skin in such situations. We will tell you more about this medical product, its method of use and its benefits in this article.
Plasters for securing bandages
Not all specialized dressings have an adhesive layer along the edge. To completely cover a large wound with a bandage, you can use roll-on patches made of non-woven material.
Trade names:
- Omnifix
Omnifix patch. Photo: medicaland.ru
- Plastofix
Plastofix patch. Photo: avatars.mds.yandex.net
- LEIKO bandage
LEIKO bandage. Photo: www.ukazka.ru
- Curafix H
Curafix H dressing. Photo: www.netran.ru
Ointment mesh dressings
Mesh dressings are mesh of varying thickness, coated with ointments with different effects. Such dressings do not absorb exudate (liquid that is released from tissues), but can perfectly maintain a moist environment. This prevents the wound from drying out and protects it from sticking. The dressings can be used either alone or in combination with other dressings, such as simple gauze bandages.
In this case, you can put a mesh bandage on the bottom of the wound, and use gauze or other dressings to absorb the discharge from above.
Most often, ointment mesh dressings are used to treat superficial smooth wounds and grade 2 bedsores.
- Coloplast Physiotulle® Ag
Coloplast Physiotulle® Ag. Photo: www.mystoma.ru
- Branolind N dressing
Branolind N/Branolind N. Photo: www.eapteka.ru
- Ointment dressing "Voskopran" with dioxidine
Voskopran with dioxidine. Photo: mednabor.ru
- Parapran dressing with chlorhexidine
Parapran with chlorhexidine. Photo: www.netran.ru
- JELONET
JELONET/JELONET. Photo: invimed.ru
- Bactigras dressing
Bactigras dressing. Photo: www.aramed.ru
- Voskopran Povidone-Iodine dressing
Voskopran Povidone-Iodine dressing. Photo: www.netran.ru
- Atrauman Ag (Atrauman Ag)
Atrauman Ag. Photo: rekate-medical.ru
- Lomatuell H
Lomatuell H. Photo: rekate-medical.ru
Usage
It is important to choose the right cosmopore dressing according to the size of the wound. When applying the patch, the following recommendations must be observed:
- Holding the package with the patch by the edges, you must carefully open it.
- The patch should be removed from the packaging, and then the paper layer on one side should be removed.
- The bandage is carefully fixed on the edge of the wound and smoothed, lightly pressing the skin.
- After this, the paper layer on the other side of the bandage is removed and complete fixation is performed.
It is important that the pad, which is located in the center of the bandage, completely covers the wound. The timing of replacing the patch depends on the nature of the damage. But at the same time, the procedure should be carried out at least once every 3 days. The timing of replacing the cosmopore dressing is affected by the size of the wound and the volume of discharge. In addition, the location of the damage should be taken into account.
Hydrocolloid dressings
Trade names:
- granuflex;
- DuoDerm;
- Suprasorb H;
- Hydrocoll;
- Hydrocoll Sacral;
- Tegaderm Hydrocolloid;
- Comfeel Plus.
The coating base of hydrocolloid dressings consists of microgranules of sodium salt, pectin and gelatin. Such headbands began to be used in the early 80s and they are still one of the most popular.
The dressing can absorb a small amount of discharge from the wound, retains a moist environment well and converts excess moisture into a gel.
Hartmann bandages. Photo: www.mystoma.ru
Turning into a gel, the hydrocolloid acquires a characteristic, not very pleasant odor and a yellow color, which can be mistaken for pus. Therefore, this dressing should not be used on infected, inflamed wounds or wounds with a large amount of discharge. It simply cannot cope with such a volume of liquid and bacteria and will quickly melt. But for superficial, shallow wounds with a small amount of discharge, hydrocolloid dressings are perfect.
Bandage. Photo: cdn.diacheck.ru
Some bandages are made in a special shape to make it easier to stick to certain places where bedsores form (sacrum, elbows, knees, etc.).
Specially shaped bandage. Photo: prozabota.ru
About company
The manufacturer of the patch is the German company Paul Hartmann. This is a global company with a century-old history, specializing in the manufacture of medical supplies and patient care products. Hartmann has been developing and producing new medical products since 1885. The company is constantly improving and introducing the latest technologies into production. Therefore, even the simplest products (bandages, bandages, plasters) are transformed, becoming more convenient to use and ergonomic. It should also be noted that, in addition to the main protective properties, the company’s products also perform a healing function.
Sponge dressings
Sponge dressings are made of polyurethane foam material with large pores. They can quickly absorb large amounts of discharge and retain it, which reduces irritation of the tissue around the wound. Sponge dressings come with an adhesive edge (adhesive) - they themselves stick to the body and do not require additional fixation with adhesive tape. And not adhesive - they must be additionally secured with a plaster or fixing bandage.
Used for non-infected wounds. In the presence of inflammation and infection, bandages or ointments with an antibiotic, antiseptic or silver-based are added to them. These dressings are covered with a vapor-permeable layer on top, which allows the wound to “breathe” but protects it from external influences.
Many dressings additionally have a wound coating with silicone or hydrogel. This is necessary so that they do not stick to the wound and retain moisture better.
- Coloplast Non-adhesive sponge dressings with Biatain®Ag silver
- Coloplast Adhesive Biatain® sponge heel dressings
Beataine bandage. Photo: medkalopriemniki.ru
- Self-adhesive sponge dressing with hydrogel coating HydroTac Comfort
HydroTac Comfort bandage. Photo: www.careproducts.ru
- Adhesive dressing Suprasorb P Silicone
- Mepilex Ag sponge bandage with silver antibacterial
Mepilex Ag sponge bandage with silver is antibacterial. Photo: www.netran.ru/
- Permafoam comfort sponge self-adhesive dressing
Permafoam comfort. Photo: images.ru.prom.st
- Neofix FibroSorb Ag (Neofix FibroSorb Ag)
Neofix FibroSorb Ag (Neofix FibroSorb Ag). Photo: rekate-medical.ru
- Askina Transorbent (sterile sponge dressing with hydrogel layer)
Askina Transorbent. Photo: rekate-medical.ru
Peculiarities
- The spaceport patch is manufactured by a German manufacturer. These are convenient self-adhesive products for special purposes. They are rectangular pads with a soft, moisture-absorbing pad located in the center and adhesive edges. When used, it is possible to protect damaged skin from the effects of pathogenic microorganisms. In addition, it is recommended to buy a cosmopor patch in order to protect the skin from external irritants and mechanical damage.
- The product is able to absorb discharge from the wound. At the same time, the cosmopor postoperative self-adhesive sterile bandage allows the skin to breathe, which speeds up the healing process.
- The Cosmopore e patch is often used in medical institutions after manipulations related to the treatment of skin lesions. In addition, you can buy it for home use. It can be used in cases of any household damage.
Alginate dressings
These dressings are made from seaweed and are similar in structure to glass wool. The dressings contain calcium or sodium alginate, which turns into a gel upon contact with liquid.
Alginates are natural polysaccharides. The main source of alginates in nature is seaweed of the genus Laminaria, where they are contained in the form of alginic acid salts, mainly sodium alginate.
These dressings are suitable for use in deep wounds and pockets. They perfectly absorb large amounts of liquid and bacteria. In the form of a gel, they do an excellent job of soaking necrosis, fibrin and crusts of dead tissue. That is why such dressings are used to treat bedsores and chronic wounds of 3-4 degrees.
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Symptomatic treatment
Nowadays such bandages are made with reinforcement. This is necessary so that the alginate particles do not disintegrate and remain in the wound. If using a non-reinforced dressing, the wound can be irrigated to remove alginate particles. Alginate is not absorbed and is quickly washed off with saline solution.
The alginate dressing must be secured on top with another dressing. It can be a film bandage, hydrogel or sponge. The alginate dressing can also be covered with napkins and secured with a self-adhesive bandage.
If you are using an alginate dressing on a very wet wound, it can be used dry. If the wound is dry and covered with necrosis, then the alginate is pre-moistened with saline solution. This is necessary to restore a moist environment to the wound.
- Algisite M
Algisite M. Photo: www.aramed.ru
- Alginate dressing Suprasorb A
Alginate dressing Suprasorb A. Photo: www.bonanzamarket.co.uk
- Medisorb A
Medisorb A. Photo: www.eapteka.ru
- Algitek S silver bandage
Algitek S silver bandage. Photo: mtkimpex.ru
Indications
Cosmopore medical dressings are in demand in surgical and traumatology practice. They are widely used for dressing wounds in the postoperative period in the presence of severe discharge and bleeding.
In addition, the Cosmopore patch is prescribed for use in the treatment of bedsores in patients who have to lie down for a long time. They are also indicated for the treatment of trophic ulcers in the acute stage.
The Cosmoport patch is recommended for use after a caesarean section. When using it, it is possible to reliably protect the seam. Thanks to the secure fixation of the bandage, you can shower and feel comfortable during the recovery period.
Cosmoport dressings are indicated for cases when it is necessary to treat wound surfaces with a high risk of infection. They are prescribed for lesions with a large amount of exudate. Cosmopor patch is also used when it is necessary to fix bandages on which a special wound healing agent is applied.
Hydroactive dressings (solution activated dressings)
The coating of these dressings consists of sodium salt fibers and carboxymethylcellulose, which upon contact with wound secretions turn into a transparent gel. It creates a moist environment on the surface of the wound and does not stick to the wound.
Aquacel Extra
Aquacel Extra. Photo: cdnx.jumpseller.com
HydroClean plus - dressings with active Ringer's solution
The bandage inside contains a gel that has absorbed Ringer's solution. Ringer's solution is a saline solution that draws out drainage and pus from a wound. It absorbs the exudate, and Ringer's solution washes the wound. Works great on dry wounds with necrosis. Cleans wounds containing pus and dead tissue.
HydroClean plus. Photo: prom.ua
Reviews
Reviews about the Cosmopor patch are mostly positive. Most patients continue to use the medical dressing at home after discharge from the hospital. Below are the main advantages of the product, which are noted by both patients and medical staff:
- Excellent fixation (the patch stays in place for several days).
- Good condition of the skin under the bandage (no itching or redness, the skin does not sweat).
- Aesthetic appearance (the adhesive plaster is thin and pleasant to the touch).
- Availability (can be purchased at any pharmacy, and also choose the right size).
- The package contains instructions for use.
There are also negative reviews. Some patients complain of marks that remain after peeling off. It is also noted that the patch is not completely waterproof.
Hydrogel dressings
Transparent hydrogel dressings provide long-lasting wound hydration due to their high water content, about 60%. These dressings are used to moisturize smooth, dry, uninfected wounds with little discharge.
Bandage on the wound. Image: www.mystoma.ru
The hydrogel is also produced in the form of a tube or syringe, from which it is convenient to squeeze it into deep wounds and pockets. It fills the wound, supplies it with fluid, prevents it from drying out and rejects dead tissue. This gel can be easily washed off with saline solution when dressing. It can remain in the wound for up to 4 days. The gel is used only in those wounds where there is necrosis and fibrin - black and yellow dry crusts and films. It is not used on ordinary clean wounds, as it greatly softens the tissue, and in the case of a clean wound this is not necessary.
- Hydrogel dressing with lidocaine Gelepran
Gelepran. Photo: lan-med.ru
- Phleboton - hydrogel bandage
Phleboton. Photo: rekate-medical.ru
- Hydrosorb Comfort is a self-adhesive hydrogel dressing.
Hydrosorb Comfort/Hydrosorb Comfort. Photo: fortemed.ru
- Hartmann Gidrotak Transparent hydrogel dressing
Hartmann Hydrotak Transparent. Photo: apteka-sale.ru
- Aquabint
Aquabint Oval. Photo: apteka.ru
- Matopat Medisorb G hydrogel dressing
Matopat Medisorb G hydrogel dressing. Photo: www.eapteka.ru
- Hydrosorb Gel
Hydrosorb Gel. Photo: orto-nova.ru
- Gel Suprasorb G
Gel Suprasorb G. Photo: www.netran.ru
- Purilon gel
Purilon gel. Photo: medmag24.ru
- Neofix FibroGel Ag
Neofix FibroGel Ag. Photo: rekate-medical.ru
- Hydrogel Intrasite Gel Applipak
Hydrogel Intrasite Gel Applipak. Photo: www.netran.ru
Absorbent dressings
Absorbent dressings are often used on wounds that are very wet and have a lot of drainage. Such dressings help to cope with the unpleasant odor of infected wounds and wounds with tumor decay. They contain superabsorbents and silver.
- CARBONET (Carbonet) - absorbent deodorizing non-adhesive dressing with activated carbon
CARBONET (Carbonet). Absorbent deodorizing non-adhesive dressing with activated carbon. Photo: rekate-medical.ru
- Absorbent bandage Mesorb
Absorbent bandage Mesorb. Photo: ukrmedshop.ua
- Zetuvit E steril dressing
Zetuvit E steril dressing. Photo: www.deznet.ru
- Askina Calgitrol Ag
The combined dressing consists of a sponge layer, alginate and silver. Absorbs exudate well, reduces odor, and maintains a moist environment. Used on infected wounds, necrosis.
Askina Kalgitrol Ag. Photo: www.bbraun.ru
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Symptomatic treatment
Please remember that using modern dressings to treat bedsores does not solve the problem. Bedsores can be successfully treated only when we remove the cause of their occurrence - long-term exposure to body tissue, when a person lies in one position for more than two hours. Without constant changing of posture and correct positioning, no bandage will help cure bedsores.
