A comparison of three primary non-adherent

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RESEARCH

A comparison of three primary non-adherent dressings applied to hand surgery wounds P.J. Terrill, MB, BS, FRACS, Plastic and Reconstructive Surgeon, Frankston Hospital, Melbourne, Australia; George Varughese, MB, BS, MS, FRCS (Edin), Plastic and Reconstructive Surgery Registrar, Frankston Hospital, Melbourne, Australia

REFERENCES 1. Shea, P.C., Reid, W.A., Wilkinson, A.H. The use of rayon mesh in skin grafting and granulating wounds. Surgery 1956; 103: 241-243. 2. Whittaker, S. A dressing for the occasion? A comparative trial of two dressings for digit injuries. Prof Nurse 1994; 9: 11, 729-733. 3. Vloemans, J. The Use of Mepitel in the Treatment of Second-degree Open Burns and Burns Covered with Blisters: An open noncomparative study. Unpublished data on file. Molnlycke, 1991. 4. Troshev, K., Shichkov, St., Pashaliev, N. Report on Experiences of the Use of Mepitel in the Treatment of Burns and Plastic Surgery. Unpublished data on file. Molnlycke, 1994. 5. Sanchez, M.J., Darnell. P., Gonzalez, M., Gomez, P. et al. Utilization of the Dressing Mepitel in the Topical Treatment of Ambulatory Burns, Skin Grafts and Donor Areas. Unpublished data on file. Molnlycke, 1994. 6. Gotschall, C.S., Morrison, M.I., Eichelberger, M.R. Prospective, randomized study of the efficacy of Mepitel on children with partial-thickness scalds. J Burn Care Rehab 1998; 19: 4, 279-283.

This study reports the results of a prospective randomised controlled trial that compared three non-adherent wound dressings applied to hand surgery wounds. Paraffinimpregnated gauze (Jelonet) was compared with a cellulose, acetate fibre dressing coated with a petrolatum emulsion (Adaptic) and a polyamide net dressing impregnated with silicone gel (Mepitel). The dressings were assessed for their ease of application and removal, pain on removal and wound appearance. Results from 99 patients were available for analysis. Adaptic was significantly easier to remove (p