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After my training in advanced wound care several years ago I started to use moist wound healing for the first week, remove the biofilm from the wound in the sulcus then continue with a drier dressing to encourage epithelialisation.

I seem to have better results, is anyone else doing this? am I completely wrong?

 

I tend to match post nail surgery dressings to level of exudate, but also lifestyle - if the wound is going to become wet every day then a 'cheap and cheerful' non adherent dressing changed every day after bathing works well. In my own experience I wouldn't expect a biofilm to have formed just a week post surgery, although one can certainly form after a few weeks and can easily be 'peeled' away with a scalpel.

As a general rule all devitalised tissue should be debrided from a wound to optimise conditions for healing.

best wishes

 

I always think of it as biofilm as when I remove it with forceps it peels away just like biofilm. In some diabetic wound inspite of the antimicrobial used biofilm can be removed in 1 week but that is a chronic wound. Maybe I am removing the devitalised tissue from the phenolisation process.
Thanks for your response.