Alginate Dressing - Wound adherance

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Does anyone have tips to stop alginate dressings sticking to nail surgery wound sites?

In most cases this problem can be overcome by moistening the dressing with sterile saline however, this seems to be inadequate when the wound bleeds/exudes excessively.

The only solution I have considered is using Jelonet (for example) as a primary dressing. Would this detrimentally affect the action of the alginate ?

 

Hi Sharrison1,

I always apply a `Bactigras sandwich` post op. Placing the alginate squarely onto the Bactrigras dressing and folding in half, so that the alginate is not directly in contact with the wound site, works well. Bactigras is just Chlorexidine Acetate and allows the alginate to work through the dressing as a haemostat without adhering to the site and causing that `clogging` effect.

Cheers,
Bel

 

That works for me too :drinks
Cheers
D

 

Many thanks !

 

I have used Atrauman very successfully, it is not medicated but is impregnated with Neutral Triglycerides (Fatty Acids) and nothing else (Bactigras has Chlorhex).

Line the sulcus with the Atrauman and then pack the alginate in. The dressing lifts out of the sulcus very easily at the first redressing appointment causing no discomfort or damage to the granulating wound surface.

John :morning:

 

Vaseline impregnated gauze is inexpensive and works well