Hydrocolloid dressing versus conventional wound care after dermatologic surgery

Samantha P Holmes, Sydney Rivera, Perry B Hooper, James E Slaven, Syril Keena T Que, Samantha P Holmes, Sydney Rivera, Perry B Hooper, James E Slaven, Syril Keena T Que

Abstract

Background: Hydrocolloid dressings (HCD) are helpful in chronic wound care, but research is limited in acute postoperative wounds. HCD can potentially be incorporated into a simplified wound care regimen after excisional surgeries.

Objective: To examine whether a one-time HCD application after dermatologic surgery results in greater patient satisfaction and improved postoperative outcomes compared with conventional daily dressings (CDD).

Methods: We examined patients who underwent Mohs or standard surgical excision with linear closure followed by HCD. The patients additionally had a history of excisional surgery with CDD in the past 5 years. A modified version of the validated Bluebelle Wound Healing Questionnaire was administered.

Results: The survey response rate was 74.4% (64/86). Compared with CDD, HCD rated higher in comfort, convenience, scar appearance, and simplicity of wound care instructions (P < .0001). Nearly all patients (96.8%) preferred HCD over CDD.

Limitations: Variability in time from prior dermatologic surgery may introduce recall bias. Prior surgeries involving CDD were sometimes performed by a different surgeon, which could introduce other confounding factors.

Conclusions: A simplified wound care regimen involving HCD can potentially lead to increased comfort, convenience, simplicity, and a subjective improvement in scar appearance, though additional studies are needed.

Keywords: CDD, conventional daily dressing; DuoDERM; HCD, hydrocolloid dressing; Mohs micrographic surgery; excision; general dermatology; healing; hydrocolloid dressing; postoperative; surgery; wound care.

Conflict of interest statement

None disclosed.

Figures

Fig 1
Fig 1
Patient satisfaction with a wound care regimen. ∗, Scores are based on 10-point Likert scale questions, with a score of 10 being the best possible response for a given parameter and 1 being the worst rating for a given parameter.

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