The role of bandaging in the management of open wounds
McGlennon, N.J.
Veterinary Record 122(26): 630-633
1988
ISSN/ISBN: 0042-4900 PMID: 3043891 Document Number: 315477
The literature on the management of wounds is reviewed in sections on antiseptics, topical antibiotics, impregnated dressings, local oxygen tension, bacterial colonization under occlusive dressings, and local pH. Some properties of the ideal bandage are defined. Optimal healing is enhanced by early debridement and gentle flushing with saline which may include an antiseptic. Bandaging is beneficial; dressings discussed are non-adherent, although for massive contamination, initially a wet plain gauze will cause adherence of necrotic tissue which is thus removed. In early stages, the most effective dressing for the removal of exudate is open gauze impregnated with petrolatum to make it non-adherent and to prevent desiccation, with or without antibiotic. With the start of epithelialization, the dressing should be changed for either occlusive, which is recommended, or non-occlusive; petrolatum gauge is contra-indicated at this stage.