Current aspects of the wound process treatment using dressings (bandages)

Authors

DOI:

https://doi.org/10.14739/2310-1210.2022.5.252474

Keywords:

wounds, bandages, treatment, pharmaceutical formulation, medicine

Abstract

The review provides information concerning the assortment of modern wound dressings (bandages) which are presented on the pharmaceutical market. The studied group of dressings varies widely in chemical composition and active pharmaceutical ingredients. It has been determined that the development of modern wound dressings provides for the realization of a complex effect on the wound process, which is achieved by the multi-layer structure of the dressing (bandages) with clearly defined functions of each component – the contact layer reduces adhesion to the wound surface; sorption layer provides irreversible sorption, retention and inactivation of wound exudate; pharmacologically active layer influences the main factors of wound process pathogenesis; outer isolating membrane generates wound occlusion.

Conclusions. The events of recent years which related to the Anti-terrorist operation / the Joint Forces Operation in Ukraine indicate the unresolved problem of combat surgical trauma treatment. This is an important issue for the Medical services of the Armed Forces and the health care system of Ukraine. This necessitates expanding the range of wound dressing (bandages) with combined action for military medicine. It has been determined that the treatment in the purulent-necrotic phase of the wound process, it is advisable to use wound dressings with strong osmotic and antibacterial activity and low adhesion to the wound surface. In the second phase of the wound process, it is advisable to use wound dressings with moderate osmotic activity and a combination of antibacterial and reparative properties. In the final phase of the wound process, wound dressings should prevent drying of the wound surface as well as protect and stimulate the growth of granulations.

 

Author Biographies

O. P. Shmatenko, Ukrainian Military Medical Academy, Kyiv

PhD, DSc, Professor, Colonel of Medical Service, Head of the Department of Military Pharmacy

L. L. Davtian, Shupyk National Healthcare University of Ukraine, Kyiv

PhD, DSc, Professor, Head of the Department of Pharmaceutical Technology and Biopharmacy

T. V. Prykhodko, Ukrainian Military Medical Academy, Kyiv

PhD, Associate Professor, Lieutenant Colonel of Medical Service, Department of Military Pharmacy

O. F. Kuchmistova, Ukrainian Military Medical Academy, Kyiv

PhD, Associate Professor, Professor of the Department of Military Pharmacy

V. О. Tarasenko, Ukrainian Military Medical Academy, Kyiv

PhD, DSc, Associate Professor, Professor of the Department of Military Pharmacy

N. O. Коziko, Bogomolets National Medical University, Kyiv, Ukraine

PhD, Associate Professor of the Department of Pharmacy and Industrial Medicine Technology

D. V. Voronenko, State Expert Center of the Ministry of Health of Ukraine, Kyiv

PhD, Expert of the Department of Examination of the Quality of Materials for Clinical Trials

V. V. Osodlo, Ukrainian Military Medical Academy, Kyiv, Ukraine

PhD, Senior Lecturer of the Department of Military Pharmacy

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Published

2022-10-22

How to Cite

1.
Shmatenko OP, Davtian LL, Prykhodko TV, Kuchmistova OF, Tarasenko VО, Коziko NO, Voronenko DV, Osodlo VV. Current aspects of the wound process treatment using dressings (bandages). Zaporozhye Medical Journal [Internet]. 2022Oct.22 [cited 2024Jul.20];24(5):599-606. Available from: http://zmj.zsmu.edu.ua/article/view/252474

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Section

Review