Surgical Wound, Healed Clinical Trial
Official title:
Activated Carbon Interphase Effect on Surgical Incisions Compared to Two Common Wound Dressings in a Prospective Randomized Control Trial
This randomized, prospective study evaluates incision closure, post-surgical wound complications, dressing changes, incision/scar appearance, pain associated with dressing changes, and patient satisfaction rates of an activated carbon dressing versus two commercially available wound dressings.
Postoperative incision complications and surgical site infections are risks for patients
undergoing surgery. While most surgical incisions heal without complications, postoperative
complications, such as erythema, blistering, maceration, scarring, necrosis, and infection,
interfere with the normal healing process. Preventing such complications must be a priority,
as they may contribute to longer recovery times, as well as increased hospital stays, costs,
and morbidity.
Ideally, surgical incision dressings should exhibit the following characteristics:
- promote a moist environment;
- be absorbent, but transparent so fluid accumulation and other complications may be
observed;
- be permeable;
- be low adherent to facilitate removal from skin;
- act as a complete barrier to bacteria and water, but not to moisture vapor; and
- feature some flexibility to avoid restricted limb movement and postoperative edema in
the incision area [Chen et al; Collins].
However, despite advances in wound dressing designs, there is no consensus regarding the
ideal surgical incision dressing. One emerging dressing modality exhibits these key
characteristics. This novel activated carbon cloth dressing is low-adherent, comprised of
100% pure activated carbon and also conforms to body contours to maintain contact with the
incision surface.
This randomized, prospective clinical trial will compare this activated carbon cloth dressing
to two other commercially-available wound dressings, including a non-adherent antimicrobial
alginate dressing with silver and a non-adhering knitted cellulose acetate mesh dressing
soaked in Povidone-iodine. The primary endpoint is incision coaptation/closure. Secondary
endpoints include incision/scar appearance, such as inflammation and edema, odor, pain,
patient satisfaction, and number of dressing changes.
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