FR2754174A1 - Surgical skin dressing - Google Patents
Surgical skin dressing Download PDFInfo
- Publication number
- FR2754174A1 FR2754174A1 FR9612283A FR9612283A FR2754174A1 FR 2754174 A1 FR2754174 A1 FR 2754174A1 FR 9612283 A FR9612283 A FR 9612283A FR 9612283 A FR9612283 A FR 9612283A FR 2754174 A1 FR2754174 A1 FR 2754174A1
- Authority
- FR
- France
- Prior art keywords
- dressing
- semi
- adhesive
- scar
- wound
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 231100000241 scar Toxicity 0.000 claims abstract description 19
- 239000000853 adhesive Substances 0.000 claims abstract description 16
- 230000001070 adhesive effect Effects 0.000 claims abstract description 14
- 230000008020 evaporation Effects 0.000 claims abstract description 8
- 238000001704 evaporation Methods 0.000 claims abstract description 8
- 241000894006 Bacteria Species 0.000 claims abstract description 6
- 229920002635 polyurethane Polymers 0.000 claims abstract description 5
- 239000004814 polyurethane Substances 0.000 claims abstract description 5
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract description 4
- 239000004698 Polyethylene Substances 0.000 claims abstract description 3
- -1 polyethylene Polymers 0.000 claims abstract description 3
- 229920000573 polyethylene Polymers 0.000 claims abstract description 3
- 229920001296 polysiloxane Polymers 0.000 claims abstract 3
- 239000000416 hydrocolloid Substances 0.000 claims abstract 2
- 230000035876 healing Effects 0.000 claims description 8
- 230000007774 longterm Effects 0.000 claims description 7
- 238000000034 method Methods 0.000 claims description 7
- 238000012423 maintenance Methods 0.000 claims description 6
- 230000000717 retained effect Effects 0.000 claims description 2
- 230000003068 static effect Effects 0.000 claims description 2
- 230000002745 absorbent Effects 0.000 claims 1
- 239000002250 absorbent Substances 0.000 claims 1
- 229920006264 polyurethane film Polymers 0.000 claims 1
- 239000000463 material Substances 0.000 abstract description 2
- 206010052428 Wound Diseases 0.000 description 21
- 208000027418 Wounds and injury Diseases 0.000 description 21
- 208000032544 Cicatrix Diseases 0.000 description 4
- 230000037390 scarring Effects 0.000 description 4
- 230000037387 scars Effects 0.000 description 4
- 230000000694 effects Effects 0.000 description 3
- 230000001681 protective effect Effects 0.000 description 3
- 239000000126 substance Substances 0.000 description 3
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 208000035475 disorder Diseases 0.000 description 2
- 238000009434 installation Methods 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 230000002500 effect on skin Effects 0.000 description 1
- 230000003203 everyday effect Effects 0.000 description 1
- 230000001969 hypertrophic effect Effects 0.000 description 1
- 230000000774 hypoallergenic effect Effects 0.000 description 1
- 230000003100 immobilizing effect Effects 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 239000000123 paper Substances 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 239000011505 plaster Substances 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 229920003023 plastic Polymers 0.000 description 1
- 206010039722 scoliosis Diseases 0.000 description 1
- 230000036558 skin tension Effects 0.000 description 1
- 230000008961 swelling Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F13/02—Adhesive bandages or dressings
- A61F13/023—Adhesive bandages or dressings wound covering film layers without a fluid retention layer
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F2013/00361—Plasters
- A61F2013/00365—Plasters use
- A61F2013/00451—Plasters use for surgical sutures, e.g. butterfly type
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F2013/00361—Plasters
- A61F2013/00544—Plasters form or structure
- A61F2013/00582—Properties of backing
- A61F2013/006—Elastic modulus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F2013/00361—Plasters
- A61F2013/00544—Plasters form or structure
- A61F2013/00604—Multilayer
- A61F2013/00608—Multilayer with reinforcing layers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F2013/00361—Plasters
- A61F2013/00727—Plasters means for wound humidity control
- A61F2013/00748—Plasters means for wound humidity control with hydrocolloids or superabsorbers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F2013/00361—Plasters
- A61F2013/00795—Plasters special helping devices
- A61F2013/00817—Plasters special helping devices handles or handling tabs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F2013/00361—Plasters
- A61F2013/00795—Plasters special helping devices
- A61F2013/00829—Plasters special helping devices rigid or semi-rigid backing
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Materials For Medical Uses (AREA)
Abstract
Description
TITRE : Pansement dermato-chirurgical de maintien au long cours des bords
d'une plaie ou cicatrice en voie de cicatrisation pour éviter la survenue de cicatrices cheloides, hypertrophiques, douloureuses et/ou inesthétiques.TITLE: Dermato-surgical long-term support dressing
a wound or scar in the process of healing to avoid the occurrence of cheloid, hypertrophic, painful and / or unsightly scars.
La présente invention est un pansement pour améliorer la qualité de la cicatrisation d'une plaie suturée ou d'une plaie en voie de cicatrisation. The present invention is a dressing for improving the quality of healing of a sutured wound or a wound in the process of healing.
Le propos n'est pas de réaliser un pansement pour recouvrir une plaie suturée ou non pendant les quelques jours qui suivent la survenue de cette plaie, mais d'un pansement visant à éviter les désordres au long cours qui entraînent ces plaies. Les pansements proposés pour recouvrir une plaie immédiatement après sa survenue sont multiples et de bonne qualité. The purpose is not to make a bandage to cover a wound sutured or not during the few days which follow the occurrence of this wound, but of a bandage aiming to avoid the long-term disorders which involve these wounds. The dressings proposed to cover a wound immediately after its occurrence are numerous and of good quality.
Par contre, à plus ou moins long terme, quelque soit la technique chirurgicale utilisée pour les plaies (structure simple, surjet, surjet résorbable, ou cicatrisation dirigée), quelque soit le pansement utilisé, ces cicatrices sont régulièrement inesthétiques : lâchage de structure, cicatrice large, épaisse et douloureuse (quel que soit la durée du maintien des fils: 10 à 21 jours) même si l'aspect initial de la plaie semble satisfaisant car la cicatrisation complète d'une plaie dermique dure environ 18 mois. On the other hand, in the more or less long term, whatever the surgical technique used for wounds (simple structure, overlock, absorbable overlock, or directed scarring), whatever the dressing used, these scars are regularly unsightly: loose structure, scar large, thick and painful (regardless of how long the strings are held: 10 to 21 days) even if the initial appearance of the wound seems satisfactory because the complete healing of a dermal wound lasts for approximately 18 months.
Le propos est de réaliser un pansement permettant un maintien au long cours de ces plaies pour éviter ces désordres survenant à distance de la cicatrisation immédiate, ce pansement se substituera au pansement immédiat et sera maintenu au long cours. The purpose is to make a dressing allowing long-term maintenance of these wounds to avoid these disorders occurring at a distance from immediate healing, this dressing will replace the immediate dressing and will be maintained over the long term.
Les constatations:
D'une part, qu'une cicatrisation est soumise aux étirements dû aux mouvements du malade et que ces cicatrices sont plus fines lorsqu'unie intervention à nécessité la pose d'un plâtre pendant plusieurs mois après cette intervention (chirurgie orthopédique : scoliose par exemple);
D'autre part, qu'une ouverture cutanée dermo-hypodermique effectuée par un chirurgien est le siège d'étirement, de tiraillement de gonflement ressentis par le malade en fonction des différents mouvements qu'il effectue.Findings:
On the one hand, that scarring is subject to stretching due to the patient's movements and that these scars are finer when a intervention necessitates the placement of a plaster for several months after this intervention (orthopedic surgery: scoliosis for example );
On the other hand, that a dermo-hypodermic skin opening made by a surgeon is the seat of stretching, tightness of swelling felt by the patient according to the different movements he performs.
Ces constatations n'ont amenés à penser que le phénomène de cicatrisation nécessitait une contention de la cicatrice dès l'intervention par un pansement semi-rigide pendant toute la période de cicatrisation. Actuellement on retire tout pansement après ablation des fils. These observations did not lead us to think that the phenomenon of scarring required a compression of the scar from the intervention by a semi-rigid bandage during the whole period of scarring. Currently we remove all dressing after removal of the son.
Pour que la compliance de ce traitement soit bonne, il faut que ce pansement soit:
- semi-rigide (évitant la sensation de "carton" sur la peau), mais non souple affin que la cicatrice ne bouge pas dans tous les sens, ce qui supprimerait l'effet de maintien recherché.For the compliance of this treatment to be good, this dressing must be:
- semi-rigid (avoiding the feeling of "cardboard" on the skin), but not flexible so that the scar does not move in all directions, which would remove the desired maintenance effect.
I1 sera au mieux en substance hydrocoliolde; les substances élastomères trop rigides se désolidarisent trop rapidement de la peau, les substances polyuréthane microporeuse à double face sont trop souple, n'immobilisant pas les plaies et cicatrices sous le pansement. It will at best be hydrocoliolde in substance; the too rigid elastomeric substances dissociate too quickly from the skin, the double-faced microporous polyurethane substances are too flexible, not immobilizing the wounds and scars under the dressing.
fl faut par ailleurs, que ce pansement reste en place plusieurs semaines: en effet, même si le malade était coopératif et remettait le pansement tous les jours pendant un an (peu
envisageable) les décollements successifs de ce pansement réduirait à zéro l'effet de maintien recherché, il faut par ailleurs que ce pansement agréable se fasse oublier et que le malade s'en remette un nouveau qu'une fois toutes les huit semaines environ quand ce pansement se décollera le médecin lui ayant montré la manière de le poser la première fois. It is also necessary that this dressing remains in place for several weeks: in fact, even if the patient was cooperative and put the dressing on every day for a year (little
possible) successive detachments of this dressing would reduce to zero the desired maintenance effect, it is also necessary that this pleasant dressing is forgotten and that the patient gets a new one only once every eight weeks or so when dressing will peel off the doctor having shown him how to apply it the first time.
L'invention consiste en l'association de deux pansements:
- I'un (1) semi-rigide - semi-élastique de composition stable pour ne pas se dénaturer pendant les deux mois où il sera en contact avec la plaie fermée et en voie de cicatrisation terminale, devant être adhésif sur la plaie et sur la partie périphérique de la plaie, la maintenant pour éviter les étirements.The invention consists of the combination of two dressings:
- one (1) semi-rigid - semi-elastic of stable composition so as not to denature during the two months when it will be in contact with the closed wound and in the process of terminal healing, having to be adhesive on the wound and on the peripheral part of the wound, holding it to avoid stretching.
- l'autre (2) souple, très très fin, plus grand que le semi-rigide (le recouvrant totalement) adhésif sur toute sa face en contact avec la peau et le pansement semi-rigide (1) pour renforcer le maintien de cette partie semi-rigide (1) sur la cicatrice (3) ou la plaie (4) tout en laissant la liberté de mouvement au malade. Ce pansement (2), aux bords arrondis, pourra être en polyuréthane recouvert sur sa face non adhésive par un film rigidifiant protecteur en polyéthylène(5) ou carton léger siliconé, retenu par un phénomène statique il pourra être aussi en un quelconque matériau de qualité identique, la partie adhésive de ces deux pansements sera recouverte par une feuille de protection (6) habituellement en matière plastique, ou carton léger siliconé débordant le pansement (2) pour faciliter la préhension et la pose. - the other (2) flexible, very very fine, larger than the semi-rigid (completely covering it) adhesive over its entire face in contact with the skin and the semi-rigid dressing (1) to reinforce the maintenance of this semi-rigid part (1) on the scar (3) or the wound (4) while leaving the patient freedom of movement. This dressing (2), with rounded edges, may be made of polyurethane covered on its non-adhesive face by a protective stiffening film of polyethylene (5) or light siliconized cardboard, retained by a static phenomenon, it may also be made of any quality material. identical, the adhesive part of these two dressings will be covered by a protective sheet (6) usually made of plastic, or light siliconized cardboard overflowing the dressing (2) to facilitate gripping and application.
ll sera nécessaire pour des raisons médicales que ces parties soient imperméables à l'eau, semi-perméable (laissant passer l'évaporation cutanée mais pas les bactéries ou absorbant cette évaporation) stérile, hypoallergénique résistante à l'eau et aux frottements: le film de polyuréthane répond en particulier à ces exigences s'il est mis sous blister individuel stérilisé. It will be necessary for medical reasons that these parts are waterproof, semi-permeable (allowing skin evaporation but not bacteria or absorbing this evaporation) sterile, hypoallergenic resistant to water and friction: the film polyurethane meets in particular these requirements if it is put in an individual sterilized blister.
Il semble préférable que le débord de la partie semi-rigide (1) de part et d'autre de la cicatrice ou de la plaie soit compris entre x et x/2 si la cicatrice (3) mesure x centimètre (il. It seems preferable that the overhang of the semi-rigid part (1) on either side of the scar or the wound is between x and x / 2 if the scar (3) measures x centimeter (it.
pourra être de x/3 pour les plaies (4) de grande dimension) et que cette partie semi-rigide soit centrée sous la partie fine débordant de 0,5 à 1 centimètre la partie semi-rigide (1) dans toutes les directions.could be x / 3 for large wounds (4)) and that this semi-rigid part is centered under the thin part extending by 0.5 to 1 centimeter the semi-rigid part (1) in all directions.
Pour un meilleur résultat, il semble préférable de poser l'assemblage des deux pansements (réalisant un produit fini d'un seul pansement) dès la pose des fils de suture (3) et dès l'épidermisation de la plaie (4). For a better result, it seems preferable to pose the assembly of the two dressings (realizing a finished product of only one dressing) as of the installation of the suture threads (3) and from the epidermisation of the wound (4).
Un tel dispositif pourrait être maintenu en place deux mois et renouvelé par le malade, il doit résister aux douches et activités habituelles. Such a device could be kept in place for two months and renewed by the patient, it must withstand the usual showers and activities.
Brièvement, sur les figures apparaissent:
- Fig. 1: une vue du dessus du pansement sur une plaie.Briefly, in the figures appear:
- Fig. 1: a top view of the dressing on a wound.
- Fig. 2 : une vue du dessus du pansement sur une cicatrice. - Fig. 2: a top view of the dressing on a scar.
- Fig. 3 : une vue en coupe relative à la pose du pansement. - Fig. 3: a sectional view relating to the application of the dressing.
Technique de pose : (FIG. 3)
a) Décollement du papier protecteur de la face adhésive.Installation technique: (FIG. 3)
a) Peeling off the protective paper from the adhesive side.
b) Application à coté de la plaie d'une partie de la face adhésive. b) Application next to the wound of part of the adhesive face.
c) Diminution de la tension de la peau en rapprochant légèrement la zone non encore recouverte vers la zone déjà recouverte. c) Decrease in skin tension by bringing the area not yet covered slightly towards the area already covered.
d) Application de la totalité du pansement. d) Application of the entire dressing.
e) Ablation du film rigifiant de la face non adhésive. e) Removal of the stiffening film from the non-adhesive side.
Claims (7)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR9612283A FR2754174B1 (en) | 1996-10-07 | 1996-10-07 | DERMATO-SURGICAL DRESSING TO HOLD THE EDGES OF A WOUND OR HEARING SCAR TO AVOID THE OCCURRENCE OF CHELOID, HYPERTROPHIC, PAIN AND / OR INESTHETIC SCARS |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR9612283A FR2754174B1 (en) | 1996-10-07 | 1996-10-07 | DERMATO-SURGICAL DRESSING TO HOLD THE EDGES OF A WOUND OR HEARING SCAR TO AVOID THE OCCURRENCE OF CHELOID, HYPERTROPHIC, PAIN AND / OR INESTHETIC SCARS |
Publications (2)
Publication Number | Publication Date |
---|---|
FR2754174A1 true FR2754174A1 (en) | 1998-04-10 |
FR2754174B1 FR2754174B1 (en) | 1998-11-27 |
Family
ID=9496487
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
FR9612283A Expired - Fee Related FR2754174B1 (en) | 1996-10-07 | 1996-10-07 | DERMATO-SURGICAL DRESSING TO HOLD THE EDGES OF A WOUND OR HEARING SCAR TO AVOID THE OCCURRENCE OF CHELOID, HYPERTROPHIC, PAIN AND / OR INESTHETIC SCARS |
Country Status (1)
Country | Link |
---|---|
FR (1) | FR2754174B1 (en) |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0571700A1 (en) * | 1992-04-21 | 1993-12-01 | Mli Acquisition Corp. Ii | A hydrogel applicator and methods of making same |
US5336219A (en) * | 1993-03-23 | 1994-08-09 | Medi-Flex Hospital Products, Inc. | Skin closure system |
FR2711056A1 (en) * | 1993-10-15 | 1995-04-21 | Hydrex Lab Sa | Absorbent adhesive dressing |
-
1996
- 1996-10-07 FR FR9612283A patent/FR2754174B1/en not_active Expired - Fee Related
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0571700A1 (en) * | 1992-04-21 | 1993-12-01 | Mli Acquisition Corp. Ii | A hydrogel applicator and methods of making same |
US5336219A (en) * | 1993-03-23 | 1994-08-09 | Medi-Flex Hospital Products, Inc. | Skin closure system |
FR2711056A1 (en) * | 1993-10-15 | 1995-04-21 | Hydrex Lab Sa | Absorbent adhesive dressing |
Also Published As
Publication number | Publication date |
---|---|
FR2754174B1 (en) | 1998-11-27 |
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Effective date: 20100630 |