Cost-effective occlusive dressing in laser surgery

Cost-effective occlusive dressing in laser surgery Eur J Plast Surg (2000) 23:396 © Springer-Verlag 2000 LETTER T O THE EDIT OR F. Peker · M. Bekereciog ˘lu · N. Durak Received: 21 June 1999 / Accepted: 11 January 2000 Dear Sir graft donor sites. This was used in some laser patients but some problems occurred. There was a sense of CO laser facial resurfacing has become popular because tightness and pain with the gauze, especially with facial it produces more predictable epithelial ablation than derm- movement. In some cases, excessive secretion caused abrasion or chemical peel. All of these procedures result crust formation. Overall, this dressing was tolerated in an open wound requiring cover. Each of the techniques well. employed has advantages and disadvantages [1]. Omiderm has been used as a dressing material for a The open dressing method using oitnments containing long time in the treatment of burns as well as skin graft Vaseline is probably the least expensive but many plastic donor sites [2–4]. It is easy to apply because it does not surgeons believe that pain control and reepithelialization rely on adhesion to stick to the skin. Its thinness and are better when a closed wound dressing is used [1, 3]. malleability allows it to conform satisfactorily to facial Omiderm (Omikron Scientific Limited, Rehovot, Isra- planes. It is easy to monitor the post-laser healing pro- el) has been used as an occlusive dressing because of its cess and no further dressing is necessary. The unmeshed relative low cost. It is a hydrophilic copolymer mem- Omiderm is semipermeable but section transudation and brane made of polyurethane, which is permeable to wa- exudation material cannot permeate this dressing. This ter and oxygen. We have used this material in its meshed can result in edema, swelling, and maceration which can form, thus eliminating the problem of fluid collection postpone healing and cause localized infection, leading under the dressing. to scar formation and hypo- or hyperpigmentation in ad- Over the past 2 years, 42 patients with photoaged dition to severe pain. These problems can be prevented faces have been treated by the Ultrapulse CO laser by close observation and, when necessary, making stab (Coherent, Palo Alto, California, USA). Their ages incisions in the Omiderm. On the other hand, meshed ranged from 38 to 69. Each patient received two passes. Omiderm allows secretions to drain and makes observa- Following this, the face was washed with saline and then tion unnecessary. covered with Omiderm in six cases, meshed Omiderm in Omiderm is an ideal, inexpensive material, and it al- 24, and sterile gauze (Johnson & Johnson, New Bruns- lows observation without removal. Secretions may occur wick, New Jersey, USA) in 12 cases. under this material but the problem can be solved by us- The Omiderm was applied in pieces and cut to the size ing the meshed variety. This material is recommended and shape of facial aesthetic units. After the sheets were for dressing of the face after laser resurfacing. placed on the skin, they were covered with saline-soaked gauze. When the meshed Omiderm dried, there was no subsequent treatment until the sheets were removed after References 10 days. In the unmeshed Omiderm patients, there was 1. Concannon JM, Malaney KB, Wiemer MS, Puckett CL (1998) some collection of secretion under the dressing. In the ster- Omiderm: An inexpensive dressing after CO laser resurfac- ile gauze cases, the material was removed after 10 days. 2 ing. Plast Reconstr Surg 101:1981 Covering ablated skin with a single sheet of gauze is 2. Eldad A, Tuchman I (1991) The use of Omiderm as an inter- an old fashioned technique used in the past on skin face for skin grafting. Burns 17:155 3. Eldad A, Simon GA, Kadar T et al (1991) Immediate dressing of the burn wound: Will it change its natural history? Burns F. Peker ( ) 17:233 GATA Haydarpas ¸a Teaching Hospital, Kadiköy-Istanbul, Turkey 4. Staso MA, Raschbaum M, Slater M et al (1991) Experience M. Bekereciog ˘lu · N. Durak with Omiderm: A new burn dressing. J Burn Care Rehabil 100. Yil University, Medical School, Van, Turkey 12:209 European Journal of Plastic Surgery Springer Journals

Cost-effective occlusive dressing in laser surgery

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Copyright © 2000 by Springer-Verlag Berlin Heidelberg
Medicine & Public Health; Plastic Surgery
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