University of Huddersfield, Queensgate, Huddersfield, UK.
Mikomed, Łódź, Poland.
J Wound Care. 2022 Jul 2;31(7):540-547. doi: 10.12968/jowc.2022.31.7.540.
The aim of this review is to identify and summarise the key in vitro evidence available to support the use of HydroTac (HRWD-2) to address specific aspects associated with the treatment of both acute and hard-to-heal wounds.
The provision of a moist wound healing environment to support optimal wound healing has been a basic tenet in wound care since the pioneering work on the benefits of occlusion to support wound healing. Modern wound dressings have adopted the benefits of moist healing through their innovative development. HRWD-2 has been shown in clinical studies to enable and support good healing outcomes and the in vitro evidence in support of this dressing is presented in this article.
An online literature search (supplemented with a manual search of resources not available online) was conducted to identify articles and studies describing in vitro evidence in support of HRWD-2 in aspects important for promoting a healing response in the clinical environment.
In vitro studies showed that HRWD-2 contributes to balancing moisture levels and enhances the availability of growth factors known to be important for re-epithelialisation. Pre-clinical studies indicate that HRWD-2 enhances wound re-epithelialisation. Together these results suggest that HRWD-2 promotes a moist healing environment leading to the dressing supporting re-epithelialisation. In vitro data indicating an intrinsic lower in vitro adherence of HRWD-2 likely translate clinically to the benefits of an atraumatic wound dressing, including reduced pain (specifically at dressing change).
The in vitro evidence presented in this review supports the successful clinical results reported for HRWD-2 in terms of fluid management, wound healing and pain reduction at dressing change.
本综述旨在确定和总结支持使用 HydroTac(HRWD-2)来解决与急性和难以愈合伤口治疗相关的具体方面的关键体外证据。
自从开创性地研究了封闭对支持伤口愈合的益处以来,提供湿润的伤口愈合环境以支持最佳伤口愈合一直是伤口护理的基本原则。现代伤口敷料通过其创新的发展采用了湿润愈合的益处。临床研究表明,HRWD-2 能够支持良好的愈合结果,本文介绍了支持这种敷料的体外证据。
进行了在线文献检索(辅以对在线不可用资源的手动搜索),以确定描述支持 HRWD-2 在促进临床环境中愈合反应方面重要方面的体外证据的文章和研究。
体外研究表明,HRWD-2 有助于平衡水分水平并增强已知对再上皮化很重要的生长因子的可用性。临床前研究表明,HRWD-2 可促进伤口再上皮化。这些结果表明 HRWD-2 促进了湿润的愈合环境,从而支持了敷料促进再上皮化。表明 HRWD-2 固有较低的体外附着性的体外数据可能在临床上转化为无创伤性伤口敷料的益处,包括减轻疼痛(特别是在更换敷料时)。
本综述中提出的体外证据支持 HRWD-2 在液体管理、伤口愈合和更换敷料时减轻疼痛方面报告的成功临床结果。