title: Comparison of lipidocolloid and chlorhexidine-impregnated tulle gras dressings following microscopically controlled surgery.
abstract: OBJECTIVE
  Modified microscopically controlled surgery (MCS) is a staged and margin-controlled excision; after MCS, the selection of an appropriate initial wound dressing plays an important role in wound healing. A wide range of dressings is available for temporary wound coverage; however, data comparing different types of wound dressings after MCS are lacking. The aim of this study was to compare two commonly used and commercially available types of wound dressings.
  
  
  METHODS
  We assessed pain levels, wound adherence, bleeding upon dressing removal and signs of infection, with chlorhexidine-impregnated tulle gras and a lipidocolloid dressing used for primary wound dressing following MCS.
  
  
  RESULTS
  A total of 42 patients were included. Adherence of the dressing to the wound (p<0.001) and bleeding after removal (p=0.001) were significantly higher in the chlorhexidine-impregnated tulle gras dressing group. Pain during removal of wound dressing had a higher visual analogue scale score (1.9 ± 2.2) in the chlorhexidine-impregnated tulle gras dressing group compared to 0.7 ± 1.0 in the lipidocolloid dressing group (p=0.022).
  
  
  CONCLUSIONS
  The results indicate that the lipidocolloid dressing, when compared with the chlorhexidine-impregnated tulle gras dressing, offers a significant benefit during removal in terms of less pain, less wound adherence and less wound bleeding.
  
  
  BACKGROUND
  The authors have no conflict of interest to declare.
authors.affiliation: Senior resident, Consultant, Head of the Department of Dermatologic Surgery, Department of Dermatology, Venereology and Allergology, Ruhr-University Bochum, Bochum, Germany.
authors.forename: S
authors.initials: S
authors.lastname: Hessam
authors.forename: D
authors.initials: D
authors.lastname: Georgas
authors.forename: M
authors.initials: M
authors.lastname: Sand
authors.forename: T
authors.initials: T
authors.lastname: Kassa
authors.forename: N
authors.initials: N
authors.lastname: Bruns
authors.forename: F G
authors.initials: FG
authors.lastname: Bechara
mesh_terms: D000287:Administration, Topical; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage*; D001458:Bandages; D002710:Chlorhexidine / Q000008:administration & dosage*; D015331:Cohort Studies; D003102:Colloids / Q000008:administration & dosage; D005260:Female; D006801:Humans; D008055:Lipids / Q000008:administration & dosage; D008297:Male; D008866:Microsurgery / Q000009:adverse effects; D008875:Middle Aged; D011446:Prospective Studies; D012867:Skin / Q000293:injuries; D012878:Skin Neoplasms / Q000150:complications* / Q000601:surgery*; D016896:Treatment Outcome; D014945:Wound Healing / Q000187:drug effects*; D014950:Wounds, Penetrating / Q000209:etiology / Q000628:therapy*
chemical_list: D000891:Anti-Infective Agents, Local; D003102:Colloids; D008055:Lipids; D002710:Chlorhexidine
keywords: bandages; dermatologic surgery; micrographic surgery; moh's; skin neoplasms