(CS-065) The combined use of sucrose octasulfate with TLC-Ag healing matrix and polyabsorbent fibers in the debridement of non-viable tissue

The presence of devitalized tissue in the wound bed is a physical barrier to healing, and debridement should be the primary intervention. The combined use of sucrose octasulfate with TLC-Ag healing matrix and polyabsorbent fibers showed a superior ability to debride non-viable tissue, protecting the edges and granulation tissue, compared to the exclusive use of TLC-Ag healing matrix. Case series was carried out, in wounds of adults, children and neonates, with the objective of demonstrating the effectiveness of this procedure, with reduction of pain in the debridement and improvement of quality of life.

Methods:

Case series were carried out, using this combination until complete debridement of non-viable tissue, without any other debridement technique. Polyurethane was used as a dressing for exudate management. In paediatrics, treatment was performed every 48 hours and in adults every 72 hours. We made 30 cases in adults, in sternotomy and saphenectomy. In paediatrics were made 10 cases and in neonatology 12 cases, in sternotomy and thoracotomy.

Results:

All wounds were completely covered with devitalized tissue, no relevant signs of infection. With the application of this combination, debridement was completed after 3 to 4 treatments on average, without pain for the patient and with an increase in healing. All wounds healed in about 3 weeks, resulting from surgical wound dehiscence. There were no complications or side effects, with rapid debridement in a short period of time.

Discussion:

Debridement is a procedure that can be very painful, however the use of material that can promote it, painlessly and effectively, is an asset in the management of complex wounds and incrementing healing. This combination may be the answer for fast and effective healing, with protection of granulation tissue and removal of devitalized tissue.