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TheraGauze® is one of the most technically advanced and versatile dressings currently available for a variety of wounds. Use TheraGauze® when you want to:
NOTE: CREATE FENESTRATIONS (SLITS) FOR MODERATELY TO HEAVILY EXUDATING WOUNDS. For all moderately to heavily exudating/bleeding wounds, fenestrate (slit) the TheraGauze® dressing with a sterile instrument prior to application. Fenestration (slitting) will allow excess exudate/blood to be absorbed into an absorbent secondary dressing. Increase number of fenestrations (slits) as level of exudation/bleeding increases. Cover TheraGauze® with absorbent secondary dressing of choice. The fenestrations (slits) will not compromise the moisture balancing attributes of TheraGauze®.
Diabetic foot ulcers usually have a complex need for moisture balance. Wounds are frequently exudative and may also show evidence of infection. Under normal circumstances, the TheraGauze® is changed 2-3 times per week, but can be left in place for up to one week if no obvious infection is present. One outstanding factor about TheraGauze® is its lack of adherence to the wound bed. Following wound debridement, bleeding results in a cascade of events: platelets move into the wound site to stop bleeding and achieve hemostasis. Next, the platelets degranulate, releasing growth factors and hormones which trigger a cascade of events, including angiogenesis, mitogenesis, and chemotaxis. The peak of cellular proliferation occurs about 9-12 days after debridement, so ideally, the wound should not be disturbed before that time. Because TheraGauze® does not stick to the wound surface, the newly formed and delicate tissues are not damaged during dressing changes.
Here is the best way to use TheraGauze® in a variety of situations involving DFU's.
1st and 2 nd degree burns frequently involve considerable pain, and require precise moisture control to minimize scarring and contractures. TheraGauze® can be applied directly from the package to the painful wound site. Upon application, the soothing and cooling polymer found in TheraGauze® will give relief of burning pain within a few minutes. These wounds can be redressed every day, and can be backed with a simple gauze dressing. If covered with Tegaderm, the dressing can stay in place for up to 2 days. Upon dressing change, the wound should be moistened with saline and allowed to sit for 2 minutes, before attempting to remove. The dressing should simply slide off with virtually no discomfort to the patient.
These lesions frequently involve painful bullae which can open, leaving behind irritated dermis. TheraGauze® is beneficial in 2 ways. First, it will not adhere to intact bullae, allowing the clinician to apply some gentle pressure to the wound without sticking to, or adhering to the fragile overlying skin. Second, it will soothe without sticking to areas where the bullae has been opened and the dermis is exposed. This dressing should be changed daily, and should be thoroughly moistened with saline for 2 minutes, before attempting to remove.
When used after a Bunionectomy, the moisture control feature of TheraGauze® minimizes patient pain and enhances healing.
After suturing and placing steristrips in place, dip the TheraGauze® in an antimicrobial and saline solution, and drag it across the top of the basin to knock off any extra fluid. TheraGauze® is used as the contact layer directly over the surgical incision (surrounding skin can be overlaid without concern of maceration).
Next, cover TheraGauze® with a few 4x4 sized gauze. Use a layer of sterile Webril next, to allow for swelling (optional) and then wrap with gauze or Kling, then an ace bandage. The patient should wear protective boot or surgical shoe as well.
Re-dress the wound the same way every 5 to 7 days until healed. Complete closure can be expected within 1 week. TheraGauze® provides moisture regulation for 2 to 3 days and then dries out and stiffens to provide structure and support to the wound site. Normally the dried TheraGauze® slips right off when changing, but if blood has dried and stuck to the TheraGauze®, moisten it with saline or wound cleanser, leave for a few minutes to rehydrate and then lift off.
TheraGauze® is an ideal dressing for donor sites because it provides moist healing to minimize scarring, and is completely non-adherent to minimize pain when dressing changes are necessary. We recommend applying TheraGauze® to the harvest site at the time of surgery, fenestrated (slitted) and backed by an ABD pad, or similar bulky dressing. The dressing should be changed daily to reduce pain and scarring. This should be done until full epithelialization is observed, and healing is complete. Alternatively, the dressing can be applied and left in place until it falls off, similar to what is commonly done with Xeroform dressings.
TheraGauze® can be used as part of the contact layer of stent dressings, and should remain in place until full graft incorporation is noted. Alternatively, the dressing can be changed on a daily basis to minimize scarring, by providing a moist healing environment. With daily dressing changes, the dressings should not stick to the wound site. It is recommended that the wound dressing be moistened with saline 2 minutes prior to removal to insure that it will not stick.
Complex skin flaps will benefit greatly from the use of TheraGauze® because its moist healing environment reduces the formation of thickened scars along the wound margins. We recommend daily dressing changes during the 1st week, to insure constant hydration without maceration. After the flap appears stable, and exudate is minimal, TheraGauze® can be changed every 2-3 days until full epithelization is observed. All dry wound dressings should always be moistened with saline at least 2 minutes prior to removal, to insure non-stick action by rehydrating the polymers in TheraGauze®.
In order to minimize scarring, wounds require moisture and some slight compression in order to relieve tension on the margins. TheraGauze® is ideal for this. The polymer coating simulates the pressure redistribution frequently associated with silicone, but without the maceration seen with silicone. The moisture balance is optimally maintained with daily dressing changes during the first 7 to 10 days, while the wound is maturing. Once stable, without dehiscence, the TheraGauze® can be changed 2-3 times a week. Remember to remoisten the dressing with saline 2 minutes before removal to insure that the dressing does not adhere to the wound site.