In wound care, we usually focus nearly all of our efforts on the wound area while paying little attention to the periwound area. Although the periwound area may seem unimportant, it matters to patients. A female patient was admitted with a wound at the perianal area. Wound dressing was performed using standard wet-to-dry gauzes. The patient had several small complaints including irritant contact dermatitis, skin maceration, pain during dressing change, and fecal contamination to the wound. In this case, we ended up switching to a different method of wound dressing. We went from using wet-to-dry gauzes for the primary dressing to a hydrofiber with silver dressing and from gauze and Micropore as a secondary dressing to an adhesive sodium carboxymethylcellulose foam dressing. This resolved all complaints. The patient’s satisfaction score using visual analog scale increased from 2 to 10 (out of 10 points). This example shows how even small details can make a significant difference in wound care. Because periwound care is often neglected, therapeutic algorithm that integrates major challenges in periwound care into wound healing strategies is proposed.
From the *Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine, Mae Fah Luang University, Chiang Rai, Thailand
†Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
‡Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
§Division of Plastic and Reconstructive Surgery, Department of Surgery, Q Clinic, Bangkok, Thailand
¶Department of Surgery, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand
Published online 22 March 2019.
Received for publication October 3, 2018; accepted December 12, 2018.
Disclosure: The authors have no financial interest to declare in relation to the content of this article.
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Palakorn Surakunprapha, MD, Department of Surgery, Faculty of Medicine, Khon Kaen University, 123 Mittraparp Highway, Muang District, Khon Kaen 40002, Thailand, E-mail: firstname.lastname@example.org
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