EN
TÜRKÇE
Poster - 261
Evaluation of Silicone-Coated Dressings in Pediatric Surgical Wound Management
Maxim Airapetyan 1, Dmitry Morozov 2, Olga Sukhodolskaya 3
1 Moscow Multidisciplinary Medical Center "Kommunarka" of the Moscow City Health Department
2 Veltischev Research and Clinical Institute for Pediatrics and Pediatric Surgery of the Pirogov Russian National Research Medical University
3 First Moscow State Medical University named after I.M. Sechenov (Sechenov University)
Medical adhesive dressings, while widely used, can compromise skin barrier integrity, delay healing, increase infection risks, and contribute to patient discomfort. Given their routine application in pediatric surgery, a comparative assessment of adhesive alternatives is clinically warranted.
Aims This study aimed to compare the clinical performance of silicone-coated dressings (Cosmopor Silicone) versus traditional medical adhesive dressings (Cosmopor E Steril) in pediatric surgical patients.
Materials and Methods: A prospective, single-center, randomized trial enrolled 100 children (5–17 years) undergoing laparoscopic appendectomy for uncomplicated acute appendicitis. Participants were allocated via simple randomization (envelope method) into: Group 1 (Intervention): Silicone-based dressings (*n* = 50; 31 males, 19 females; mean age 10.9 ± 2.9 years); Group 2 (Control): Medical adhesive dressings (*n* = 50; 28 males, 22 females; mean age 8.6 ± 3.1 years).
Skin integrity was evaluated macroscopically and dermatoscopically at 4 timepoints daily for 7 postoperative days. A mathematical model quantified damage severity (sum of adhesion removal scores × affected skin area coefficient).
Results: Skin Damage: By day 7, Group 2 exhibited a 9-fold higher incidence of skin injury vs. Group 1 (36% vs. 4%, *p* < 0.001). Pain Scores: Mean pain intensity was 3.5× lower with silicone dressings (1.7 vs. 6 points in controls; *p* < 0.001). Anxiety Levels: Control group anxiety remained elevated (8.5–6.9 points) throughout hospitalization, whereas Group 1 reported scores ≤3 points from days 4–7, reflecting improved tolerance.
Conclusions: Silicone-coated dressings (Cosmopor Silicone) significantly reduced peri-wound skin trauma, attenuated pain (by 72%), and minimized anticipatory anxiety during dressing changes. These findings support their preferential use in pediatric surgical care to enhance patient comfort and wound outcomes.