Investigation of adhesion of modern wound dressings: a comparative analysis of 56 different wound dressings
Abstract
Introduction In the process of chronic wound care, adhesive wound dressings may cause pain and injury in the wound environment during dressing changes. At present, no standardized test procedures are available for the investigation of adhesion of wound dressings. Therefore, our study aimed to test the adhesion of different wound dressings on steel as well as on healthy skin. Methods Within an open, comparative study, the adhesive areas of 56 wound dressings were investigated. The adhesives were categorized into acrylate (n = 23), silicone (n = 9), hydrocolloid (n = 17) and polyurethane groups (n = 7). Using an especially modified testing machine, the adhesion of the wound dressings was measured on steel as well as on the skin of healthy study participants, in compliance with the European EN 1939:2003 standard. Results The energy required to remove the wound dressings from human skin, was measured in Newton (N) and the following median values were obtained: hydrocolloid (2.25 N) > acrylate (1.14 N) > polyurethane (0.9 N) > silicone (0.7 N). The subjective pain intensity during the removal of the wound dressings was recorded using the visual analogue scale (VAS) with values ranging from 0 to 10. For hydrocolloid, it was 6.8, for acrylate 4.9, for polyurethane 3.1 and for silicone 2.5 points VAS. In comparison with human skin, the adhesion of wound dressings was significantly higher on steel (P < 0.0001), but was different for the different groups of wound dressings. Moreover, there was a statistically significant correlation between the adhesion and pain intensity (correlation coefficient 0.806; P = 0.01). Conclusion The knowledge about the widely differing adhesion properties of different wound dressings on the skin of patients should nowadays be considered during the individual selection of the applied products. Based on these data, different types of wound dressings could be developed, guaranteeing a good adhesion and a low traumatic risk when removed.
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The acrylic adhesive exhibited about 5 times greater adhesion force than typical medical adhesives such as Tegaderm (1.02 N).
“This adhesive exhibited about 5 times greater adhesion force than typical medical adhesives such as Tegaderm (1.02 N) (33).”
From A soft, wearable microfluidic device for the capture, storage, and colorimetric sensing of sweat (2016) · cites this paper as [33]
Cites
Winter, G. D. (1962) · Nature · doi:10.1038/193293a0 · Cited by 2,261 · see citing works
Thoughts on irritant contact dermatitis
Malten, K. E. (1981) · Contact Dermatitis · doi:10.1111/j.1600-0536.1981.tb04059.x · Cited by 228 · see citing works
Effects of adhesive dressings on the stratum corneum of the skin
Dykes, P. J., Heggie, R., & Hill, S. A. (2001) · Journal of Wound Care · doi:10.12968/jowc.2001.10.2.26054 · Cited by 145 · see citing works
Uter, W. J. C., Gefeller, O., & Schwanitz (1998) · British Journal of Dermatology · doi:10.1046/j.1365-2133.1998.02072.x · Cited by 138 · see citing works
Seasonal variation of skin resistance to irritants
Agner, T., & Serup, J. V. (1989) · British Journal of Dermatology · doi:10.1111/j.1365-2133.1989.tb01425.x · Cited by 137 · see citing works
Dykes, P. J., & Heggie, R. (2003) · Journal of Wound Care · doi:10.12968/jowc.2003.12.7.26567 · Cited by 70 · see citing works
Tokumura, F., Umekage, K., Sado, M., et al. (2005) · Skin Research and Technology · doi:10.1111/j.1600-0846.2005.00088.x · Cited by 61 · see citing works
Differential diagnosis of leg ulcers
Dissemond, J., Körber, A., & Grabbe, S. (2006) · JDDG Journal der Deutschen Dermatologischen Gesellschaft · doi:10.1111/j.1610-0387.2006.06052.x · Cited by 52 · see citing works
Self-citationModerne Wundauflagen für die Therapie chronischer Wunden
Dissemond, J. (2005) · Der Hautarzt · doi:10.1007/s00105-005-1054-y · Cited by 36 · see citing works
Self-citationDifferentialdiagnosen des Ulcus cruris
Dissemond, J., Körber, A., & Grabbe, S. (2006) · JDDG Journal der Deutschen Dermatologischen Gesellschaft · doi:10.1111/j.1610-0387.2006.06052_supp.x · Cited by 22 · see citing works
Self-citationTokumura, F., Homma, T., Tomiya, T., et al. (2007) · Skin Research and Technology · doi:10.1111/j.1600-0846.2007.00211.x · Cited by 12 · see citing works
Causes and the way of treatment of patients with chronic leg ulcers
Wax, C., Körber, A., Dissemond, J., et al. (2009) · Phlebologie · doi:10.1055/s-0037-1622275 · Cited by 8 · see citing works
Self-citationKörber, A., Weindorf, M., & Dissemond, J. (2008) · Der Hautarzt · doi:10.1007/s00105-008-1636-6 · Cited by 7 · see citing works
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A soft, wearable microfluidic device for the capture, storage, and colorimetric sensing of sweat
Koh, A., Kang, D., Xue, Y., Lee, S., Pielak, R. M., Kim, J., Hwang, T., Min, S., Banks, A., Bastien, P., et al. (2016) · Science Translational Medicine · doi:10.1126/scitranslmed.aaf2593 · Cited by 1,308 · see citing works
Lee, S. M., Byeon, H. J., Lee, J. H., Baek, D. H., Lee, K. H., Hong, J. S., & Lee, S.-H. (2014) · Scientific Reports · doi:10.1038/srep06074 · Cited by 181 · see citing works
- Authors
- Klode, J., Schöttler, L., Stoffels, I., Körber, A., Schadendorf, D., & Dissemond, J.
- Affiliations
- Stiftung Universitätsmedizin Essen (DE)
- Essen University Hospital (DE)
- Corresponding author
- Dissemond, J.
- Venue
- Journal of the European Academy of Dermatology and Venereology
- Publisher
- Wiley
- Published
- 2010-11-10
- Volume
- 25
- Issue
- 8
- Pages
- 933-939
- ISSN
- 0926-9959 (ISSN-L)
- 1468-3083
- OpenAlex
- W1482253048
- Cited by
- 73
- References
- 13
- Citations by year
- 2026: 8 · 2025: 2 · 2024: 7 · 2023: 8 · 2022: 6 · 2021: 5 · 2020: 3 · 2019: 4 · 2018: 4 · 2016: 1 · 2015: 3 · 2014: 4 · 2013: 5 · 2012: 10
- FWCI
- 5.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the European Academy of Dermatology and Venereology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Wound Healing and Treatments
- Health Sciences › Medicine › Surgery › Surgical Sutures and Adhesives
- Health Sciences › Health Professions › Occupational Therapy › Pressure Ulcer Prevention and Management
- Keywords
- wound dressings, adhesion, dressing removal, hydrocolloid dressing, acrylic adhesives, silicone adhesive, polyurethane adhesive, chronic wounds, healthy skin
- MeSH terms
- Acrylates, Adhesives, Bandages, Colloids, Female, Humans, Male, Pain, Polyurethanes, Silicones, Skin, Steel, Statistics, Nonparametric
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