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Joachim Dissemond - One of the best experts on this subject based on the ideXlab platform.

  • Modern Wound care practical aspects of non interventional topical treatment of patients with chronic Wounds
    Journal Der Deutschen Dermatologischen Gesellschaft, 2014
    Co-Authors: Joachim Dissemond, Matthias Augustin, Sabine A Eming, Tobias Goerge, Thomas Horn, Sigrid Karrer, Hauke Schumann, M Stucker
    Abstract:

    Summary The treatment of patients with chronic Wounds is becoming increasingly complex. It was therefore the aim of the members of the working group for Wound healing (AGW) of the German Society of Dermatology (DDG) to report on the currently relevant aspects of non-interventional, topical Wound treatment for daily practice. ­Beside necessary procedures, such as Wound cleansing and debridement, we describe commonly used Wound dressings, their indications and practical use. Modern antiseptics, which are currently used in Wound therapy, usually contain polyhexanide or octenidine. Physical methods, such as negative-pressure treatment, are also interesting options. It is always important to objectify and adequately treat pain symptoms which often affect these patients. Modern moist Wound therapy may promote healing, reduce complications, and improve the quality of life in patients with chronic Wounds. Together with the improvement of the underlying causes, Modern Wound therapy is an important aspect in the overall treatment regime for patients with chronic Wounds.

  • Modern Wound care – practical aspects of non‐interventional topical treatment of patients with chronic Wounds
    Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG, 2014
    Co-Authors: Joachim Dissemond, Matthias Augustin, Sabine A Eming, Tobias Goerge, Thomas Horn, Sigrid Karrer, Hauke Schumann, M Stucker
    Abstract:

    The treatment of patients with chronic Wounds is becoming increasingly complex. It was therefore the aim of the members of the working group for Wound healing (AGW) of the German Society of Dermatology (DDG) to report on the currently relevant aspects of non-interventional, topical Wound treatment for daily practice. -Beside necessary procedures, such as Wound cleansing and debridement, we describe commonly used Wound dressings, their indications and practical use. Modern antiseptics, which are currently used in Wound therapy, usually contain polyhexanide or octenidine. Physical methods, such as negative-pressure treatment, are also interesting options. It is always important to objectify and adequately treat pain symptoms which often affect these patients. Modern moist Wound therapy may promote healing, reduce complications, and improve the quality of life in patients with chronic Wounds. Together with the improvement of the underlying causes, Modern Wound therapy is an important aspect in the overall treatment regime for patients with chronic Wounds.

  • Modern Wound surgery - Surgical treatment options Example: Therapy-resistant venous leg ulcers
    2013
    Co-Authors: Ingo Stoffels, Joachim Dissemond, Joachim Klode
    Abstract:

    Summary Introduction: The socio-economic impact of chronic venous leg ulcers is considerably caused by the high number of patients, the cost of diagnostics and therapies, the de- terioration of the quality of life and the loss of ability to work during illness. This is addi- tionally enhanced by a long lasting course, as well as an increased tendency for recur- rences. Discussion: Considering these facts, the sur- gical treatment options, in otherwise ther- apy-resistant patients, have a special mean- ing. Vein surgery and endovenous closure techniques are suitable for the elimination of primary or secondary varicose veins as a treatment option for venous leg ulcers. The so-called shave-therapy is the method of choice for Dermatolipo(fascio)sclerosis. Cur- rent long-term results show good results with cure rates of 70-80 %. In individual cases sur- gical techniques including the crural fascia may be useful. Conclusion: Thus, both the local surgical ther- apy as well as the complex surgical interven- tions especially of the venous system plays a growing key role in Modern treatment concept of patients with chronic leg ulcers.

  • investigation of adhesion of Modern Wound dressings a comparative analysis of 56 different Wound dressings
    Journal of The European Academy of Dermatology and Venereology, 2011
    Co-Authors: Joachim Klode, Andreas Körber, Ingo Stoffels, L. Schöttler, Dirk Schadendorf, Joachim Dissemond
    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.

  • Investigation of adhesion of Modern Wound dressings: a comparative analysis of 56 different Wound dressings
    Journal of the European Academy of Dermatology and Venereology : JEADV, 2010
    Co-Authors: Joachim Klode, Andreas Körber, Ingo Stoffels, L. Schöttler, Dirk Schadendorf, Joachim Dissemond
    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 

Andreas Körber - One of the best experts on this subject based on the ideXlab platform.

  • investigation of adhesion of Modern Wound dressings a comparative analysis of 56 different Wound dressings
    Journal of The European Academy of Dermatology and Venereology, 2011
    Co-Authors: Joachim Klode, Andreas Körber, Ingo Stoffels, L. Schöttler, Dirk Schadendorf, Joachim Dissemond
    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.

  • Investigation of adhesion of Modern Wound dressings: a comparative analysis of 56 different Wound dressings
    Journal of the European Academy of Dermatology and Venereology : JEADV, 2010
    Co-Authors: Joachim Klode, Andreas Körber, Ingo Stoffels, L. Schöttler, Dirk Schadendorf, Joachim Dissemond
    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 

  • Exsudatmanagementkapazität Moderner Wundauflagen für die Therapie des Ulcus cruris venosum unter Kompressionstherapie
    Der Hautarzt; Zeitschrift fur Dermatologie Venerologie und verwandte Gebiete, 2008
    Co-Authors: Andreas Körber, Maren Weindorf, Joachim Dissemond
    Abstract:

    Major components in the conservative treatment of patients with chronic venous leg ulcers are compression therapy and Modern Wound dressings. Both therapies are used simultaneously. Consequently it is important to know the exudate capacity of Modern Wound dressings changes during compression therapy. In the first part of our study we analyzed the maximum exudate capacity of 15 Modern Wound dressings. In the second part we showed that under compression stockings of class 2, a reduction of 44.08% and under compression stockings of class 3, a reduction of 50.49% occurred. In the third part we pointed out that all the investigated Wound dressings released absorbed fluid when under compression. Again the effect was higher when using compression class 3 with 40.78% compared to compression class 2 with 40.50%. Our results show for the first time the broad variability of exudate capacity of Modern Wound dressings. Our results show that compression therapy has a considerable effect on the ability of Modern Wound dressings to absorb and retain exudate and suggests that more frequent changes may be required.

  • Contact sensitization in patients with chronic Wounds: Results of a prospective investigation
    Journal of The European Academy of Dermatology and Venereology, 2008
    Co-Authors: Julia Freise, Stephen Kohaus, Andreas Körber, Stephan Grabbe, Knut Kroger, Uwe Hillen, Joachim Dissemond
    Abstract:

    Background It is well known that patients with chronic Wounds frequently acquire clinically relevant contact sensitizations to skin care products. Objectives The aim of our study was to find out the actual frequency of contact sensitivities in patients with chronic Wounds in Germany with particular attention to components of products used in Modern Wound therapy. Methods We examined the results of a prospective clinical investigation on skin patch tests of patients with chronic Wounds. Results Altogether, 45 patients with chronic Wounds were tested. In 25 (55.5%) of the examined patients, contact sensitization to at least one substance was detected. The most frequent contact sensitizations were to PVP-iodine (20%), balsam of Peru (15.6%) patients, fragrance mix (11.1%), colophony (8.8%) and potassium dichromate (6.7%). We also found sensitization to the Wound dressings Varihesive™ (11.1%), Iruxol™ N (6.7%) and Comfeel™ (2.2%). Conclusions We would like to propagate that therapists who are involved in Wound treatment should also pay attention on the ingredients of applied Modern Wound dressings.

Richard White - One of the best experts on this subject based on the ideXlab platform.

  • Taking the trauma out of Wound care: the importance of undisturbed healing
    Journal of wound care, 2012
    Co-Authors: Mark G. Rippon, Phil Davies, Richard White
    Abstract:

    Significant advances in Wound dressing technology have resulted in a myriad of dressing choices for Wound-care clinicians, providing more than just an inert Wound cover. The establishment of a moist Wound environment under Modern Wound dressings and the optimisation of the healing response are now the goals expected of these dressings. However, the use of Wound dressings, particularly traditional dressings such as gauze, frequently results in Wound and peri-Wound tissue damage that impairs the Wound healing response, counteracting any of the dressings' healing benefits. Therefore, in order to maximise the healing benefits Wounds covered by today's Wound dressings must minimise tissue disturbance (physical as well as chemical). This review aims to consider the ways traditional, as well as Modern, Wound dressings may disturb Wounds, summarising the potential areas of Wound disturbance, and suggesting how best to address this aspect of the use of Wound dressings to treat acute as well as chronic Wounds.

  • Silver-containing dressings: availability concerns.
    Ostomy wound management, 2010
    Co-Authors: Richard White
    Abstract:

    Clinicians in the UK and much of Europe have enjoyed ready access to the wide spectrum of available Wound dressings for many years. However, economic pressures and lack of evidence have been cited as the reasons for recent restrictions on Modern Wound dressings — notably, those containing the antimicrobial silver — particularly in the UK. This has created frustration and confusion among clinicians and manufacturers, the former forced to vigorously defend clinical practices.

  • flaminal a novel approach to Wound bioburden control
    2006
    Co-Authors: Richard White
    Abstract:

    Modern Wound management requires that systematic assessment and treatment approaches be adopted in order to address the needs of the Wound in a logical way. The frameworks of Wound bed preparation using the TIME acronym (Dowsett and Ayello, 2004) and Applied Wound Management (Gray et al, 2006) are two such systems. Both require the assessment and management of the tissues in the Wound (e.g. slough, necrosis), the control of exudate and an assessment and control of bioburden, as appropriate.

  • Flaminal ® : a novel approach to Wound bioburden control
    2006
    Co-Authors: Richard White
    Abstract:

    Modern Wound management requires that systematic assessment and treatment approaches be adopted in order to address the needs of the Wound in a logical way. The frameworks of Wound bed preparation using the TIME acronym (Dowsett and Ayello, 2004) and Applied Wound Management (Gray et al, 2006) are two such systems. Both require the assessment and management of the tissues in the Wound (e.g. slough, necrosis), the control of exudate and an assessment and control of bioburden, as appropriate.

  • Honey in Modern Wound management
    Independent Nurse, 2005
    Co-Authors: Richard White
    Abstract:

    In the first of a two-part series, Dr Richard White explains the potential for honey in Wound healing.

Joachim Klode - One of the best experts on this subject based on the ideXlab platform.

  • Modern Wound surgery - Surgical treatment options Example: Therapy-resistant venous leg ulcers
    2013
    Co-Authors: Ingo Stoffels, Joachim Dissemond, Joachim Klode
    Abstract:

    Summary Introduction: The socio-economic impact of chronic venous leg ulcers is considerably caused by the high number of patients, the cost of diagnostics and therapies, the de- terioration of the quality of life and the loss of ability to work during illness. This is addi- tionally enhanced by a long lasting course, as well as an increased tendency for recur- rences. Discussion: Considering these facts, the sur- gical treatment options, in otherwise ther- apy-resistant patients, have a special mean- ing. Vein surgery and endovenous closure techniques are suitable for the elimination of primary or secondary varicose veins as a treatment option for venous leg ulcers. The so-called shave-therapy is the method of choice for Dermatolipo(fascio)sclerosis. Cur- rent long-term results show good results with cure rates of 70-80 %. In individual cases sur- gical techniques including the crural fascia may be useful. Conclusion: Thus, both the local surgical ther- apy as well as the complex surgical interven- tions especially of the venous system plays a growing key role in Modern treatment concept of patients with chronic leg ulcers.

  • investigation of adhesion of Modern Wound dressings a comparative analysis of 56 different Wound dressings
    Journal of The European Academy of Dermatology and Venereology, 2011
    Co-Authors: Joachim Klode, Andreas Körber, Ingo Stoffels, L. Schöttler, Dirk Schadendorf, Joachim Dissemond
    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.

  • Investigation of adhesion of Modern Wound dressings: a comparative analysis of 56 different Wound dressings
    Journal of the European Academy of Dermatology and Venereology : JEADV, 2010
    Co-Authors: Joachim Klode, Andreas Körber, Ingo Stoffels, L. Schöttler, Dirk Schadendorf, Joachim Dissemond
    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 

Ingo Stoffels - One of the best experts on this subject based on the ideXlab platform.

  • Modern Wound surgery - Surgical treatment options Example: Therapy-resistant venous leg ulcers
    2013
    Co-Authors: Ingo Stoffels, Joachim Dissemond, Joachim Klode
    Abstract:

    Summary Introduction: The socio-economic impact of chronic venous leg ulcers is considerably caused by the high number of patients, the cost of diagnostics and therapies, the de- terioration of the quality of life and the loss of ability to work during illness. This is addi- tionally enhanced by a long lasting course, as well as an increased tendency for recur- rences. Discussion: Considering these facts, the sur- gical treatment options, in otherwise ther- apy-resistant patients, have a special mean- ing. Vein surgery and endovenous closure techniques are suitable for the elimination of primary or secondary varicose veins as a treatment option for venous leg ulcers. The so-called shave-therapy is the method of choice for Dermatolipo(fascio)sclerosis. Cur- rent long-term results show good results with cure rates of 70-80 %. In individual cases sur- gical techniques including the crural fascia may be useful. Conclusion: Thus, both the local surgical ther- apy as well as the complex surgical interven- tions especially of the venous system plays a growing key role in Modern treatment concept of patients with chronic leg ulcers.

  • investigation of adhesion of Modern Wound dressings a comparative analysis of 56 different Wound dressings
    Journal of The European Academy of Dermatology and Venereology, 2011
    Co-Authors: Joachim Klode, Andreas Körber, Ingo Stoffels, L. Schöttler, Dirk Schadendorf, Joachim Dissemond
    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.

  • Investigation of adhesion of Modern Wound dressings: a comparative analysis of 56 different Wound dressings
    Journal of the European Academy of Dermatology and Venereology : JEADV, 2010
    Co-Authors: Joachim Klode, Andreas Körber, Ingo Stoffels, L. Schöttler, Dirk Schadendorf, Joachim Dissemond
    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