alexa Plastic Wrap Versus Occlusive Dressings for the Management of Skin Ulcers: Comparison of Two Symmetrical Wounds in Two Individual Patients

Dermatology Case Reports
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Case Report

Plastic Wrap Versus Occlusive Dressings for the Management of Skin Ulcers: Comparison of Two Symmetrical Wounds in Two Individual Patients

Jun Takahashi1*, Masaharu Miyagawa2, Osamu Yokota3,4, Harusuke Aoki1 and Takesuke Aoki1

1Department of Psychiatry, Minakuchi Hospital, Minakuchi-cho, Koka City, Shiga, Japan

2Minamikusatsu Keyaki Clinic, Japan

3Department of Psychiatry, Kinoko Espoir Hospital, Japan

4Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan

*Corresponding Author:
Jun Takahashi
Department of Psychiatry
Minakuchi Hospital, 2-2-43 Honmachi
Minakuchi-cho, Koka City, Shiga 528-0031, Japan
Tel: +81-748-62-1212
Fax: +81-748-62-1215
E-mail: [email protected]

Received date: February 01, 2017; Accepted date: March 14, 2017; Published date: March 20, 2017

Citation: Takahashi J, Miyagawa M, Yokota O, Aoki H, Aoki T (2017) Plastic Wrap Versus Occlusive Dressings for the Management of Skin Ulcers: Comparison of Two Symmetrical Wounds in Two Individual Patients. Dermatol Case Rep 2: 118

Copyright: © 2017 Takahashi J, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



To compare the efficacy of plastic wrap (typically used for foods) as a dressing material to treat skin ulcers versus occlusive dressings, each dressing was randomly allocated to simultaneously treat two wounds at symmetrical locations in two individual patients. In case 1, two wounds with full-thickness skin loss on the neck were treated. A wound measuring 6.2 cm2 that was treated with plastic wrap healed in 9 weeks. A hydrocellular polyurethane dressing decreased the size of a wound measuring 9.3 cm2 to 3.8 cm2 in 12 weeks. The surface area reduction rate was 0.7 cm2/ week with plastic wrap and 0.5 cm2/week with the hydrocellular polyurethane dressing. In case 2, two shallow skin ulcers in both femoral regions resulting from skin grafting were treated. The plastic wrap dressing was randomly allocated to a wound measuring 25.1 cm2 that healed in 18 weeks. The other wound measuring 18.5 cm2 was treated with hydrocolloid dressing and epithelialized completely in 13 weeks. The healing rate of each treatment was approximately equal at 1.4 cm2/week. No adverse events developed in either case. These results are limited because of the case study design but suggest that the plastic wrap dressing treatment is as effective as the occlusive dressing technique in the treatment of chronic wounds.


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