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Abstract
Introduction: A wound is a disruption of the normal structure and function of the skin and itsarchitecture. An acute wound heals predictably, time frame, if any, with few complications but
the result is a well-healed wound. A chronic wound is defined as one that is physiologically
impaired due to the disruption of the wound healing cycle. Advanced dressings are designed to
maintain a moist environment at the site of application, allowing the fluids to remain close to the
wound and not spread to the unaffected, healthy skin areas. We developed a unique technique of
dressing combining Superabsorbent Polyacrylate Sodium (Gold Dust®) with Collagen-Glycerine
base amorphous gel (Stimulen®), A.K.A, UKMSG, in six patients with acute and chronic wounds
of various aetiology; referred for recalcitrant, non-healing wound.
Case Presentation & Methods: Six patients with acute and chronic wounds of various aetiology
were referred for recalcitrant, non-healing wounds. Patients’ data were obtained from medical
files and surgical databases. Depending on the size and condition of the wound, the average
duration of treatment varies from 1 - 6 weeks. The dressing was done mainly by wound nurses.
Dressings were changed from daily to once every three days, based on the type of wounds. It does
not need a lot of experience for the application of UKMSG. A short briefing and demonstration on
how to apply the dressing would suffice. We did not start adjuvant antibiotics for all our wounds.
Antibiotics were only started for infected wounds and based on cultures & sensitivity. There were
two females and four males. The youngest in the group was 2 years old and the oldest was 72
years old. We had two pressure ulcers, one gangrenous penis, one Surgical Site Infection wound
breakdown post total hysterectomy, one lower abdominal wall necrotizing fasciitis, and a 23%
infected burn wound. All patients’ wounds were initially managed by respective primary teams
(except the infected burn wound) with dressings and surgical debridement is done at least once
but a healthy wound bed was still not achieved.
Results: The UKMSG is part of our Wound Care Team approach to wound management across
a variety of wounds. Through the case series, we noted that UKMSG is ideal for the treatment
of recalcitrant, non-healing, moderate to highly exudative wounds. It produces a good result in
wound bed preparation. It is also easy to apply and removed, comfortable, has fewer peri-wound
complications, and does not need an expensive secondary dressing. In the future, we aim to
perform an RCT and comparison study to further evaluate the UKMSG method.
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