1. Exudation phase(hours/days)

Phisiopathology:

Exudation phase start after generation of wound. Clinic, the wound shows like a local inflammation attendet by a profund exudation. During this phase , the organism make clots, clean the wound and take action against infection. Dead tissues and germs are removed from the wound.

Prescription:

For wound treatment in the exudation phase is necessary to take into account the following:

• cleaning of the wound and/or her desinfections
• eliminated the detritusurilor
• the absorption of the exudates in excess with help of the sterile gauze or nonwoven compresses
• protection of the wound with the help of an absorbent and non- adherent dressing to the wound (plasters with non-adherent pad).
  

Phisiopathology:

In granulation phase, are created new cells and form the granulation tissue from appearing of granulation buds.Fibriblasts cells migrate in wound in a large number , trigger synthetization of collagen and move into center of the wound. In this time exudation decrease. In this phase , the wound show like a reddish tissue with a good blood supply.

Prescription:

In the granulation phase appears granulation buds, which prepares the cicatrisation phase.
For this phase is recommended using the paraffin, to realize the wet environmental, very good for this phase (cicatrisation in wet environmental).
To use this dressing it must be taking into account the following:

• clean the wound by using physiological serum
• in case of previous using of an antiseptically, the wound is washed with physiological serum before apply the paraffin dressing
• remove the protector film from the both sides of the compress
• apply the dressing directly on the wound, in a single layer, (the dressing can be cut according to the size and/or shape of the wound, with the help of an sterile instrument)
• cover the wound with a secondary dressing gauze or non-woven compress) that is fixed with a extensible bandage or fix, adhesive or not
• replacing of the dressing is made at each 1-2 days, depending on the wound evolution.
  

Phisiopathology:

In the epithelisation phase the regeneration is more evident. The wound's borders proceed one from other and the wound is cover gradually with epithelisated tissue who proceed from borders to center. The healing process is evident, in this time the wound contract , making a scar tissue.

Prescription:

In the epithelialisation phase the cicatrisation enter in hers last step, and this way determine the scar type that will form.
For this phase is recommended the use of the epithelisation dressing, impregnated with gel with extract of PlantagoTIS®, this has features proved by clinical studies in this wound evolution phase.
In using of this type of impregnated compress take into account the following:

• clean the wound with physiological serum
• in case of previous using of an antiseptically, the wound is washed with physiological serum before apply the epithelisation dressing
• remove the protector film from the both sides of the compress
• apply the dressing directly on the wound, in a single layer, (the dreesing can be cut according to the size and/or shape of the wound, with the help of an sterile instrument)
• cover the wound with a secondary dressing gauze or non-woven compress) that is fixed with a extensible bandage or fix, adhesive or not
• replacing of the interface is made at each 1-2 days, depending on the wound evolution.