When using hydrogel for healthy granulating wounds in proliferation phase, what is the ideal secondary dressing to place over the top?https://www.vetnurse.co.uk/f/clinical-discussions/32009/when-using-hydrogel-for-healthy-granulating-wounds-in-proliferation-phase-what-is-the-ideal-secondary-dressing-to-place-over-the-top I usually use a foam dressing, such as Allevyn, but a colleague came up with a good point that doesn&rsquo;t the foam dressing just absorb the hydrogel? However I&rsquo;m reluctant to use a melonin type dressing as this will dry out the hydrogel and the wound. en-USTelligent Community 10RE: When using hydrogel for healthy granulating wounds in proliferation phase, what is the ideal secondary dressing to place over the top?https://www.vetnurse.co.uk/thread/176231?ContentTypeID=1Wed, 22 Jul 2020 19:30:34 GMT1a0763ec-3885-442c-853e-6cef656dfec5:ab8c2083-7e86-4d28-a48b-108c7803416cSammi91<p>Thank you, really helpful!&nbsp;</p><div style="clear:both;"></div>RE: When using hydrogel for healthy granulating wounds in proliferation phase, what is the ideal secondary dressing to place over the top?https://www.vetnurse.co.uk/thread/176229?ContentTypeID=1Wed, 22 Jul 2020 18:31:46 GMT1a0763ec-3885-442c-853e-6cef656dfec5:8f763640-fa96-49b1-9fe6-36209d4e75afshelly jefferies<p>This is a good question and one I&#39;m sure lots of us have contemplated at some point!</p> <p>So you are correct in using a foam dressing when using hydrogel for a healthy granulation bed. The reason being is you want to employ the moist wound healing theory, for the granulation bed to be healthy and to improve healing time by up to 30%. The foam type dressing have the capacity and technology within them to allow the absorption of any excess fluid whilst maintaining a moist, but importantly not macerated environment. They should be teamed with the hydrogel to create a perfect environment for healing.</p> <p>Non adherent pads, such as the melonin you mention, unfortunately do not have any of the properties needed to maintain a moist wound healing environment. Often people ask about using foam pads on their own on a granulating that is nearly healed, it is important if not using any hydrogel or liquid type wound dressing that the foam pad be moistened with saline before placing onto the granulation bed, otherwise its nature will try to &quot;suck&quot; any moisture from the wound and may result in the foam pad becoming adhered to the wound bed.&nbsp;</p> <p>Hope that&#39;s helpful and keep the questions coming ;-)&nbsp;</p><div style="clear:both;"></div>