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Few studies mention side effects; certainly alginate use is characterised by convenience in application and removal, as confirmed by descriptive studies .
One study considered two treatment protocols for the management of patients with non-infected cavity wounds, using data obtained from both the community and the outpatients clinic.
Our commitment is to bring innovative solutions to the complex problems associated with wound care.
However, there has been one report of a florid foreign body giant cell reaction seven months after the use of an alginate dressing to obtain haemostasis in an apicectomy cavity on an upper lateral incisor.
The case suggests that alginate fibres left in situ may elicit a long-lasting and symptomatic adverse foreign body reaction.
Patients were treated with either a polyurethane foam hydrophilic dressing (Allevyn) or a calcium sodium alginate dressing (Kaltostat).
Although alginate fibres were found to be incorporated in tissue, both dressing regimes were found to be easy to use, effective and acceptable to patients and clinicians .
They have been successfully applied to cleanse a wide variety of secreting lesions.
The high absorption is achieved via strong hydrophilic gel formation This limits wound secretions and minimizes bacterial contamination.
For shallow, heavily exuding wounds such as leg ulcers, fibrous sheet dressings made from alginate fibre may be used, while cavity wounds, traditionally packed with gauze soaked in saline, hypochlorite, or proflavine, are now more commonly dressed with alginate fibre in the form of ribbon or rope.
For epithelizing wounds, alginates have an advantage over cellulose dressings in that they can be removed without causing pain or trauma if they are first well soaked with sodium chloride solution.
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