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Abstracts CS-149

A Novel Silicone Foam Dressing* to Manage Wound Depth in a Non-healing Mastectomy Site

Sabina Shrestha, MSN APRN FNP-C CWOCN

Introduction: This case study illustrates the successful closure of a non-healing mastectomy site using a novel silicone foam dressing.* The patient had undergone mastectomy for a malignant neoplasm. The mastectomy site had been present for eight weeks at the start of treat- ment. Due to the wound depth, the initial treatment included a primary filler dressing using an alginate dressing topped with a silicone foam dressing. While compliant, the patient expressed pain, discomfort, and a significantly reduced quality of life (QoL) with this approach. Methods: After 29 days, the patient was transitioned to a novel sili- cone foam dressing.* The silicone foam dressing* was applied directly to the wound bed without a primary filler dressing. The frequency of dressing was changed to every third day. Results: After 21 days, complete closure of the wound bed was observed. The silicone foam dressing* successfully managed the wound depth without primary filler. The moderate exudate was well-managed without peri-wound skin maceration or irritation. The patient appreci- ated the waterproof quality and expressed increased comfort and QoL. Discussion: This case study demonstrates that the novel silicone foam dressing* was sufficient to manage wound depth without primary filler. It provided straightforward wound care and improved patient satisfaction. As the silicone foam dressing* did not need a primary filler dressing, this method may reduce the overall cost of care.