Foam dressings – Mepilex® Border Sacrum

All-in-one foam dressing for pressure ulcers and other chronic and acute wounds of the sacral area

Mepilex® Border Sacrum is an all-in-one foam dressing proven to minimize patient pain and trauma to the wound and surrounding skin1,2. It has three main design features: to fit the anatomy of the sacral area; to prevent pressure ulcers3, and to create an optimal healing environment for moderate to high exuding pressure ulcers, or other wounds in the sacral area such as surgical excision of pilonidal cysts.

Mepilex® Border Sacrum effectively absorbs and retains exudate and maintains a moist wound environment4. The Safetac® layer seals the wound edges, preventing the exudate from leaking onto the surrounding skin which minimizes the risk for maceration5. The Safetac layer ensures that the dressing can be changed without damaging the wound or surrounding skin or exposing the patient to additional pain.

Mepilex® Border Sacrum can add to your prevention programmes for hospital acquired pressure ulcers by redistributing shear forces, reducing friction, redistributing pressure and balancing the microclimate during wear time. The retention, spreading and absorption layers help in maintaining an optimal moisture level and reducing the risk of breakdowns. These layers are critical in dissipating shear and redistributing pressure. Safetac®technology resides closest to the skin. For pressure ulcer prevention, its elasticity dissipates shear forces and allows for repositioning of the dressing after skin assessment.

Helps to prevent pressure ulcers

Made for the sacrum – soft and conformable

Minimises pain and trauma at dressing changes

A combination of excellent fluid handling capacity and retention for effective exudate management with less risk of maceration6

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(mm:ss)

When to use Mepilex Border Sacrum?

Use Mepilex Border Sacrum for medium to high exuding sacral wounds such as pressure ulcers or surgical excision of pilonidal cysts. As Mepilex Border Sacrum maintains a moist wound environment which supports debridement, there might actually be an initial increase in the wound size. This is normal and to be expected.

A part of pressure ulcer prevention
Clinical trials proved that Mepilex® Border Sacrum prevents pressure ulcers3. The dressing is applied prophylactically in emergency rooms, intensive care or before long surgical interventions. When compared with no dressing and competitors’ products, Mepilex® Border Sacrum has been demonstrated to impact four extrinsic factors that can contribute to developing pressure ulcers; these being to redistribute shear, redistribute pressure, reduce friction, and to maintain an optimal microclimate7,8,9. When adding this treatment to pressure ulcer prevention protocols and strategies, pressure ulcers can be prevented. However, the use of dressings as part of a prophylactic therapy does not preclude the need to continue to develop and follow a comprehensive pressure ulcer prevention protocol.

Safetac means less pain and less stress at dressing change
Safetac® technology drastically reduces pain and tissue damage during dressing changes. A Safetac dressing does not stick to the moist wound; it seals the edge of the ulcer preventing maceration6,4,5, and does not strip skin2,10  all while maintaining an optimal wound microclimate. This means less pain1, less stressful dressing changes11 , and potentially a faster healing process12.

Use Mepilex Border Sacrum:

  • To prevent pressure ulcers
  • To treat medium to high exuding sacral wounds like pressure ulcers
  • For a combination of excellent fluid handling capacity and retention that provides effective exudate management with less risk of maceration
  • To lower costs with quicker healing and less pain for patients

Indications for use:

• Sacral Ulcers
Mepilex® Border Sacrum is specifically shaped t o fit the sacral area. It can be used as a primary dressing on shallow wounds or as a cover dressing for deeper wounds. Ideal for wounds with moderate to heavy exudate.

Directions for use:

  1. Gently cleanse the wound; dry surrounding skin. (Mepilex® Border Sacrum will not adhere to a moist surface).
  2. Choose a dressing size the will allow the adherent border to overlap the wound area by at least 2 cm.
  3. Remove centre release film, flex dressing in half and centre over wound aligning dressing to anal crease. Apply adherent side to the wound. (Do not stretch).
  4. Remove side release film and smooth into place repeat for second side release film.
  5. To remove: Gently lift one corner and slowly peel dressing back.
  6. Mepilex® Border Sacrum can remain in place for up to 7 days depending on drainage and wound condition.

Mepilex Border Sacrum Instructions

Precautions:

  • Mepilex® Border Sacrum should not be used with oxidizing agents such as hypochlorite solutions or hydrogen peroxide.
  • Mepilex® Border Sacrum should be stored in dry conditions below 35°C (95°F) and be protected from direct sunlight.
  • In case of signs of clinical infection, consult a health care professional for adequate infection treatment.
  • Do not use if inner package is damaged. Sterility is guaranteed if inner package is intacts. Do not resterilize.
Product no Size cm Pcs/box Pcs/case
282000 18 x 18 5 40
282400 23 x 23 5 25

Mepilex® Border Sacrum is packaged sterile in single packs

  1. White R. A Multinational survey of the assessment of pain when removing dressings. Wounds UK, 2008.
  2. Dykes PJ et al. Effect of adhesive dressings on the stratum corneum of the skin. Journal of Wound Care, 2001.
  3. Santamaria, N et al A randomised controlled trial of the effectiveness of soft silicone multi-layered foam dressings in the prevention of sacral and heel pressure ulcers in trauma and critically ill patients: the border trial . Int Wound J 2013; doi: 10.1111/iwj.12101.
  4. Feili F et al. Retention capacity. Poster presentation at the EWMA conference, Lisbon, Portugal, 2008.
  5. Wiberg A.B et al. Preventing maceration with a soft silicone dressing: in-vitro evaluations. Poster presented at the 3rd Congress of the WUWHS, Toronto, Canada, 2008.
  6. Meaume S et al. A study to compare a new self adherent soft silicone dressing with a self adherent polymer dressing in stage II pressure ulcers. Ostomy Wound Management 2003.
  7. Call, E., et al Wounds -2013, 25(4):94-103.
  8. Call, E.et al. In vitro comparison of the prophylactic properties of two leading commercially available wound dressings. Poster presentation at Symposium on Advanced Wound Care Fall, Baltimore, Maryland, United States of America, 2012.
  9. Call, E, et al International Panel Studies Creation of Guidance on Dressing Use in Prevention of Pressure Ulcers. Poster presentation SAWC spring 2012.
  10. Waring M et al. An evalution of the skin stripping of wound dressing adhesives. Journal of wound care, 2011.
  11. Upton D. et al. The Impact of Atraumatic Vs Conventional Dressings on Pain and Stress in Patients with Chronic Wounds. Journal of Wound Care, 2012
  12. Upton D. et al. Pain and stress as contributors to delayed wound healing. Wound Practice and Research, 2010.
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