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Updated: Jul 7, 2026
A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis
Published on: March 14, 2025
Clinical evaluation of hydrocolloid dressings for neurosurgical wounds
Yasunori Fujimoto1, Nao Shimooka, Yu-Ichiro Ohnishi
1Department of Neurosurgery, Social Insurance Kinan Hospital, Tanabe, Wakayama 646-8588, Japan. yasufujimoto@gmail.com
Background:
Empirical methods in postoperative wound care have been performed by individual neurosurgeons. We evaluated a hydrocolloid dressing for neurosurgical wounds according to the modern concept of wound healing.
Methods:
From May 2005 to March 2007, we performed 117 cranial neurosurgical procedures in consecutive 100 patients. Karayahesive (ALCARE, Tokyo, Japan), a transparent hydrocolloid dressing, was affixed onto all wounds immediately postoperatively. Clinical evaluations were performed for wound healing, wound infection, and cost-effectiveness.
Results:
Excellent wound healing and cosmetic results were obtained in all patients. There was no incisional surgical site infection. Analysis of cost-effectiveness suggested Karayahesive as superior to conventional gauze-and-tape dressings.
Conclusion:
Karayahesive fits with the modern concept of wound healing and is a useful dressing for neurosurgical wounds.
