THE EFFECTIVENESS OF MODERN DRESSINGS ON CHRONIC WOUND HEALING: A LITERATURE REVIEW

• Eka Talib

  Universitas Mandala Waluya

  Author

• Marwan Sulistiawan Maane

  Universitas Mandala Waluya

  Author

• Riman

  Universitas Mandala Waluya

  Author

• Devi Sulasti

  Universitas Mandala Waluya

  Author

• Ade Masayu Dwi Anastazya

  Universitas Mandala Waluya

  Author

• Islaeli Islaeli

  Universitas Mandala Waluya

  Author

Background: Chronic wounds, such as diabetic foot ulcers, are a serious health problem with increasing prevalence and risk of complications like infection and amputation. Modern wound dressing, as an innovative approach, is considered effective in creating an optimal moist wound environment to accelerate healing.

Purpose: This literature review aims to analyze the effectiveness of various types of modern dressings on the chronic wound healing process.

Methods: Articles were collected from PubMed, Google Scholar, and ScienceDirect databases using the keywords "Modern wound dressing" AND ("hydrocolloid" OR "alginate" OR "silver dressing") AND "chronic wound healing", limited to publications from 2021 to 2025. A total of 10 articles met the inclusion criteria.

Results: The findings indicate that modern dressings (hydrocolloid, silver dressing, alginate) are effective in accelerating wound healing through mechanisms such as maintaining a moist environment, enhancing angiogenesis and collagen deposition, modulating immune responses (M2 macrophage polarization), and providing an antibacterial effect.

Conclusion:  These dressings are relatively safe, biocompatible, and can improve patient comfort. However, their effectiveness depends greatly on the accurate selection of the dressing type according to wound characteristics. Training for healthcare workers in dressing selection and further research on the development of innovative materials, such as bioactiveloaded dressings, are recommended.

Athamneh, T., Abuawad, A., Odat, T., Alshweiat, A., Obaidat, R., Yaseen, F. B., Al-Najjar, M. A., Garafat, R., Altarabeen, R., Smirnova, I., & Gurikov, P. (2025). Investigation of the antibacterial activity of ZnO-loaded alginate/hyaluronic acid aerogels for wound dressing applications. [Journal name not specified], 1–14.

Haji, U., Utara, S., Perawat, P., Perawatan, P., Luka, P., & Diabetikum, U. (2025). Effectiveness of chronic wound care using the wound healing dressing method on diabetic ulcer healing at the Asri Wound Care Center, Medan (2024). Jurnal Media Informatika (JUMIN), 6(2), 1408–1414.

Hidayat, R., Widowati, R., & Aliyah, P. H. A. (2024). Effectiveness of silver dressing on diabetic wound healing. [Journal name not specified], 4, 1445–1456.

Hudaf, M. N., & Daryani. (2024). Implementation of modern dressing for grade II gangrene diabetic ulcers: A case study at Wijaya Kusuma Ward, Universitas Muhammadiyah Klaten Hospital. [Journal name not specified], 166–171.

Nandatari, H., Munir, N. W., & Amir, H. (2025). Management of diabetic foot wound care using foam dressing at Griya Afiat Clinic, Makassar, in 2025. [Journal name not specified], September, 7388–7392.

Ousey, K., Cutting, K. F., & Rogers, A. A. (2020). The importance of hydration in wound healing: Reinvigorating the clinical perspective. International Wound Journal. https://doi.org/10.12968/bjcn.2016.21.Sup12.S39

Priyadarsini, S. L., Suresh, M., & Nikhila, G. (2023). Assessment framework for the selection of a potential interactive dressing material for diabetic foot ulcers. Heliyon, 9(6), e16476. https://doi.org/10.1016/j.heliyon.2023.e16476

Sriwiyati, L., & Kristanto, B. (2020). Wound characteristics and the use of modern wound dressings. [Journal name not specified], 6(1), 8–18.

Takeuchi, T., Ito, M., Yamaguchi, S., Watanabe, S., & Honda, M. (2020). Hydrocolloid dressing improves wound healing by increasing M2 macrophage polarization in diabetic mice. Nagoya Journal of Medical Science, 82(3), 487–498. https://doi.org/10.18999/nagjms.82.3.487

Yuliyanto, R., Imamah, I. N., & Melitus, D. (2025). Application of hydrocolloid dressing in the healing process of diabetic ulcer wounds. [Journal name not specified], 191–202.

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