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Mepilex
SKU: 583500
Mepilex Border Flex Oval Dressing 7.8x10cm - Box/5
$45.50
Soft silicone wound dressings for clinics, hospitals, aged care facilities and NDIS providers across Australia. Silicone adheres to dry, intact skin but lifts away from the moist wound bed, so dressing changes do not tear the healing surface or strip the surrounding skin.
They are the default on fragile skin. In aged care that covers most residents: skin thins with age, long-term steroid use makes it thinner again, and a standard acrylic adhesive removed carelessly takes the top layer with it. Silicone avoids that, which is why it is chosen for skin tears, ageing skin, paediatric wounds, and any wound needing frequent inspection.
Most soft silicone dressings are repositionable. You can lift an edge to inspect the wound and lay it back down without wasting the dressing, which cuts both cost and disturbance.
Where a skin flap is still attached, ease it back over the wound bed before dressing rather than trimming it off. The flap is viable tissue and acts as its own graft. Dress with a silicone contact layer or silicone foam, and mark an arrow on the dressing showing the direction of removal, away from the attached edge of the flap. Without that arrow the next person to change it will almost certainly peel against the flap and lift it off.
Silicone foam is also used prophylactically rather than only as a treatment. Applied over the sacrum and heels of a high-risk patient, it redistributes shear and friction and protects the skin before any wound exists. It supplements repositioning and pressure-relieving surfaces, it does not replace them.
Silicone manages contact and adhesion, not bioburden or heavy exudate. A heavily exuding wound needs the absorbency matched separately, and an infected wound needs an antimicrobial dressing. Silicone is also not indicated on a wound needing debridement.
Stocked brands include Biatain Silicone, 3M Tegaderm Silicone, Adaptic Touch and ActivHeal. Selection should be made by a qualified clinician based on the individual wound and the condition of the surrounding skin.
See also foam dressings, adhesive and island dressings and wound dressings, or browse the full wound care range.
Mepilex
SKU: 583500