Abstract
In human history, new ideas and concepts in science may result in new achievements for the benfit of patients, but in some instances, these achievements may produce contrary results, such as disadvantages or hazards. One such idea is the concept of faster and more comfortable wound healing under a moist dressing. Every nursing school in the developed world will teach this as one of modern dogmas. The truth is that Winter in 1962 published an article in Nature on faster epithelialization of superficial wound in the domestic pig when covered by a foil dressing. He investigated acute and superficial wounds of hairy skin. The situation in chronic, nonhealing, inflamed, and deep wounds on hairy and nonhairy skin is not the same. This has been forgotten widely in marketing the concept of moist wound healing. Indeed, in many chronic type wounds, such as diabetic foot ulcers or venous leg ulcers, there is such an amount of moisture (discharge) that it threatens the epidermal integrity of the surrounding skin. A number of positive effects of moist wound healing have been described, which are of potential interest in chronic wounds:
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