Objective: To critically review the literature on the ef- ficacy of modern dressings in healing chronic and acute wounds by secondary intention. Data Sources: Search of 3 databases (MEDLINE, EMBASE, and the Cochrane Controlled Clinical Trials Register) from January 1990 to June 2006, completed by manual research, for articles in English and in French. Conclusions: Our systematic review provided only weak levels of evidence on the clinical efficacy of modern dress- ings compared with saline or paraffin gauze in terms of healing, with the exception of hydrocolloids.
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