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1. (WO2015177540) COMPOSITIONS ET PANSEMENTS D'HYDROGEL À OUVERTURES
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1. A composition comprising:

a layer of water-swellable hydrogel, wherein the hydrogel has embedded therein a reinforcement sheet of iiquid-water-permeab!e material,

wherein the layer of hydrogel has a wound-facing side and a non-wound-facing side and apertures extend through the layer of hydrogel from the wound-facing side to the non-wound-facing side and through the reinforcement sheet,

wherein the mean area of the apertures on at least one of the wound-facing side and non-wound-facing side of the hydrogel is at least 5 mm2.

2. The composition according to claim 1 , wherein the mean area of the apertures on at least one of the wound-facing side and non-wound-facing side of the layer of hydrogel is at least 10 mm2,

3. The composition according to claim 1 , wherein the mean area of the apertures on at least one of the wound-facing side and non-wound-facing side of the layer of hydrogel is at least 20 mm2.

4. The composition according to claim , wherein the mean area of the apertures on at least one of the wound-facing side and non-wound-facing side of the layer of hydrogel is at least 20 mm2 to 50 mm2.

5. The composition according to any one of the preceding claims, wherein the total area occupied by the apertures on the wound-facing side and/or non-wound-facing side of the layer of hydrogel is 60% or less of the total area of the layer of hydrogel.

6. The composition according to any one of the preceding claims, wherein the layer of hydrogel has from about 1 to about 5 apertures per square 10 cm of the wound-facing side and/or non-wound-facing side.

7. The composition according to any one of the preceding claims, wherein a polymeric film is disposed over the non-wound-facing side of the layer of hydrogel, the film having an MVTR of at least 100 g/m2/24 hours, measured in accordance with BS EN 13726-2:2002.

8. The composition according to any one of the preceding claims, wherein the mean area of the apertures on at least one of the wound-facing side and non-wound-facing side of the layer of hydrogel is at least 0 mm2,

the layer of hydrogel has from about 1 to about 5 apertures per square 10 cm of the wound-facing side and/or non-wound-facing side,

the hydrogel is an ionic hydrogel, and

a polymeric film is disposed over the non-wound-facing side of the layer of hydrogel, the film having an MVTR of at least 100 g/m2/24 hours, measured in accordance with BS EN 13726-2:2002.

9. The composition according to claim 7 or claim 8, wherein the polymeric film has an MVTR of from 1000 g/m2/24 hours to 3000 g/m2/24 hours, measured in accordance with BS EN 13726-2:2002.

10. The composition according to any one of claims 7 to 9, wherein the polymeric film is continuous in that it extends over and covers each of the apertures in the layer of hydrogel.

1 1. The composition according to any one of claims 7 to 10, wherein an absorbent layer is disposed between the layer of hydrogel and the polymeric film.

12. The composition according to claim 11 , wherein the absorbent layer comprises a foamed hydrophilic material.

13. The composition according to claim 12, wherein the foamed hydrophilic material is selected from a foamed polyurethane and a foamed hydrogel.

14. The composition according to any one of claims 7 to 9, wherein a further polymeric film is disposed over and in contact with the non-wound-facing side of the layer of hydrogel, the further polymeric film having an MVTR of at least 100 g/m2/24 hours, measured in accordance with BS EN 13726-2:2002, and the polymeric films are adhered together by a layer of adhesive.

15. The composition according to claim 14, wherein the further polymeric film has apertures therein, at least some of which overlie the apertures in the layer of hydrogel, and the polymeric film disposed further away from the non-wound-facing side of the

layer of hydrogel Is continuous in that it extends over and covers each of the apertures in the layer of hydrogel and/or the further polymeric layer.

18, The composition according to claim 15, wherein the layer of adhesive has apertures therein, at least some of which overlie the apertures in the layer of hydrogel and/or the apertures of the further polymeric film.

17. The composition according to any one of the preceding claims, wherein the layer of hydrogel is 3 mm or less in thickness, measured from the wound-facing side to the non-wound-facing side.

18. A method of forming a composition comprising:

providing a layer of water-sweliabie hydrogel, wherein the hydrogel has embedded therein a reinforcement sheet of liquid water-permeable material, the layer of hydrogel having a wound-facing side and a non-wound-facing side;

cutting apertures through the layer of water-sweilabie hydrogel and the reinforcement sheet embedded therein to form apertures that extend through the layer of hydrogel from the wound-facing side to the non-wound-facing side and through the reinforcement sheet,

wherein the mean area of the apertures on at least one of the wound-facing side and non-wound-facing side of the hydrogel is at least 5 mm2.

19. The method according to claim 18, wherein the method involves die cutting the apertures.

20. The method according to claim 18 or claim 19, wherein the method further involves placing a continuous polymeric film over the non-wound-facing side of the layer of hydrogel, the film having an VTR of at least 100 g/m /24 hours, measured in accordance with BS EN 13726-2:2002, wherein the polymeric film is continuous in that it extends over and covers each of the apertures in the layer of hydrogel.

21. The method according to claim 18, wherein the method involves placing a polymeric film over the non-wound-facing side of the layer of hydrogel, the film having an MVTR of at least 100 g/m2/24 hours, measured in accordance with BS EN 13726-2:2002, wherein either the polymeric film is placed over the non-wound-facing side of the layer of hydrogel before the cutting of the apertures in the layer of hydrogel and apertures are cut in both the polymeric film and the layer of hydrogel or the polymeric film is placed over the non-wound-facing side of the layer of hydrogel after the cutting of the apertures in the layer of hydrogel and the polymeric film has apertures therethrough, at least some of which overlie the apertures of the layer of hydrogel.

22. The method according to claim 21 , wherein the method further involves adhering a continuous polymeric film to the apertured polymeric film, the continuous polymeric film having an VTR of at least 100 g/m2/24 hours, measured in accordance with BS EN 13726-2:2002, wherein the polymeric film is continuous in that it extends over and covers each of the apertures in the layer of hydrogel and/or the apertured polymeric film.

23. The method according to claim 22, wherein the continuous polymeric film is adhered to the apertured polymeric film by means of a layer of adhesive, the layer of adhesive has apertures therein, at least some of which overlie the apertures in the layer of hydrogel and/or the apertures of the apertured polymeric film.

24. The method according to claim 23, wherein the continuous polymeric film is adhered to the apertured polymeric film by means of a layer of adhesive, the layer of adhesive being present on the polymeric film that is placed over the non-wound-facing side of the layer of hydrogel at the time at which holes are cut in the polymeric film, the holes being cut in both the polymeric film and the adhesive.

25. The method according to claim 18 or claim 19, wherein the method further involves placing an absorbent layer and a polymeric film over the non-wound-facing side of the layer of hydrogel, the film having an MVTR of at least 100 g/m2/24 hours, measured in accordance with BS EN 13726-2:2002, the absorbent layer being disposed closer to the non-wound-facing side of the layer of hydrogel than the polymeric film.