A composite wound dressing includes an absorbent portion coupled to the vapor permeable backing with a first adhesive and a wound contact portion having a first portion coupled to the absorbent portion with a second adhesive, and the wound contact portion having a second portion coupled to the vapor permeable backing with the first adhesive is disclosed. Further a skin securement portion coupled to the backing portion with the first adhesive, the skin securement portion including a semi-self adherent adhesive, and a void having a first size, wherein at least a portion of absorbent is accessible through the void. The wound contact portion has a size greater than the first size of the void.
