Early versus delayed dressing removal after primary closure of clean and clean-contaminated surgical wounds.

The Cochrane Database of Systematic Reviews
Clare D ToonKurinchi Selvan Gurusamy

Abstract

Most surgical procedures involve a cut in the skin that allows the surgeon to gain access to the deeper tissues or organs. Most surgical wounds are closed fully at the end of the procedure (primary closure). The surgeon covers the closed surgical wound with either a dressing or adhesive tape. The dressing can act as a physical barrier to protect the wound until the continuity of the skin is restored (within about 48 hours) and to absorb exudate from the wound, keeping it dry and clean, and preventing bacterial contamination from the external environment. Some studies have found that the moist environment created by some dressings accelerates wound healing, although others believe that the moist environment can be a disadvantage, as excessive exudate can cause maceration (softening and deterioration) of the wound and the surrounding healthy tissue. The utility of dressing surgical wounds beyond 48 hours of surgery is, therefore, controversial. To evaluate the benefits and risks of removing a dressing covering a closed surgical incision site within 48 hours permanently (early dressing removal) or beyond 48 hours of surgery permanently with interim dressing changes allowed (delayed dressing removal), on surgical site infection. In...Continue Reading

References

Oct 1, 1992·International Journal of Epidemiology·D J Newell
Feb 1, 1991·The Journal of Hospital Infection·J J Hutchinson, J C Lawrence
Feb 1, 1989·The British Journal of Surgery·H ChrintzS O Larsen
Nov 1, 1988·The Journal of Investigative Dermatology·M DysonS M Lang
Jan 1, 1987·Postgraduate Medical Journal·N W Law, H Ellis
Sep 1, 1986·Controlled Clinical Trials·R DerSimonian, N Laird
Apr 1, 1985·Journal of the American Academy of Dermatology·P M MertzW H Eaglstein
Apr 1, 1973·Archives of Surgery·R H KeillM S DeWeese
Jul 3, 1967·JAMA : the Journal of the American Medical Association·R H Edwards, D A Killen
Jul 1, 1993·The Journal of Burn Care & Rehabilitation·A R GwosdowL G Berglund
Oct 6, 1997·BMJ : British Medical Journal·M EggerC Minder
Dec 29, 1998·British Journal of Nursing : BJN·P Moore, L Foster
Feb 27, 2001·Statistics in Medicine·P MacaskillL Irwig
Jul 13, 2001·Annales de chirurgie·G Meylan, P Tschantz
Jul 12, 2002·Statistics in Medicine·Julian P T Higgins, Simon G Thompson
Aug 24, 2002·Journal of Wound Care·Keith F Cutting, Richard J White
Dec 24, 2004·Journal of Pediatric Surgery·Jamal M Merei
Aug 22, 2006·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·S RamkumarJ H E Laing
Oct 30, 2007·Journal of Pharmaceutical Sciences·Joshua S BoatengGillian M Eccleston
Mar 14, 2009·The British Journal of Surgery·K S GurusamyB R Davidson
Jun 2, 2009·The Journal of Hospital Infection·E C J BroexF H van Tiel
Sep 18, 2009·Pediatric Surgery International·Zaheer HasanS P Sharma
May 14, 2010·The Cochrane Database of Systematic Reviews·Fausto Biancari, Valentina Tiozzo
Oct 26, 2010·Emergency Medicine Clinics of North America·Carlos F García-GubernMichael C Bond
Nov 13, 2010·British Journal of Nursing : BJN·Fiona DownieRichard Searle
Nov 28, 2013·Systematic Reviews·Joanne E McKenzieDouglas G Altman
Jul 31, 2014·The American Journal of Nursing·Karolina Lisy

❮ Previous
Next ❯

Citations

Jan 26, 2017·The British Journal of Surgery·I B M PloegmakersS O Breukink
Aug 24, 2017·International Orthopaedics·Willem-Jan MetsemakersStefaan Nijs
Dec 26, 2018·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Netanella HeinemannDrorith Hochner-Celnikier
Apr 20, 2018·Deutsches Ärzteblatt International·Wolf O Bechstein

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Cochrane Database of Systematic Reviews
Clare D ToonKurinchi Selvan Gurusamy
The Cochrane Database of Systematic Reviews
Joan Webster, Abdullah Alghamdi
The Cochrane Database of Systematic Reviews
Jo C DumvilleLucy Land
© 2021 Meta ULC. All rights reserved