The management of operative wounds in most surgical procedures is important in preventing many complications, most notably, infection.
Among most surgical subspecialties, postsurgical dressings vary in type of materials utitlized as well as duration left in place.
The authors propose that the contempory method of postoperative wound management (i.e., dressings left in place until sutures are removed) is overly conservative when dealing with the uncomplicated patient population.
This study involves 100 patients who underwent forefoot, rearfoot, or ankle procedures in which skin incisions were made on nonweightbearing surfaces and percutaneous pins, external fixators, or casts were not utilized.
All wounds were considered clean and patients displayed an uncomplicated medical history.
Postoperatively, the patients were treated by an early exposure method (i.e., the wounds were left undressed on the 4th postoperative day and patients were allowed to bathe in their usual manner).
Patients returned on postoperative day 10-14 at which time sutures were removed.
Wounds were inspected up to 12 weeks following surgery.
An infected wound was defined by the presence of cellulitis or lymphangitis or by the secretion of purulence from the incision line.
The incidence of wound infection was 1.0%. (...)
Mots-clés Pascal : Chirurgie orthopédique, Pied, Etude longitudinale, Plaie chirurgicale, Traitement, Technique, Prévention, Complication, Postopératoire, Infection, Homme, Incidence, Epidémiologie, Suture chirurgicale, Peau pathologie
Mots-clés Pascal anglais : Orthopedic surgery, Foot, Follow up study, Surgical wound, Treatment, Technique, Prevention, Complication, Postoperative, Infection, Human, Incidence, Epidemiology, Suturation, Skin disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0409586
Code Inist : 002B25I. Création : 25/01/1999.