Impervious wound-edge protector to reduce postoperative wound infection: a randomised, controlled trial
1999; Elsevier BV; Volume: 353; Issue: 9164 Linguagem: Inglês
10.1016/s0140-6736(99)00950-2
ISSN1474-547X
AutoresS. Sookhai, H. P. Redmond, Joseph Deasy,
Tópico(s)Pressure Ulcer Prevention and Management
ResumoSurgical wound infections are a major source of postoperative morbidity and additional cost of postoperative care. During a 10-year infection-surveillance programme at Minneapolis Veterans Administration Medical Center in the USA, there was a 2·5% overall postoperative wound infection rate, consistent with previous reports. 1 Olson MM Lee JT Continuous, 10-year wound infection surveillance-results, advantages, and unanswered questions. Arch Surg. 1990; 125: 794-803 Crossref PubMed Scopus (225) Google Scholar Davey et al report an additional cost of US$2106 per patient with a postoperative wound infection after colonic surgery. 2 Davey PG Nathwani D What is the value of preventing postoperative infections?. New Horiz. 1998; 6: S64-S71 PubMed Google Scholar It has been shown that the use of a plastic wound drape does not reduce wound contamination or infection. 3 Nystrom PO Broome A Hojer H Ling L A controlled trial of a plastic wound ring drape to prevent contamination and infection in colorectal surgery. Dis Colon Rectum. 1984; 27: 451-453 Crossref PubMed Scopus (29) Google Scholar The use of an impervious wound-edge protector has been shown to reduce postoperative wound infections. This protector consists of an impermeable plastic drape with four adhesive patches that fits onto the abdomen. There is a hole in the middle with a semi-rigid plastic ring that fits into the abdominal wound and protects the wound edge from contact with viscera, visceral contents, contaminated instruments, and gloves. There has been no prospective, randomised, controlled trials evaluating the impervious wound edge protector.
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