E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research (Original Article) 


CLINICAL EVALUATION OF EFFECT OF EARLY EXPOSURE OF WOUNDS AFTER MINOR SURGICAL PROCEDURES

Annand Bansal, Rajesh Godara, Talo Millo, Rathindra Tripura, Jai Karan.

Abstract
Application of dressings to surgical wounds is a custom as old as history and has become a ritual marking the completion of surgery. Under certain circumstances a surgical dressing might in fact predispose to the development of wound infection. This study evaluates clinical outcome of clean minor surgical wounds without use of surgical dressing. Material and methods: 100 consecutive patients presenting on an outpatient basis for minor soft tissue surgical procedures were studied with respect to wound infection and wound disruption due to avoidance of post operative surgical dressings. Observations:There was only one case of wound infection which subsequently developed wound dehiscence as well. Conclusion: The results suggest that in clean surgical wounds where good haemostasis, optimal coaptation of wound margins and gentle handling of tissue are achieved, there is no increase in the wound complications with respect to wound infection and wound dehiscence when the dressings are removed early and wounds allowed to heal.

Key words: wound,early exposure, surgical procedures


 
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REFERENCES
1. Lionelli GT, Lawrence WT. Wound dressings. SurgClin N Am 2003;83:617-38
2. Forrest RD. The Early history of wound treatment. J Royal Soc Med 1982;75:198-205 [Pubmed]    [PMC Free Fulltext]   
3. Merei JM. Pediatric clean surgical woundsis dressing necessary. J Pediatric Surg 2004;39:1871-3 [DOI via Crossref]   
4. Heifetz CJ, LawrenceMS, Richards FO.Comparison of wound healing with and without dressings. Arch Surg 1952;65:736-51 [DOI via Crossref]   
5. Handfield-Jones S E, Grattan C E H, Simpson R A, Kennedy C T C. Comparison of a hydrocolloid dressing and paraffin gauze in the treatment of venous ulcers. Br J Dermatol. 1988;118:425–427 [DOI via Crossref]    [Pubmed]   
6. MacLaren IF. Simplified wound care. J Roy Coll Surg Edinb 1963;9:61-5 [Pubmed]   
7. Heifetz CJ, Richards FO, Lawrence MS. Wound healing with dressings. Arch Surg 1953;67:661-9 [DOI via Crossref]   
8. Ovington L. The art and science of wound dressings in the twenty-fist century. In: Falabella AF, Kisner RS, editors. Wound Healing. 1st ed. USA: Taylor and Fransis Group; 2005.p.587-8
9. Borkar NB, Khubalkar MV. Are postoperative dressings necessary? J Wound Care 2011;20:301 [DOI via Crossref]    [Pubmed]   
10. Weiss Y. Simplified management of operative wounds by early exposure.Int Surg 1983;68 :237-40 [Pubmed]   
11. Winston KR, McBride LA, Dudekula A. Bandages, dressings, and cranial neurosurgery. J Neurosurg 2007;106:450-4 [DOI via Crossref]   
12. Kleitsch WP, Reiser HG. The open treatment of surgical wounds. Am J Surg 1954;88:609-12 [DOI via Crossref]   
13. Palumbo LT, Monnig PJ, Wilkinson DE.Healing of clean surgical wounds of thorax and abdomen with or without dressings. JAMA 1956;160:553-5 [DOI via Crossref]   
14. Chsintz H, Vibits H, Cordtz TO, Harreby JS, Waaddegaard P, Larsen SO. Need for surgical wound dressing. Br J Surg 1989;76:204-5 [DOI via Crossref]   
15. Meylan G, Tschantz P. Surgical wound with or without dressings. Prospective comparative study. Ann Chir 2001;126:459-62 [DOI via Crossref]   
16. DossehEacuteKoue D, Doleaglenou A, Fortey YK, AyiteAe. Randomized trial comparing dressing to no dressing of surgical wounds in a tropical setting. J Chir 2008;145:143-6
17. Goldberg HM, Rosenthal SA, Nemetz JC. Effect of washing closed head and neck wounds on wound healing and infection. Am J Surg 1981;141:358-9 [DOI via Crossref]   
18. Noe JM, Keller M. Can stitches get wet? Plast Reconst Surg 1988;81:82-4 [Pubmed]   
19. Koninger J, Russ M, Schmidt R, Feilhauer K, Butters M. Postoperative wound healing in wound-water contact. Zentralbl Chir 2000;125:157-60 [Pubmed]   
20. Eugene CJ, Daniel VW. Wound care after posterior spinal surgery: disease early bathing affect the rate of wound complications? Spine 1996;21:2160-2 [DOI via Crossref]   
21. Heal C, Buettner P, Raasch B, Browning S, Graham D, Bidgood R, et al. Can sutures get wet? Prospective randomized controlled trial of wound management in general practice. Br Med J 2006;332:1053-4 [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   

How to Cite this Article
Pubmed Style

Annand Bansal, Rajesh Godara, Talo Millo, Rathindra Tripura, Jai Karan. CLINICAL EVALUATION OF EFFECT OF EARLY EXPOSURE OF WOUNDS AFTER MINOR SURGICAL PROCEDURES. Int J Surg Med. 2015; 1(2): 67-71. doi:10.5455/ijsm.20150809040828


Web Style

Annand Bansal, Rajesh Godara, Talo Millo, Rathindra Tripura, Jai Karan. CLINICAL EVALUATION OF EFFECT OF EARLY EXPOSURE OF WOUNDS AFTER MINOR SURGICAL PROCEDURES. http://www.ejos.org/?mno=196604 [Access: October 13, 2019]. doi:10.5455/ijsm.20150809040828


AMA (American Medical Association) Style

Annand Bansal, Rajesh Godara, Talo Millo, Rathindra Tripura, Jai Karan. CLINICAL EVALUATION OF EFFECT OF EARLY EXPOSURE OF WOUNDS AFTER MINOR SURGICAL PROCEDURES. Int J Surg Med. 2015; 1(2): 67-71. doi:10.5455/ijsm.20150809040828



Vancouver/ICMJE Style

Annand Bansal, Rajesh Godara, Talo Millo, Rathindra Tripura, Jai Karan. CLINICAL EVALUATION OF EFFECT OF EARLY EXPOSURE OF WOUNDS AFTER MINOR SURGICAL PROCEDURES. Int J Surg Med. (2015), [cited October 13, 2019]; 1(2): 67-71. doi:10.5455/ijsm.20150809040828



Harvard Style

Annand Bansal, Rajesh Godara, Talo Millo, Rathindra Tripura, Jai Karan (2015) CLINICAL EVALUATION OF EFFECT OF EARLY EXPOSURE OF WOUNDS AFTER MINOR SURGICAL PROCEDURES. Int J Surg Med, 1 (2), 67-71. doi:10.5455/ijsm.20150809040828



Turabian Style

Annand Bansal, Rajesh Godara, Talo Millo, Rathindra Tripura, Jai Karan. 2015. CLINICAL EVALUATION OF EFFECT OF EARLY EXPOSURE OF WOUNDS AFTER MINOR SURGICAL PROCEDURES. International Journal of Surgery and Medicine, 1 (2), 67-71. doi:10.5455/ijsm.20150809040828



Chicago Style

Annand Bansal, Rajesh Godara, Talo Millo, Rathindra Tripura, Jai Karan. "CLINICAL EVALUATION OF EFFECT OF EARLY EXPOSURE OF WOUNDS AFTER MINOR SURGICAL PROCEDURES." International Journal of Surgery and Medicine 1 (2015), 67-71. doi:10.5455/ijsm.20150809040828



MLA (The Modern Language Association) Style

Annand Bansal, Rajesh Godara, Talo Millo, Rathindra Tripura, Jai Karan. "CLINICAL EVALUATION OF EFFECT OF EARLY EXPOSURE OF WOUNDS AFTER MINOR SURGICAL PROCEDURES." International Journal of Surgery and Medicine 1.2 (2015), 67-71. Print. doi:10.5455/ijsm.20150809040828



APA (American Psychological Association) Style

Annand Bansal, Rajesh Godara, Talo Millo, Rathindra Tripura, Jai Karan (2015) CLINICAL EVALUATION OF EFFECT OF EARLY EXPOSURE OF WOUNDS AFTER MINOR SURGICAL PROCEDURES. International Journal of Surgery and Medicine, 1 (2), 67-71. doi:10.5455/ijsm.20150809040828