Negative Impact of Postoperative Early Surgical Incision Dressing: A Prospective Observational Study
Journal Title: Istanbul Medical Journal - Year 2019, Vol 20, Issue 4
Abstract
Introduction: Povidone-iodine (Betadine®) is a commonly used solution to prevent surgical site infection in the postoperative period. In this study, time of first dressing after surgery was investigated. Early (second day) povidone-iodine dressing was compared with late (fifth day) dressing in terms of wound healing or inflammation. Methods: The study was conducted in a gynecology clinic between June 2017 and June 2018. The patients who underwent surgery were divided into two groups as early and late dressing. The two groups were compared in terms of wound healing or inflammation. Inflammation was defined as the presence of redness, swelling and serous discharge (non-purulent) at the wound site. Results: The study included 49 women with median incision. Inflammation was observed in 11 patients (22.4%). Mean age (45.7±11.3 vs 49.3±9.5), Body mass index (29.02±5.6 vs 30.89±4.0), rate of diabetic patients (21% vs 36%), rate of hypertensive patients (34% vs 36%), rate of smoking (13% vs 34%), operative time >4 hours (32% vs 63%), and operation category (malign or benign) were not statistically different between patients with normal wound healing and patients with inflammation. Twenty-two patients were dressed with povidone-iodine on postoperative day 2 (early group) and 27 patients were on postoperative day 5 (late group). The incidence of wound inflammation was significantly higher in the early group (11% vs 36%, p=0.035). Conclusion: According to this study, early dressing had no advantage compared to late dressing. In addition, the rate of inflammation in the incision line was higher in the early dressing group. Before epithelialization of the surgical wound is completed, contact of povidone-iodine with the surgical incision wound and subcutaneous penetration of povidone-iodine may adversely affect the wound healing process.
Authors and Affiliations
Alpaslan Kaban, Olcay Seval, Karolin Ohanoğlu, Işık Kaban, Fatma Ferda Verit
Keywords
Related Articles
- EP ID EP675506
- DOI 10.4274/imj.galenos.2019.92603
- Views 159
- Downloads 0
The Effects of Resistance and Aerobic Exercises on Adiponectin, Insulin Resistance, Lipid Profile and Body Composition in Adolescent Boys with Obesity
Introduction: This present study aimed to examine the effects of long-term resistance exercise (REG) and aerobic exercise (AEG) on the adiponectin, insulin resistance, lipid profile and body composition in adolescent boy...
Association between Mean Platelet Volume and Bone Mineral Density in Rheumatoid Arthritis
Introduction: This study aimed to evaluate the mean platelet volume (MPV) levels in rheumatoid arthritis (RA) and determine whether there is a relationship between MPV and bone mineral density (BMD) measurement. Methods...
Duplex Kidney with a Segmental Solitary Cystic Dysplasia and Ureteric Atresia: A Rare Case
Dysplastic kidney cysts are developmental cysts of the kidney. They are mostly multi-cystic, and usually involve the whole kidney. In addition, the segmental and solitary form is rare. A one-year-old boy with an antenata...
The Outcomes of Cataract Surgery in Small and Normal Pupillary Eyes with Pseudoexfoliation
Introduction: To evaluate the outcomes of cataract surgery and anterior chamber parameters in pseudoexfoliation cases in our clinic. Methods: The patients, who were admitted to our clinic between 01.03.2016 and 01.04.20...
A Simple Technique to Close Peritoneal Tears in Laparoscopic Totally Extraperitoneal Hernioplasty: Extracorporeal Peritoneal Knotting
Introduction: Peritoneal tear (PT) is a common surgical challenge in laparoscopic totally extraperitoneal (TEP) hernioplasty and the most common reason for conversion surgery. It prolongs the operation time and may cause...