A Prospective Randomized Trial of Open Wound Treatment vs Occlusive Dressings in Elective Surgical Cases with Respect to Surgical Site Infections
Background: Surgical wounds heal by primary intention in all the elective and emergency surgical procedures. Current practice is to place dressing over the closed wound before the patient leaves the sterile environment of the operating theatre. Dressing is a material applied to protect a wound a...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2015-06-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/6105/13431_CE[Ra]_F(P)_PF1(PAK)_PFA(P)_PF2(PAG).pdf |
| _version_ | 1819054896684466176 |
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| author | Anmol Grover Amandeep Singh D S Sidhu |
| author_facet | Anmol Grover Amandeep Singh D S Sidhu |
| author_sort | Anmol Grover |
| collection | DOAJ |
| description | Background: Surgical wounds heal by primary intention in all the
elective and emergency surgical procedures. Current practice
is to place dressing over the closed wound before the patient
leaves the sterile environment of the operating theatre. Dressing
is a material applied to protect a wound and favour its healing.
However, to leave wound open in direct contact to environment
following any procedure by just applying some ointment on it,
the so called open wound treatment is still controversial one. In
the present study we have compared open wound treatment vs
occlusive dressings in elective surgical cases with respect to
surgical site infections.
Materials and Methods: The present study was conducted on
100 patients admitted for elective general surgery after taking
written informed consent. Patients were divided randomly in to
two equal groups each comprising of 50 patients. In Group A,
patients had occlusive dressing till removal of stitches and in
Group B, patients wounds were kept exposed to environment
after the surgical procedure.
Results: In present study we observed total 7% of postoperative
wounds were infected of all the clean and clean contaminated
wounds we studied. In Group A, patients had occlusive dressing
and these patients had 8% infection rate whereas in Group B
patients, wounds were kept exposed to environment and these
patients had 6% infection rate.
Conclusion: It is hereby concluded that in the elective
surgical cases there is no harm in leaving the wounds open
postoperatively. This method not only helps in arresting the
infective pathology at a lesser stage but also saves surgeon’s
time and patient’s money. |
| first_indexed | 2024-12-21T12:58:55Z |
| format | Article |
| id | doaj.art-564191038e7949adadb729dec8b654e2 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-21T12:58:55Z |
| publishDate | 2015-06-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-564191038e7949adadb729dec8b654e22022-12-21T19:03:15ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-06-0196PC26PC2910.7860/JCDR/2015/13431.6105A Prospective Randomized Trial of Open Wound Treatment vs Occlusive Dressings in Elective Surgical Cases with Respect to Surgical Site InfectionsAnmol Grover0Amandeep Singh1D S Sidhu2Junior Resident, Department of Surgery, Guru Gobind Singh Medical college & Hospital, Faridkot, Punjab, India.Assistant Professor, Department of Surgery, Guru Gobind Singh Medical college & Hospital, Faridkot, Punjab, India.Professor and Head, Department of Surgery, Guru Gobind Singh Medical college & Hospital, Faridkot, Punjab, India.Background: Surgical wounds heal by primary intention in all the elective and emergency surgical procedures. Current practice is to place dressing over the closed wound before the patient leaves the sterile environment of the operating theatre. Dressing is a material applied to protect a wound and favour its healing. However, to leave wound open in direct contact to environment following any procedure by just applying some ointment on it, the so called open wound treatment is still controversial one. In the present study we have compared open wound treatment vs occlusive dressings in elective surgical cases with respect to surgical site infections. Materials and Methods: The present study was conducted on 100 patients admitted for elective general surgery after taking written informed consent. Patients were divided randomly in to two equal groups each comprising of 50 patients. In Group A, patients had occlusive dressing till removal of stitches and in Group B, patients wounds were kept exposed to environment after the surgical procedure. Results: In present study we observed total 7% of postoperative wounds were infected of all the clean and clean contaminated wounds we studied. In Group A, patients had occlusive dressing and these patients had 8% infection rate whereas in Group B patients, wounds were kept exposed to environment and these patients had 6% infection rate. Conclusion: It is hereby concluded that in the elective surgical cases there is no harm in leaving the wounds open postoperatively. This method not only helps in arresting the infective pathology at a lesser stage but also saves surgeon’s time and patient’s money.https://jcdr.net/articles/PDF/6105/13431_CE[Ra]_F(P)_PF1(PAK)_PFA(P)_PF2(PAG).pdfdressinginfectionsurgical wound |
| spellingShingle | Anmol Grover Amandeep Singh D S Sidhu A Prospective Randomized Trial of Open Wound Treatment vs Occlusive Dressings in Elective Surgical Cases with Respect to Surgical Site Infections Journal of Clinical and Diagnostic Research dressing infection surgical wound |
| title | A Prospective Randomized Trial of Open Wound Treatment vs Occlusive Dressings in Elective Surgical Cases with Respect to Surgical Site Infections |
| title_full | A Prospective Randomized Trial of Open Wound Treatment vs Occlusive Dressings in Elective Surgical Cases with Respect to Surgical Site Infections |
| title_fullStr | A Prospective Randomized Trial of Open Wound Treatment vs Occlusive Dressings in Elective Surgical Cases with Respect to Surgical Site Infections |
| title_full_unstemmed | A Prospective Randomized Trial of Open Wound Treatment vs Occlusive Dressings in Elective Surgical Cases with Respect to Surgical Site Infections |
| title_short | A Prospective Randomized Trial of Open Wound Treatment vs Occlusive Dressings in Elective Surgical Cases with Respect to Surgical Site Infections |
| title_sort | prospective randomized trial of open wound treatment vs occlusive dressings in elective surgical cases with respect to surgical site infections |
| topic | dressing infection surgical wound |
| url | https://jcdr.net/articles/PDF/6105/13431_CE[Ra]_F(P)_PF1(PAK)_PFA(P)_PF2(PAG).pdf |
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