Duration of smoking cessation for the prevention of surgical wound healing complications

Abstract

The study aimed to find scientific evidence about the duration of preoperative smoking cessation required to reduce surgical wound healing complications. An integrative review was performed in the databases, Latin American and Caribbean Literature on Health Sciences (LILACS) and Medical Literature Analysis and Retrieval System Online (MEDLINE), from 08/17/2012 to 09/17/2012, using the keywords: tobacco use cessation and wound healing; tobacco use cessation and preoperative period; tobacco use cessation and perioperative period (LILACS) and tobacco use cessation and perioperative period; tobacco use cessation and wound healing (MEDLINE). Out of the 81 eligible studies, 12 were included. The duration of smoking cessation needed to reduce healing complications was at least four weeks (four studies with level of evidence I, three studies with level of evidence II, two studies with level of evidence IV, and one study with level of evidence VII).

Factors associated with complex surgical wounds in breast and abdomen: a case-control observational study

“…Strict knowledge of risk factors for surgical wound complications in breast and abdominal regions contributes to better systematization of care and planning of therapeutic strategies, including greater caution for certain types of surgery, as well as, chronic conditions, exposure to radiotherapy, instructional level and possible social vulnerability for people at productive age. Furthermore, although the present study did not identify an association between obesity and smoking, previous research has shown that weight reduction 13 and smoking cessation 37 favor the healing process of the wound. In this sense, care must be based on a holistic, patient-centered approach 13 .…”

Incidência de infecção de sí­tio cirúrgico em um hospital do interior de Rondônia

“…O tabaco aumenta o risco de infecção do sítio cirúrgico, retarda o processo de cicatrização e ainda tem a capacidade de aumentar as deiscências de sutura. Sendo essenciais orientações em relação à suspensão do fumo no período pré-operatório [12].…”

Aseptic surgical preparation for upper eyelid blepharoplasty via full‐face octenidine antiseptic without antibiotic medication shows effective prophylaxis against post‐surgical wound infection

“…These data support manifold studies documenting unfavourable wound‐healing processes in smokers . Although not statistically significant in our population, it may be worth considering a strong recommendation of smoking cessation after upper eyelid surgery to promote a more satisfactory aesthetic outcome .…”