Aquacel Surgical Dressing after Thigh Lift: A Case–Control Study

Abstract

Background:The postoperative dressing in patients undergoing thigh lift is often difficult, not very resistant to movement, and uncomfortable for the patient, and often exposes surgical site to infection, maceration, or delay in wound healing.Methods:We included 40 patients in a case–control crossover study with no period effects, who were treated both by Aquacel Surgical and a traditional wound dressing. Surveys with a 10-point scale evaluation were used to assess nontraumatic removal level, ease of application, adhesion, and strength of the 2 treatments. We reported the number of days necessary for wound healing, the number of infection cases, and wound-related complications. Costs of the 2 medications were also considered. Ten days after surgery, patients answered a questionnaire with 6 multiple-choice questions to assess comfort, pain at dressing change, pruritus, strength, and number of dressing changes.Results:Compared with controls, surveys revealed Aquacel Surgical to be less traumatic to remove, easier to apply, and to be more adherent and stronger. Significant acceleration of the wound healing was also evident with Aquacel Surgical compared with the traditional dressing. Nonsignificant differences were reported about the risk of infection and wound-related complications between the 2 treatments. A statistical analysis of costs revealed that Aquacel Surgical is significantly more expensive than the traditional medication.Conclusion:We recommend the use of Aquacel Surgical in all the surgery procedures where the risk of wound dehiscence and maceration is high.

An Advanced Surgical Dressing for High-risk Patients Undergoing Breast Cancer Surgery: A Case-control Study

“…Aquacel Ag Surgical is a hydrofiber wound dressing consisting of soft nonwoven sodium carboxymethylcellulose fibers integrated with ionic silver. The hydrofiber constitutes a moisture-retention dressing that forms a gel on contact with wound fluid and has the antimicrobial properties of ionic silver, 11 whereas the hydrocolloid layer Breast provides a waterproof antiviral and antibacterial barrier (when intact and with no leakage). [12][13][14] The aim of this study was to investigate the effect of Aquacel Ag Surgical on the overall surgical site complications in patients with more than three risk factors (or two factors, of which at least one considered at high risk) undergoing surgery for breast cancer, compared with the traditional dressing.…”

“…Aquacel Ag Surgical is a hydrofiber wound dressing consisting of soft nonwoven sodium carboxymethylcellulose fibers integrated with ionic silver. The hydrofiber constitutes a moisture-retention dressing that forms a gel on contact with wound fluid and has the antimicrobial properties of ionic silver, 11 whereas the hydrocolloid layer provides a waterproof antiviral and antibacterial barrier (when intact and with no leakage). 12–14…”