Cotton ball-vacuum compression for dressing small wounds

Hahm, Sae J.; Burd, Randall S.

doi:10.1007/s00383-003-1045-y

Cited by 5 publications

(4 citation statements)

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“…6,7,16 Its suggested properties are comparable to the well-studied mechanism of action of commercial wound vacuum devices for accelerated wound healing and decreased infection rates in selected wounds. These mechanisms of action, observed from −25 to −150 mm Hg, are attributed to increased blood flow, promotion of angiogenesis, induction of cell proliferation, and possibly bacterial clearance.…”

Section: Discussionmentioning

confidence: 70%

Umbilical Negative Pressure Dressing for Transumbilical Appendectomy in Childern

Seifarth

Kundu

Guerrón

et al. 2016

JSLS

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Background and Objectives:Transumbilical laparoscopic-assisted appendectomy (TULAA) carries a high risk for surgical site infection. We investigated the effect of a bio-occlusive umbilical vacuum dressing on wound infection rates after TULAA for patients with acute appendicitis and compared to it with a conventional 3-port appendectomy with a nonvacuum dressing.Methods:This study was a retrospective chart review of 1377 patients (2–20 years) undergoing laparoscopic appendectomy for acute appendicitis in 2 tertiary care referral centers from January 2007 through December 2012. Twenty-two different operative technique/dressing variations were documented. The 6 technique/dressing groups with >50 patients were assessed, including a total of 1283 patients.Results:The surgical site infection rate of the 220 patients treated with TULAA and application of an umbilical vacuum dressing with dry gauze is 1.8% (95% CI, 0.0–10.3%). This compares to an infection rate of 4.1% (95% CI, 1.3–10.5%) in 97 patients with dry dressing without vacuum. In the 395 patients who received an umbilical vacuum dressing with gauze and bacitracin, the surgical site infection rate was found to be 4.3% (95% CI, 2.7–6.8%).Conclusions:Application of an umbilical negative-pressure dressing with dry gauze lowers the rate of umbilical site infections in patients undergoing transumbilical laparoscopic-assisted appendectomy for acute appendicitis.

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Section: Discussionmentioning

confidence: 70%

Umbilical Negative Pressure Dressing for Transumbilical Appendectomy in Childern

Seifarth

Kundu

Guerrón

et al. 2016

JSLS

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“…3 The authors modified the dressing by replacing the moist, absorbent cotton with dry gauze. Cotton tends to partially disintegrate into the wound ( Figures 1Y3).…”

Section: Discussionmentioning

confidence: 99%

A Simple Postoperative Umbilical Negative-Pressure Dressing

Seifarth

Knight

2013

Advances in Skin &Amp; Wound Care

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“…To overcome this problem a new technique of cotton ball-vacuum compression has been described following umbilical hernia repair [4]. It is supposed to work in a similar way to the vacuum-assisted closure devices that creates a subatmospheric pressure in large wounds.…”

Section: Discussionmentioning

confidence: 99%

Umbilical hernia repair in children: is pressure dressing necessary

Merei

2006

Ped Surgery Int

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The use of pressure dressing to cover the sutured surgical wound is usually considered a routine conclusion to the repair of umbilical hernias in children. The wound is usually left dressed for a minimum of 5-7 days. The main purpose of pressure dressing is prevention of a hematoma formation. The aim of this study was to compare the surgical outcome after umbilical hernia repair in children when the wounds were covered using pressure dressing or left exposed without dressing after the completion of wound closure. Ninety-six patients with umbilical hernia repair were prospectively randomized to receive pressure dressing (n=52) or have their wounds left exposed without any dressing (n=44) after the completion of wound closure. None of the hernias were huge umbilical hernia and none required an umbilicoplasty. In the group who received pressure dressing, one patient developed wound infection 1.9% while no patients developed wound infection in the group who had their wounds exposed without any dressing. In children, there was no significant difference in terms of wound infection, hematoma or seroma formation and recurrence rate after applying pressure dressing or leaving the surgical wounds exposed without any dressing after completion of wound closure. Pressure dressing after umbilical hernia repair may be unnecessary.

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Cotton ball-vacuum compression for dressing small wounds

Cited by 5 publications

References 0 publications

Umbilical Negative Pressure Dressing for Transumbilical Appendectomy in Childern

Umbilical Negative Pressure Dressing for Transumbilical Appendectomy in Childern

A Simple Postoperative Umbilical Negative-Pressure Dressing

Umbilical hernia repair in children: is pressure dressing necessary

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