Dressing Wear Time after Breast Reconstruction: A Randomized Clinical Trial

Abstract

BackgroundThe evidence to support dressing standards for breast surgery wounds is empiric and scarce.ObjectiveThis two-arm randomized clinical trial was designed to assess the effect of dressing wear time on surgical site infection (SSI) rates, skin colonization and patient perceptions.MethodsA total of 200 breast cancer patients undergoing breast reconstruction were prospectively enrolled. Patients were randomly allocated to group I (dressing removed on the first postoperative day, n = 100) or group II (dressing removed on the sixth postoperative day, n = 100). SSIs were defined and classified according to criteria from the Centers for Disease Control and Prevention. Samples collected before placing the dressing and after 1 day (group I) and 6 days (both groups) were cultured for skin colonization assessments. Patients preferences and perceptions with regard to safety, comfort and convenience were recorded and analyzed.ResultsA total of 186 patients completed the follow-up. The global SSI rate was 4.5%. Six patients in group I and three in group II had SSI (p = 0.497). Before dressing, the groups were similar with regard to skin colonization. At the sixth day, there was a higher colonization by coagulase-negative staphylococci in group I (p<0.0001). Patients preferred to keep dressing for six days (p<0.0001), and considered this a safer choice (p<0.05).ConclusionsDespite group I had a higher skin colonization by coagulase-negative staphylococci on the sixth postoperative day, there was no difference in SSI rates. Patients preferred keeping dressing for six days and considered it a safer choice.Trial RegistrationClinicalTrials.gov NCT01148823

Hydrocolloid dressing versus conventional wound care after dermatologic surgery

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Comparison of early and delayed removal of dressing following primary closure of clean and contaminated surgical wounds: A systematic review and meta-analysis of randomized controlled trials

“…. All 10 included studies reported on the surgical site infection in both arms (13,(15)(16)(17)(18)(19)(20)(21)(22)(23). The pooled RR was 0.89 (95% CI: 0.61 to 1.29) (Fig.…”

“…Patient's perception on comfort. Two studies have reported on the patient's perception on comfort following early or delayed removal of dressing for surgical wounds (21,22). The pooled RR was 0.95 (95% CI: 0.74 to 1.22) (Fig.…”

Curativo na ferida operatória para prevenção da infecção de sítio cirúrgico em pacientes adultos oncológicos: revisão sistemática

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“…Quadro 9 -Apresentação da síntese do estudo Veiga et al (2016). Ribeirão Preto, São Paulo, Brasil, 2021.…”