A one hospital study of the effect of wound dressings and other related factors on skin blistering following total hip and knee arthroplasty

A review of blisters caused by wound dressing components: Can they impede post-operative rehabilitation and discharge?

“…For example, the incidence of blistering in patients with hip blisters in the United Kingdom has been estimated to be between 13 and 35% (Wright, 1994). An audit of blistering after hip surgery reported the incidence of tape-related injuries as 21.4% (Polatsch et al, 2004), whereas another study, involving the use of a variety of different dressings, reported the incidence of blistering as 13% (Jester et al, 2000). In a prospective study of patients undergoing hip or knee surgery, the post-operative blistering rate ranged from 6% to 24%, depending on the dressing used (Cosker et al, 2005).…”

“…when a patient moves), then the epidermis is held static and movement of sub-epidermal skin components such as the dermis causes mechanical separation at the epidermal-dermal junction, the gap then filling with fluid and forming a sub-epidermal bulla (blister) (Knapik et al, 1995;Geerligs et al, 2011;Guerra and Schwartz, 2012;Hatje et al, 2015). Non-elasticity and poor flexibility of wound dressings have been implicated in the formation of blisters in this way (Jester et al, 2000).…”

“…The site of surgery, the incision depth, age of the patient, nutritional status and the presence of co-morbidities all influence whether patients might acquire an SSI (Olivier et al, 2013). However, the presence of blisters around the incision site have also been identified as a potential site of entry for infectious agents (Jester et al, 2000). In a recent review of the literature the post-operative dressing regimes after hip/knee arthroplasty were evaluated.…”

Apósito posquirúrgico convencional frente a apósito interactivo transparente de cura en ambiente húmedo: evaluación comparativa piloto en pacientes quirúrgicos oncológicos

“…La utilización de apósitos estériles en heridas quirúrgicas suturadas, tradicionalmente de gasa y esparadrapo, está considerada como la conclusión rutinaria de un procedimiento aséptico, cuyo principal objetivo es restringir el acceso de las bacterias a la herida y, por tanto, prevenir su contaminación (9). Sin embargo, este tipo de apósitos también representa un riesgo de desarrollo de flictenas y eritemas relacionados con los adhesivos utilizados para su fijación (10) y con la no elasticidad de los esparadrapos en alteraciones morfológicas como la hinchazón o edemas de la zona perilesional (11,12). Una guía de referencia al respecto es la desarrollada por el National Institute for Health and Clinical Excellence (NICE) (13).…”

A Prospective, Randomised, Controlled Trial Comparing Wound Dressings Used in Hip and Knee Surgery: Aquacel and Tegaderm Versus Cutiplast

“…Wound blistering can lead to complications from superficial infection through to prosthetic implant infection. 6,7 The majority of wounds provide a favourable environment for microbial colonisation. Many of the micro-organisms found in wounds are potential pathogens such as Staphylococcus aureus, Staphylococcus epidermidis, Pseudomonas aeruginosa and Bacteroides spp.…”