Effect of washing closed head and neck wounds on wound healing and infection

Goldberg, H. M.; Rosenthal, S. A.; Nemetz, J. C.

doi:10.1097/00006534-198109000-00129

Cited by 4 publications

(18 citation statements)

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“…1,22,24 In our study, patients began showering 48 hours after surgery because most of the patients (416/444, 94%) had lung or thyroid surgeries for which drainage tubes were required. Showering before removal of drainage tubes remains a concern and was not evaluated in this study.…”

Section: Discussionmentioning

confidence: 80%

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Postoperative Showering for Clean and Clean-contaminated Wounds

Hsieh

Chen

et al. 2016

Annals of Surgery

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Section: Discussionmentioning

confidence: 80%

“…[21][22][23][24][25][26] One metaanalysis of wound dressing also concluded that infection rates did not differ between dressed or exposed wounds. 27 Nonetheless, the effects of showering and uncovered wounds on lung tumor surgeries have rarely been investigated.…”

Section: Discussionmentioning

confidence: 99%

Postoperative Showering for Clean and Clean-contaminated Wounds

Hsieh

Chen

et al. 2016

Annals of Surgery

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“…The 9 studies in our review included 5 prospective randomized trials, 1 of which was a multicenter trial, 1 prospective cohort of 100 patients with a historical control group, and 3 prospective case series without a control group. These 9 studies revealed that showering or bathing an incision had no bearing on the rate of infection (3,(5)(6)(7)(8)(9)(10)(11)(12). The evidence reviewed suggests that early bathing or showering of surgical wound incisions does not pose a risk of infection.…”

Section: Discussionmentioning

confidence: 99%

“…Additional studies are needed to assess whether various suture materials might play a role in the risk of infection when washing is permitted after surgery. Of the included studies, 4 used nylon sutures, 2 used either stainless steel staples or sutures and clips, 1 used polypropylene sutures, 1 used a combination of absorbable and nonabsorbable sutures, and 1 did not mention the suture in their Methods section (3,(5)(6)(7)(8)(9)(10)(11)(12). Other possible considerations include the nutritional status of the patient, immunosuppression, corticosteroids, the rate of perfusion to the wounded area, and so forth.…”

Section: Discussionmentioning

confidence: 99%

“…Allowing patients to bathe or shower as part of their normal daily hygiene in the early period after surgical procedures, although not common in foot and ankle surgical practice, has also been studied. These studies have indicated that minimal to no risk of increased surgical site infection exists after a variety of surgical procedures (3,(5)(6)(7)(8)(9)(10)(11)(12). Despite this evidence, surgeons have tended to follow the classic teaching of dry surgical wound care.…”

Section: Introductionmentioning

confidence: 99%

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Does Postoperative Showering or Bathing of a Surgical Site Increase the Incidence of Infection? A Systematic Review of the Literature

Dayton

Feilmeier

Sedberry

2013

The Journal of Foot and Ankle Surgery

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Postoperative Care of the Facial Laceration

Medel

Panchal

Ellis

2010

Craniomaxillofacial Trauma & Reconstruction

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The purpose of this investigation is to examine factors involved in the postoperative care of traumatic lacerations. An evidence-based comprehensive literature review was conducted. There are a limited number of scientifically proven studies that guide surgeons and emergency room physicians on postoperative care. Randomized controlled trials must be conducted to further standardize the postoperative protocol for simple facial lacerations.KEYWORDS: Laceration, wound closure, postoperative careThe management of facial lacerations is common for surgeons who take trauma call at their local hospitals and for emergency room physicians. In fact, we have more calls to the emergency rooms for treatment of soft tissue injuries at our hospitals than we do for bony injuries. Because of the visibility of the face, it should not be surprising that much attention has been given to the technique(s) for the closure of traumatic facial lacerations. Studies are plentiful that evaluate a host of factors, such as methods of cleansing and debridement, types of sutures, layered versus nonlayered closure, use of adhesives rather than sutures, and so on. There is a paucity of information, however, about what to do after the laceration has been closed. Most texts on the management of facial injuries mention very little regarding this topic.Most of the aftercare recommended for facial lacerations seems to be based upon the varied opinions of the individual surgeon rather than on scientific factors. In fact, there seems to be no consensus, and often what is recommended by one surgeon is castigated by another.The purpose of this article is to examine the factors involved in postoperative care of traumatic lacerations. We have tried to identify the most scientific information available to make treatment recommendations, but it should be realized that good evidence for much of what is currently being done is not based on science, and just as importantly, there is not much science on this topic to guide the clinician. Although we are discussing the treatment of traumatic facial lacerations, much of the studies that are available have been performed on lacerations elsewhere in the body. However, there is no reason to believe that they aren't applicable the facial region. The information presented here should also apply to incisions made on the face for any reason. SURGICAL TAPESurgical tape to reinforce sutured lacerations at the time of closure and after suture removal is often used as adjunctive wound care. Surgical tape theoretically minimizes skin tension. In a cadaveric study, the reinforcement of surgical tape with mastisol over a sutured skin incision exhibited a slightly higher strength against separating forces when compared with sutures alone,

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Effect of washing closed head and neck wounds on wound healing and infection

Cited by 4 publications

References 0 publications

Postoperative Showering for Clean and Clean-contaminated Wounds

Postoperative Showering for Clean and Clean-contaminated Wounds

Does Postoperative Showering or Bathing of a Surgical Site Increase the Incidence of Infection? A Systematic Review of the Literature

Postoperative Care of the Facial Laceration

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