Silver Ion-Eluting Dressings for Prevention of Post-Cesarean Wound Infection: A Randomized, Controlled Trial

Bennett, Kelly; Kellett, William; Slaughter, Chris; Huff, Beth; Carroll, Mary; Braün, Stéphane A.

doi:10.15379/2408-9761.2015.02.01.10

Cited by 2 publications

(7 citation statements)

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“…For superficial SSI, meta-analysis of two RCTs (Connery 2019 [29], Kellett 2015 [30]) revealed the same results as the subgroup meta-analysis of two RCTs evaluating the application of silver-impregnated dressings for SSI (RR: 1.20 [95% CI 0.77-1.88; p=0.41]).…”

Section: Secondary Outcomesmentioning

confidence: 72%

“…Stanirowski (a) 2016 [27] and Stanirowski (b) 2016 (pilot study) [28] defined the outcome of SSI as any incidence of superficial or deep SSI within a 14-day period post-CS. Connery 2019 [29] and Kellett 2015 [30] both reported an SSI outcome defined as any incidence of superficial SSI post-CS, with a follow-up period of 42 days and 7 days respectively.…”

Section: Figure 1 = Prisma Flow Diagrammentioning

confidence: 99%

“…Studies showed no evidence of statistical heterogeneity (I 2 =0%). Subgroup meta-analysis of two RCTs evaluating the application of silver-impregnated dressings (Connery 2019 [29], Kellett 2015 [30]) for the reduction of SSI showed a statistically nonsignificant increase in SSI risk (RR: 1.20 [95% CI 0.77-1.88; p=0.41]). Studies showed no evidence of statistical heterogeneity (I 2 =0%).…”

Section: Figure 3 = Funnel Plot Of Randomised Controlled Trials Inves...mentioning

confidence: 99%

See 2 more Smart Citations

Advanced dressings for the prevention of surgical site infection in women post-caesarean section: A systematic review and meta-analysis

Wijetunge

Hill

Morris

et al. 2021

European Journal of Obstetrics & Gynecology and Reproductiv

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Section: Secondary Outcomesmentioning

confidence: 72%

Section: Figure 1 = Prisma Flow Diagrammentioning

confidence: 99%

Section: Figure 3 = Funnel Plot Of Randomised Controlled Trials Inves...mentioning

confidence: 99%

See 1 more Smart Citation

Advanced dressings for the prevention of surgical site infection in women post-caesarean section: A systematic review and meta-analysis

Wijetunge

Hill

Morris

et al. 2021

European Journal of Obstetrics & Gynecology and Reproductiv

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“…It is important to note that half of the studies included in this review involved surgeries classified as clean, whereas most laparotomies in OB/GYN are clean contaminated, thereby limiting its generalizability. In addition, there were no gynecology studies included in this review and only one obstetrics trial; the latter demonstrated that silver-eluting dressings were not cost-effective for primary closure 19 …”

Section: Surgical Wound Care: Primary Intentionmentioning

confidence: 99%

“…In addition, there were no gynecology studies included in this review and only one obstetrics trial; the latter demonstrated that silver-eluting dressings were not cost-effective for primary closure. 19 Negative pressure wound therapy (NPWT) has also been investigated for surgical wounds healing by primary intention. In a large clinical trial, 663 patients undergoing laparotomy for gynecologic surgery (both benign and oncologic) were randomized to either prophylactic NPWT or standard gauze dressing.…”

Section: Surgical Wound Care: Primary Intentionmentioning

confidence: 99%

Optimizing Surgical Wound Care in Obstetrics and Gynecology

Salinaro,

Jones,

Beatty

et al. 2023

Obstetrical &Amp; Gynecological Survey

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Importance Obstetrics and gynecology (OB/GYN) accounts for at least half of all open abdominal surgeries performed. Rates of surgical wound complications after open procedures in OB/GYN range from 5% to 35%. Therefore, optimizing management of surgical wound complications has the potential to significantly reduce cost and morbidity. However, guidelines addressing best practices for wound care in OB/GYN are limited. Objective The objectives of this review are to describe the fundamentals of wound healing and to evaluate available evidence addressing surgical wound care. Based on these data, we provide recommendations for management of extrafascial surgical wound dehiscence after OB/GYN procedures. Evidence Acquisition Literature search was performed in PubMed, Medline, OVID, and the Cochrane database. Relevant guidelines, systematic reviews, and original research articles investigating mechanisms of wound healing, types of wound closure, and management of surgical wound complications were reviewed. Results Surgical wound complications in OB/GYN are associated with significant cost and morbidity. One of the most common complications is extrafascial dehiscence, which may occur in the setting of hematomas, seromas, or infection. Management includes early debridement and treatment of any underlying infection until healthy granulation tissue is present. For wounds healing by secondary intention, advanced moisture retentive dressings reduce time to healing and are cost-effective when compared with conventional wet-to-dry gauze dressings. Negative pressure wound therapy can be applied to deeper wounds healing by secondary intention. Review of published evidence also supports the use of delayed reclosure to expedite wound healing for select patients. Conclusions Optimizing surgical wound care has the potential to reduce the cost and morbidity associated with surgical wound complications in OB/GYN. Advanced moisture retentive dressings should be considered for wounds healing by secondary intention. Data support delayed reclosure for select patients, although further studies are needed. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After reading this article, the provider will be better able to explain the clinical significance of surgical wound complications, particularly in OB/GYN; identify the stages of wound healing and types of wound closure; discuss the TIME framework for wound care; and describe a recommended approach for the management of extrafascial wound dehiscence.

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Silver Ion-Eluting Dressings for Prevention of Post-Cesarean Wound Infection: A Randomized, Controlled Trial

Cited by 2 publications

References 0 publications

Advanced dressings for the prevention of surgical site infection in women post-caesarean section: A systematic review and meta-analysis

Advanced dressings for the prevention of surgical site infection in women post-caesarean section: A systematic review and meta-analysis

Optimizing Surgical Wound Care in Obstetrics and Gynecology

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