Objectives:

General: Compare the healing technique in a wet environment (Mölndal/Jubilee modified by Grupo Heridas Axarquia) for surgical wounds in minor outpatient surgery, in relation to a dry healing. Specific: a) measure the healing time between the modified technique Mölndal/Jubilee and the dry healing; b) number of cures in each technique and the time spent in both techniques; c) assess the pain in each technique; and d) compare the complications that appear in each technique.

Methodology:

Multicenter, randomized, control-group, prospective longitudinal intervention trial to evaluate the efficacy of a cure methodology applied after minor surgery in primary care. The sample includes patients whose surgical procedure ends up with suture.

Results:

The days up to the removal of the inverted suture in the intervention group were on average 9.2 days with a standard deviation of 2.1, while in the control group 10.5 days were used with a deviation of 2.3. The number of cures that were performed in the intervention group until the suture was removed was 2 in 45 patients (46.9%), 3 visits in 45 patients (46.9%) and 4 visits (6.2%) in 6 patients. In the control group there were no patients who needed less than 3 visits; with 3 visits, 18 patients (18.8%) of the group, 4 visits, 41 patients (42.7%), 5 visits 30 patients (31.2%) and with 7 visits 7 patients (7.3%). The average time spent on each visit for the intervention group was 2.7 minutes with a deviation of 0.6 and for the control group 3.1 with a deviation of 0.6. Average pain, analog visual scale, in the intervention group was positioned at 0.5 with standard deviation of 1.0 and 2.1 for control with deviation of 1.2. Complications accounted for 6.2% in the intervention group, 6 complications, and in the control, 27 and 28.1%.

Conclusions:

With the application of hydrocolloid Hydrophyber® with silver and the occlusion with a transparent extrafine hydrocolloid, in the intervention group, healing time has been shorten, fewer visits have been made, patients report less pain and there have been fewer complications, compared to the control group's dry cure.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )