Abstract

GARNICA GOYANES, Ana et al. Post-surgical conventional dressing versus interactive moist wound healing dressing: comparative evaluation in oncological surgical patients. Gerokomos [online]. 2014, vol.25, n.1, pp.34-40. ISSN 1134-928X.  https://dx.doi.org/10.4321/S1134-928X2014000100008.

Objectives: To compare the clinical performance of a surgical interactive transparent moist environment dressing versus a surgical gauze and tape conventional dressing in oncological abdominal surgical patients. Method: A prospective cohort study conducted at the MD Anderson Hospital (Madrid). Pilot assessment of 24 surgical oncology patients who underwent major abdominal surgery of gastrointestinal and gynecological specialities. Twelve were treated by the conventional dressing (Cosmopor^®) and twelve by interactive dressing (Opsite^® Post Op Visible). The sample is collected in the second half of the year 2011. Results: The interactive dressing remains at least 7 days over the wound without being changed, compared with traditional dressing that requires daily change what it means a difference of costs of 0.70€ in material resources and 24 min less in nursing time. Under the clinical point of view with the interactive dressing there are less surgical site infection episodes (8.31% vs 33.3%), less other adverse events (0 vs 8.3%) and improved satisfaction amongst patients and healthcare professionals adhesiveness, tolerance in shower and visibility of the wound. Conclusions: The systematic use of interactive postoperative dressings in surgical oncology increases the time of permanence of the dressings on wounds with a reduction of the 75% of surgical site infections and other adverse events reduction, as well as a cost reduction, estimated on a basis of 282 possible admissions per year of 193.17€ in materials, 282 hours in nursing time, and 71 episodes of surgical site infection with an extra bed occupancy of 558 days.

Keywords : Oncology service; hospital, dressing; surgical wound dehiscence; surgical wound infection; wound healing.

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