Primary Wound Dressing Management after Digestive Surgery. A Prospective Randomized Trial.

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  • 術後一次縫合創管理法に関するｐｒｏｓｐｅｃｔｉｖｅ　ｒａｎｄｏｍｉｚｅｄ　ｔｒｉａｌによる検討

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Abstract

We studied primary wound management after digestive surgery, using a prospective randomized trial to evaluate result and patients acceptance of treatment. Patients, undergoing initial laparotomy for resection of the stomach or colon cancer during 1999 and 2001 were preoperatively divided into 3 groupsdry gauze (Group A), film (Group B), and open-wound (Group C). We studied patient background, wound condition, cost, total time and number of personnel required for dressing, and gave questionnaires to patients on wound dressing.<br> RESULTS: Subjects were 65 patients, divided into 3 groups: 20 in Group A, 22 in Group B, and 23 in Group C. In wound condition, although tape flare and rash were observed in Group A, neither wound infection nor wound diastasis was observed in any group. Comparison of cost by case showed Group C was by far the lowest. Total personnel and time required for dressing was significantly lower in Groups B and C than in Group A. Questionnaires to patients showed that discomfort was significantly lower in Group C.<br> CONCLUSION: In postoperative management of primary sutured wounds other than high-risk cases, open-wound management from postoperative day 2 was considered favorable in wound management, cost, and patient receptivity.

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