Abstract:
Dermatologic surgery is associated with a very low risk of complications. There is no widely accepted, evidence-based protocol with recommendations for postoperative wound care after dermatologic surgery. In this narrative review, we will be discussing the evidence on surgical wound care products and procedures. Overall, we found relatively few studies and, in many cases, a lack of statistically significant differences, possibly because of the low rate of complications. We\'ll be discussing the evidence on when we should initiate wound care procedures and their frequency, the type of ointment and antiseptics that should be applied, and the type of dressings that should be used. Despite the very few studies available on postoperative wound care following dermatologic surgery, there is sufficient evidence as to not recommend the use of prophylactic topical antibiotics. We also analyze the currently available evidence on surgical wound care in special situations, such as management of skin grafts, partial skin graft donor sites, xenografts/biomembranes, and surgical wounds to the legs.
摘要:
皮肤手术的并发症风险非常低。没有被广泛接受,基于证据的协议,并建议皮肤科手术后的伤口护理。在这篇叙述性评论中,我们将讨论手术伤口护理产品和程序的证据。总的来说,我们发现相对较少的研究,在许多情况下,缺乏统计学上的显著差异,可能是因为并发症发生率低。我们将讨论何时启动伤口护理程序及其频率的证据,应该使用的软膏和防腐剂的类型,以及应该使用的敷料类型。尽管很少有关于皮肤科手术后伤口护理的研究,有足够的证据表明不建议使用预防性局部抗生素。我们还分析了目前在特殊情况下手术伤口护理的现有证据,例如皮肤移植的管理,部分皮肤移植供体部位,异种移植物/生物膜,和腿部的手术伤口。