Immediate air exposure vs dressings following primary closure of clean and clean-contaminated surgical wounds: a systematic review and meta-analysis of randomized controlled trials
机构：[1]Department of Dermatology and Venerology, National Clinical Research Center for Geriatrics, West China Hospital of Sichuan University, China四川大学华西医院[2]Laboratory of Dermatology, Clinical Institute of Inflammation and Immunology, Frontiers Science Center for Disease-related Molecular Network, West China Hospital of Sichuan University, China四川大学华西医院[3]Department of Abdominal Cancer, West China Hospital of Sichuan University, China四川大学华西医院
It is unknown whether dressings reduce the risk of SSI after clean and clean-contaminated surgery.This meta-analysis was conducted to assess the outcomes of immediate air exposure of surgical sites after primary closure.A systematic search of Embase, PubMed, and Web of Science from the time of database establishment through October 2021 was performed. The SSI incidence and other surgical wound-associated events were extracted and their effect sizes calculated.Six RCTs with a total of 1243 surgery cases (1228 non-contaminated, 15 contaminated) were included. SSI incidence of 11% and 11.1% was observed for immediate air exposure and dressings, respectively, when pooled irrespective of surgery type (RR, 0.95; 95% CI, 0.68-1.33 [P = .76]). Subgroup analysis showed similar SSI incidence between air exposure and dressings following clean (P = .39) and clean-contaminated surgery (P = .64). Neither gauze dressings (P = .65), film dressings (P = .07), nor tissue glue-as-a-dressing (P = .94) use resulted in significantly lower SSI incidence than air exposure.This meta-analysis shows that dressings (gauze dressings, film dressings, and tissue glue-as-a-dressing) do not outperform immediate air exposure in terms of SSI occurrence following primary closure of clean and clean-contaminated surgical wounds.
语种：
外文
PubmedID：
中科院(CAS)分区：
出版当年[2022]版：
大类|4 区医学
小类|4 区外科4 区皮肤病学
最新[2023]版：
大类|4 区医学
小类|4 区皮肤病学4 区外科
第一作者：
第一作者机构：[1]Department of Dermatology and Venerology, National Clinical Research Center for Geriatrics, West China Hospital of Sichuan University, China[2]Laboratory of Dermatology, Clinical Institute of Inflammation and Immunology, Frontiers Science Center for Disease-related Molecular Network, West China Hospital of Sichuan University, China
通讯作者：
通讯机构：[1]Department of Dermatology and Venerology, National Clinical Research Center for Geriatrics, West China Hospital of Sichuan University, China[2]Laboratory of Dermatology, Clinical Institute of Inflammation and Immunology, Frontiers Science Center for Disease-related Molecular Network, West China Hospital of Sichuan University, China[*1]Department of Dermatology and Venerology, West China Hospital of Sichuan University, Chengdu 610041, China
推荐引用方式(GB/T 7714)：
Wang Fan,Wang Xiu-Yun,Jiang Xian.Immediate air exposure vs dressings following primary closure of clean and clean-contaminated surgical wounds: a systematic review and meta-analysis of randomized controlled trials[J].Wounds : a compendium of clinical research and practice.2022,34(12):277-282.doi:10.25270/wnds/21151.
APA：
Wang Fan,Wang Xiu-Yun&Jiang Xian.(2022).Immediate air exposure vs dressings following primary closure of clean and clean-contaminated surgical wounds: a systematic review and meta-analysis of randomized controlled trials.Wounds : a compendium of clinical research and practice,34,(12)
MLA：
Wang Fan,et al."Immediate air exposure vs dressings following primary closure of clean and clean-contaminated surgical wounds: a systematic review and meta-analysis of randomized controlled trials".Wounds : a compendium of clinical research and practice 34..12(2022):277-282
