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首页> 外文期刊>The Journal of foot and ankle surgery: official publication of the American College of Foot and Ankle Surgeons >Prospective analysis of postoperative wound infections using an early exposure method of wound care.
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Prospective analysis of postoperative wound infections using an early exposure method of wound care.

机译：使用伤口护理的早期暴露方法对术后伤口感染进行前瞻性分析。

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The management of operative wounds in most surgical procedures is important in preventing many complications, most notably, infection. Among most surgical subspecialties, postsurgical dressings vary in type of materials utilized as well as duration left in place. The authors propose that the contemporary method of postoperative wound management (i.e., dressings left in place until sutures are removed) is overly conservative when dealing with the uncomplicated patient population. This study involves 100 patients who underwent forefoot, rearfoot, or ankle procedures in which skin incisions were made on nonweightbearing surfaces and percutaneous pins, external fixators, or casts were not utilized. All wounds were considered clean and patients displayed an uncomplicated medical history. Postoperatively, the patients were treated by an early exposure method (i.e., the wounds were left undressed on the 4th postoperative day and patients were allowed to bathe in their usual manner). Patients returned on postoperative day 10-14 at which time sutures were removed. Wounds were inspected up to 12 weeks following surgery. An infected wound was defined by the presence of cellulitis or lymphangitis or by the secretion of purulence from the incision line. The incidence of wound infection was 1.0%. This study also includes analysis via questionnaire of the postoperative care utilized by 495 randomly selected diplomates of the American Board of Podiatric Surgery as well as the surgery department chairs at the seven podiatric medical colleges.
机译：在大多数外科手术过程中，手术伤口的处理对于预防许多并发症（尤其是感染）很重要。在大多数外科亚专业中，术后敷料的使用材料类型以及保留的时间长短不一。作者认为，当处理不复杂的患者人群时，现代的术后伤口处理方法（即在缝合线被去除之前保留敷料）过于保守。这项研究涉及100位接受前脚，后脚或脚踝手术的患者，这些患者在非承重表面上进行了皮肤切口，并且未使用经皮针，外固定器或石膏。所有伤口均被认为是干净的，患者表现出简单的病史。术后，通过早期暴露方法对患者进行治疗（即，在术后第4天不给伤口穿衣服，并允许患者按常规方式洗澡）。患者在术后第10-14天返回，此时缝合线被拆除。手术后长达12周检查伤口。感染的伤口是由蜂窝织炎或淋巴管炎的存在或切口线的脓性分泌物所定义的。伤口感染的发生率为1.0％。这项研究还包括通过问卷调查的方式，对495位美国小儿外科委员会的随机抽取的外交官以及7所儿科医学院的外科系主任所使用的术后护理进行了分析。

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