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Attempt to Improve Wound Healing Considering the Timing of Suture Removal and the Dressing
Author(s) -
Kitte Toshihiro,
Arinaga Shinya,
Ishikawa Koichi,
Shiraishi Norio,
Kitano Seigo
Publication year - 2005
Publication title -
wound repair and regeneration
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.847
H-Index - 109
eISSN - 1524-475X
pISSN - 1067-1927
DOI - 10.1111/j.1067-1927.2005.130116ad.x
Subject(s) - medicine , fibrous joint , surgery , wound healing , abdominal wound
In the surgical field, “suture removal on 7 days after surgery” and “daily disinfection and coverage with gauze” have been customs. The timing of suture removal and the postoperative wound treatment were devised, and their effect on wound healing was compared with the conventional method. Method: The abdominal incision was divided into two parts, one half of the suture was removed on 3 days after surgery, the other half of the suture was removed on 7 days after surgery, and the conditions of the wound were compared between 7 and 14 days after surgery. In addition, the skin was disinfected only immediately before incision, and the closed dressing was given on the wound. Results: There were no differences in the degree of skin approximation, the degree of redness, subcutaneous swelling, pain and postoperative scar between both days. However, the suture removal on 3 days gave no scar of suture, which was better cosmetically. The frequency of treatments also decreased, which led to cost reduction. Discussion: Since the wound is covered with epithelial cells in 48 hours, the suture removal on 3 days and the closed dressing are desirable in the abdominal incision to which no especially strong stress is added from the viewpoint of wound healing. In addition, this method is better than the conventional method from the aspect of cosmetics and cost reduction. We will investigate this method further in the future.