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Collecting And Measuring Wound Exudate Biochemical Mediators In Surgical Wounds
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Postoperative Wound Care in Dermatologic Surgery: Update And Narrative Review.

A Sanchez-Puigdollers1, A Toll2, D Morgado-Carrasco3

  • 1Servicio de Dermatología, Hospital Sagrat Cor, Barcelona, España; Servicio de Dermatología, Hospital Clínic de Barcelona, Universitat de Barcelona, España.

Actas Dermo-Sifiliograficas
|June 10, 2024
PubMed
Summary

Postoperative wound care after dermatologic surgery lacks evidence-based protocols. This review found insufficient evidence to recommend prophylactic topical antibiotics for surgical wound care.

Keywords:
ApósitosCirugía de MohsCirugía dermatológicaCurasDermatologic surgeryDressingsGraftsHerida quirúrgicaInjertosMohs surgeryWound care

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Area of Science:

  • Dermatologic Surgery
  • Wound Healing
  • Evidence-Based Medicine

Background:

  • Dermatologic surgery has a low complication rate.
  • No standardized, evidence-based postoperative wound care protocol exists.

Purpose of the Study:

  • To review existing evidence on dermatologic surgical wound care products and procedures.
  • To provide guidance on wound care initiation, frequency, and materials.

Main Methods:

  • Narrative review of scientific literature.
  • Analysis of studies on wound care products, procedures, and special situations.

Main Results:

  • Limited studies found, often lacking statistical significance due to low complication rates.
  • Sufficient evidence exists against routine prophylactic topical antibiotic use.
  • Evidence on wound care timing, frequency, ointments, antiseptics, and dressings is discussed.

Conclusions:

  • Routine prophylactic topical antibiotics are not recommended after dermatologic surgery.
  • Further research is needed to establish evidence-based wound care guidelines.
  • Guidance is provided for managing complex surgical wounds, including grafts and leg wounds.