Surgical Dressing Cosmesis in the Immediate Postoperative Setting: A Crowdsourcing-based Study.
Alexa Clark1, Shannon Su1, Jennifer Wang1
1From the Division of Plastic and Reconstructive Surgery, Emory School of Medicine, Atlanta, GA.
Plastic and Reconstructive Surgery. Global Open
|January 13, 2025
Summary
Patient cosmetic preferences for wound dressings like Steri-Strips and staples may increase early postoperative satisfaction. Gauze rated well for appearance, while Dermabond and tape scored lowest in patient aesthetic ratings.
Area of Science:
- Plastic Surgery
- Wound Care
- Patient Satisfaction
Background:
- Postoperative dressings are crucial for wound healing and infection prevention.
- Current dressing choices often overlook patient cosmetic preferences, focusing on cost, application, and availability.
- No significant differences in postoperative complications have been found between various dressing types.
Purpose of the Study:
- To evaluate patient cosmetic preferences for different postoperative wound dressings.
- To determine the correlation between cosmetic appeal and early postoperative patient satisfaction.
Main Methods:
- A cross-sectional study utilized an online crowdsourcing platform for data collection.
- Participants rated images of Steri-Strips, Dermabond PRINEO, gauze, surgical tape, and metal staples based on aesthetics, cleanliness, and compactness.
- Average cosmetic scores were calculated for each assessed wound dressing material.
Main Results:
- Steri-Strips and metal staples received the highest cosmetic ratings from participants.
- Gauze was rated highly for aesthetics and cleanliness but received lower overall scores due to bulk.
- Dermabond and surgical tape yielded the lowest and second-lowest cosmetic scores, respectively.
Conclusions:
- Patient cosmetic preference is a significant factor in selecting postoperative dressings, potentially enhancing satisfaction.
- Incorporating patient input in dressing selection can improve perceived autonomy and immediate postoperative satisfaction.
- Future research should address limitations in image standardization and explore long-term outcomes like scarring.


