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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Related Experiment Video

Updated: Sep 8, 2025

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
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Wound Irrigation Prior to Closure During Routine Upper-Extremity Surgery: Is There a Difference in Wound

Marco Foreman1, Isabella Amador1, Arman Tabarestani1

  • 1University of Florida, Gainesville, USA.

Hand (New York, N.Y.)
|August 20, 2025
PubMed
Summary
This summary is machine-generated.

Routine wound irrigation before closure in upper-extremity surgery does not reduce complications. Forgoing irrigation may improve operating room efficiency and save costs for patients and payers.

Keywords:
elbow surgeryhand surgeryoperative costwound irrigation

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Area of Science:

  • Orthopedic Surgery
  • Surgical Site Infections
  • Wound Management

Background:

  • No consensus exists on the necessity of pre-closure wound irrigation in routine orthopedic upper-extremity procedures.
  • Pre-closure wound irrigation may offer potential time and cost savings if proven effective.

Purpose of the Study:

  • To evaluate the effectiveness of wound irrigation prior to closure in reducing wound complications during routine upper-extremity surgeries.

Main Methods:

  • Retrospective review of 1425 adult patients undergoing soft tissue upper extremity surgery from 2013-2022.
  • Exclusion criteria included concomitant lacerations, penetrating injuries, open fractures, or unknown irrigation technique.
  • Primary outcome: comparison of wound complication rates between irrigated and non-irrigated wounds; multivariable logistic regression used to control for confounders.

Main Results:

  • Wound complications occurred in 2.9% of patients.
  • Irrigation prior to closure was not associated with a decreased incidence of wound complications in bivariable (3.5% vs 1.8%, P = .070) or multivariable analysis (OR: 1.88, 95% CI 0.88-4.04, P = .08).
  • Adjusted analysis controlled for age, sex, BMI, operative time, prior surgery, diabetes, tobacco use, corticosteroid use, and immunosuppressant use.

Conclusions:

  • Pre-closure wound irrigation is not associated with a statistically significant difference in postoperative wound complication rates.
  • Surgeons may consider omitting pre-closure irrigation to enhance operating room efficiency and achieve cost savings.