Impact of Early Dressing Removal After Cesarean Section on Wound Healing and Complications: A Systematic Review.

Autor:	Al-Sulaitti Z; Obstetrics and Gynecology, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA., Nelakuditi B; Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA., Dandamudi BJ; General Practice, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA., Dimaano KAM; Obstetrics and Gynecology, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA., Shah N; Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA., AlQassab O; Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA., Nath TS; Surgical Oncology, Tata Medical Center, Kolkata, IND.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Sep 30; Vol. 16 (9), pp. e70494. Date of Electronic Publication: 2024 Sep 30 (Print Publication: 2024).
DOI:	10.7759/cureus.70494
Abstrakt:	The global increase in cesarean section (C-section) births has heightened concerns about surgical site infections (SSIs), a significant risk associated with this common obstetric procedure. This literature review evaluates the impact of early dressing removal after C-sections, drawing from randomized controlled trials and clinical studies to assess potential benefits and risks. The review found no definitive evidence favoring a specific timing for dressing removal to reduce SSIs. However, earlier removal before hospital discharge generally enhances patient comfort. Factors such as high BMI, urgent C-sections, preterm premature rupture of membranes (PPROM), and chorioamnionitis are linked to higher wound healing complications, irrespective of when the dressing is removed. Removing staples before discharge is advised for convenience, with close monitoring recommended for high-risk patients. The findings emphasize the need for further research to optimize wound healing protocols, particularly for high-risk groups, to improve patient outcomes and minimize complications. A personalized approach to postoperative care, tailored to individual risk factors, may offer the best strategy for reducing SSIs and enhancing recovery after C-sections. Competing Interests: Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Al-Sulaitti et al.)
Databáze:	MEDLINE
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