The Influence of Preoperative Interventions on Postoperative Surgical Wound Healing in Patients Without Risk Factors: A Systematic Review
| Autor: | Nikki C. Geers, Maurits Zegel, Jeroen G J Huybregts, Francisus B. Niessen |
|---|---|
| Přispěvatelé: | Cardiothoracic Surgery |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Surgical Wound MEDLINE Psychological intervention Preoperative care law.invention Cicatrix 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Risk Factors law Preoperative Care medicine Poor wound healing Humans 030212 general & internal medicine Intensive care medicine Wound Healing business.industry Retrospective cohort study General Medicine Plastic Surgery Procedures Treatment Outcome 030220 oncology & carcinogenesis Surgery Wound healing business Cohort study |
| Zdroj: | Aesthetic Surgery Journal, 38(11), 1237-1249. Oxford University Press Aesthetic Surgery Journal Geers, N C, Zegel, M, Huybregts, J G J & Niessen, F B 2018, ' The Influence of Preoperative Interventions on Postoperative Surgical Wound Healing in Patients Without Risk Factors : A Systematic Review ', Aesthetic Surgery Journal, vol. 38, no. 11, pp. 1237-1249 . https://doi.org/10.1093/asj/sjy074 |
| ISSN: | 1090-820X |
| DOI: | 10.1093/asj/sjy074 |
| Popis: | BackgroundPoor wound healing and scar formation remain critical problems in daily surgical practice. Generally, most attention is paid to intra- and postoperative interventions to improve wound healing after surgery, while preoperative interventions remain unsatisfactorily explored.ObjectivesIn this systematic review, the available literature on the beneficial effects of preoperative interventions on wound healing and scar formation have been summarized and compared.MethodsA comprehensive and systematic search has been conducted in MEDLINE, Pubmed, Embase, Web of Science, and Cochrane, supplemented by reference and citation tracking. All preoperative interventions and all clinically relevant outcome parameters have been considered for inclusion, due to the expected limited availability of literature.ResultsA total of 13 studies were included, which were all randomized trials. No cohort studies or retrospective studies have been identified. All studies described different preoperative interventions and outcome parameters and could hence not be pooled and compared. Eight studies showed significantly better wound healing after a preoperative intervention. The individual studies have been summarized in this review.ConclusionsThis systemic review shows that preoperative interventions can be beneficial in improving wound healing and scar formation. In selected cases, wound healing was found to benefit from a higher preoperative body temperature, topical vitamin E application, and low patient stress levels. |
| Databáze: | OpenAIRE |
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