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Follow the links below to find summaries of systematic reviews of the evidence for the effectiveness of wound management.
Updated May 2008
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| Title: |
Debridement for surgical wounds
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Following surgery most surgical wounds heal naturally with no complications. However, complications such as infection and wound dehiscence (opening) can occur which may result in delayed healing or wound breakdown. Infected surgical wounds may contain d...
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| Date: |
Jul 2008
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| Title: |
Closed suction surgical wound drainage after orthopaedic surgery
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Drainage systems may be used to drain fluid, mostly blood, from surgical wounds after an operation. The drains can either be open or closed. Closed drains use vacuum bottles and plastic conduits to draw fluid away from the wound by producing a negative ...
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| Date: |
May 2007
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| Title: |
Healing by primary versus secondary intention after surgical treatment for pilonidal sinus
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
We found that wounds that are left to heal without stitches take longer to heal and have fewer complications; however, people with this type of wound take longer to return to normal activity. Closed wounds are prone to more complications such as infecti...
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| Date: |
Aug 2007
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| Title: |
Disposable surgical face masks for preventing surgical wound infection in clean surgery
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Surgeons and nurses performing clean surgery wear disposable face masks to prevent them breathing germs into the patients' wound. Face masks are thought to reduce the number of post-operative wound infections. Incorrectly worn masks may increase the con...
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| Date: |
Nov 2001
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| Title: |
Use of plastic adhesive drapes during surgery for preventing surgical site infection
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Following surgery, up to 30% of wounds may become infected. This complication of surgery may cause distress for the patient and lead to higher treatment costs. Many interventions have been designed to reduce postoperative infections. One of these is the...
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| Date: |
Jun 2007
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| Title: |
Antibiotic prophylaxis for hernia repair.
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
The use of antibiotic prophylaxis for elective hernia repair is currently a controversial issue. Although elective hernia repair is considered a clean procedure, the rate of postoperative wound infection in many countries exceeds the one expected for cl...
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| Date: |
Mar 2007
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| Title: |
Preoperative hair removal to reduce surgical site infection
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Traditionally people undergoing surgery have body hair removed from the intended surgical wound site as this is thought to reduce the chance of the surgical site becoming infected. Three methods of hair removal are currently used; shaving with a razor, ...
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| Date: |
Apr 2006
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| Title: |
Dressings and topical agents for surgical wounds healing by secondary intention
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Most surgical incisions heal by primary intention, i.e. the edges of the surgical incision are closed together with stitches or clips until the cut edges merge. Healing by secondary intention refers to healing of an open wound, from the base upwards, by...
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| Date: |
Oct 2003
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| Title: |
Mechanical bowel preparation for elective colorectal surgery
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Key findings: Preoperative mechanical bowel preparation before colorectal surgery does not reduce anastomotic leakage.Preoperative mechanical bowel preparation before colorectal surgery is a widely-practised treatment, but its efficacy has never been pr...
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| Date: |
Oct 2004
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| Title: |
Routine abdominal drainage for uncomplicated laparoscopic cholecystectomy
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Drain use seems unnecessary after laparoscopic cholecystectomy. Laparoscopic cholecystectomy is the currently preferred method of treatment of symptomatic gallstones. Drain use after laparoscopic cholecystectomy is controversial. This review found that th...
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| Date: |
Aug 2007
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| Title: |
Dressings for healing venous leg ulcers
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
There are many kinds of dressings used for the treatment of venous ulcers, usually beneath compression bandages. There was no evidence of additional benefit associated with wound dressings other than simple dressings when used beneath compression. There...
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| Date: |
May 2006
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| Title: |
Topical agents and dressings for fungating wounds
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
There is weak evidence to suggest that patients with superficial fungating breast lesions (smaller than 1cm) who have received either previous radiotherapy, surgery, hormone therapy or chemotherapy for their breast cancer may extend the time to disease ...
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| Date: |
Nov 2006
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| Title: |
Laparoscopic versus open surgery for suspected appendicitis
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
This review finds that laparoscopic surgery for suspected appendicitis has diagnostic and therapeutic advantages as compared to conventional surgery....
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| Date: |
Jul 2004
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| Title: |
Compression for venous leg ulcers
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Venous leg ulcers occur due to the blood return from the veins in the legs being slow or obstructed. Compression bandages help to aid venous return and there are a large number of types of bandages available, e.g. 4 layered bandages, single layered band...
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| Date: |
Feb 2001
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| Title: |
Compression for preventing recurrence of venous ulcers
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Venous leg ulcers (open sores) can be caused by a blockage or breakdown in the veins of the legs. Compression, using bandages or hosiery (stockings), can help heal most of these ulcers, and might be able to prevent ulcers returning. However, the review ...
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| Date: |
Aug 2000
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| Title: |
Intermittent pneumatic compression for treating venous leg ulcers
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Venous leg ulcers (open sores) can be caused by a blockage or breakdown in the veins of the leg. Compression, using bandages or hosiery (stockings), can help heal ulcers. However, they do not always work, and some people are not willing or able to wear ...
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| Date: |
Feb 2008
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| Title: |
Pentoxifylline for treating venous leg ulcers
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Venous leg ulcers are a common, recurring disabling condition. The mainstay of treatment is the use of firm compression bandages or stockings to support the veins of the leg. Some leg ulcers take many months or years to heal and treatment is aimed at pr...
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| Date: |
Apr 2007
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