Holmes Samantha P, Rivera Sydney, Hooper Perry B, Slaven James E, Que Syril Keena T
School of Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
Department of Dermatology, Indiana University School of Medicine, Indianapolis, Indiana.
JAAD Int. 2021 Dec 21;6:37-42. doi: 10.1016/j.jdin.2021.11.002. eCollection 2022 Mar.
Hydrocolloid dressings (HCD) are helpful in chronic wound care, but research is limited in acute postoperative wounds. HCD can potentially be incorporated into a simplified wound care regimen after excisional surgeries.
To examine whether a one-time HCD application after dermatologic surgery results in greater patient satisfaction and improved postoperative outcomes compared with conventional daily dressings (CDD).
We examined patients who underwent Mohs or standard surgical excision with linear closure followed by HCD. The patients additionally had a history of excisional surgery with CDD in the past 5 years. A modified version of the validated Bluebelle Wound Healing Questionnaire was administered.
The survey response rate was 74.4% (64/86). Compared with CDD, HCD rated higher in comfort, convenience, scar appearance, and simplicity of wound care instructions ( < .0001). Nearly all patients (96.8%) preferred HCD over CDD.
Variability in time from prior dermatologic surgery may introduce recall bias. Prior surgeries involving CDD were sometimes performed by a different surgeon, which could introduce other confounding factors.
A simplified wound care regimen involving HCD can potentially lead to increased comfort, convenience, simplicity, and a subjective improvement in scar appearance, though additional studies are needed.
水胶体敷料（HCD）有助于慢性伤口护理，但在急性术后伤口方面的研究有限。HCD有可能被纳入切除手术后简化的伤口护理方案中。
探讨与传统每日换药（CDD）相比，皮肤科手术后一次性使用HCD是否能提高患者满意度并改善术后效果。
我们研究了接受Mohs手术或标准手术切除并进行线性缝合，随后使用HCD的患者。这些患者在过去5年中还曾有过使用CDD进行切除手术的病史。使用了经过验证的蓝铃花伤口愈合问卷的修改版。
调查回复率为74.4%（64/86）。与CDD相比，HCD在舒适度、便利性、疤痕外观和伤口护理说明的简单性方面评分更高（<0.0001）。几乎所有患者（96.8%）更喜欢HCD而不是CDD。
距离上次皮肤科手术的时间差异可能会导致回忆偏差。之前涉及CDD的手术有时由不同的外科医生进行，这可能会引入其他混杂因素。
尽管还需要更多研究，但涉及HCD的简化伤口护理方案可能会提高舒适度、便利性、简单性，并在主观上改善疤痕外观。
