与传统脱毛方法相比，脱毛或脱毛术在降低手术部位感染发生率方面的有效性：一项系统评价和荟萃分析。
The effectiveness of waxing or epilation compared to conventional methods of hair removal in reducing the incidence of surgical site infections: a systematic review and meta-analysis.
作者信息
Cutteridge Joseph, Garrido Pierre, Staniland Tim, Lim Arthur, Totty Joshua, Lathan Ross, Smith George, Chetter Ian
机构信息
Department of Health Sciences, Faculty of Sciences, University of York, York, United Kingdom.
Academic Vascular Surgical Unit, Hull University Teaching Hospitals NHS Trust, Hull, United Kingdom.
出版信息
Front Surg. 2024 Dec 6;11:1395681. doi: 10.3389/fsurg.2024.1395681. eCollection 2024.
BACKGROUND
Surgical site infections (SSIs) pose a significant challenge to healthcare systems by elevating patient morbidity and mortality and driving up financial costs. Preoperative skin preparation is crucial for preventing SSIs; however, certain traditional methods of hair removal have been found to increase the risk of SSI development. Mechanical epilation and waxing constitute two relatively explored methods of hair removal, which may hold potential to accelerate wound healing due to the activation of stem cells within hair follicles. This review assesses the efficacy of preoperative hair removal via waxing and mechanical epilation in reducing SSI incidence.
METHODS
This systematic review was prospectively registered with PROSPERO (ref: CRD42023423798) and a protocol previously published in a peer-reviewed journal. All findings are reported according to PRISMA guidelines. A comprehensive search of Medline, Embase, CENTRAL, ClinicalTrials.gov and CINAHL. Inclusion criteria encompassed adult patients undergoing any surgical procedure, comparing waxing or epilation against other hair removal methods or no hair removal, with SSI incidence as the primary outcome. There was no restriction on study size or quality to ensure a comprehensive literature evaluation.
RESULTS
The review found no studies meeting the selection criteria out of 576 records screened.
DISCUSSION/CONCLUSION: This review has identified no literature regarding the use of waxing and mechanical epilation as methods of preoperative hair removal. The lack of experimental evidence combined with the potential physiological advantages of these techniques indicate that this could be a valuable area of future research. These techniques may represent novel approaches to SSI prevention, particularly beneficial in high-risk surgical disciplines like vascular surgery.
SYSTEMATIC REVIEW REGISTRATION
https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=423798, PROSPERO (CRD42023423798).
背景
手术部位感染（SSIs）通过增加患者发病率和死亡率以及推高财务成本，对医疗保健系统构成重大挑战。术前皮肤准备对于预防手术部位感染至关重要；然而，已发现某些传统的脱毛方法会增加手术部位感染发生的风险。机械脱毛和脱毛蜡疗是两种相对较少被探索的脱毛方法，由于毛囊内干细胞的激活，这两种方法可能具有加速伤口愈合的潜力。本综述评估了通过脱毛蜡疗和机械脱毛进行术前脱毛在降低手术部位感染发生率方面的疗效。
方法
本系统评价已在PROSPERO（注册号：CRD42023423798）进行前瞻性注册，且此前已在同行评审期刊上发表了方案。所有研究结果均按照PRISMA指南报告。对Medline、Embase、CENTRAL、ClinicalTrials.gov和CINAHL进行了全面检索。纳入标准包括接受任何外科手术的成年患者，比较脱毛蜡疗或脱毛与其他脱毛方法或不脱毛，以手术部位感染发生率作为主要结局。对研究规模或质量没有限制，以确保对文献进行全面评估。
结果
在筛选的576条记录中，该综述未发现符合选择标准的研究。
讨论/结论：本综述未发现有关使用脱毛蜡疗和机械脱毛作为术前脱毛方法的文献。缺乏实验证据以及这些技术潜在的生理优势表明，这可能是未来研究的一个有价值的领域。这些技术可能代表预防手术部位感染的新方法，在血管外科等高风险外科领域尤其有益。
系统评价注册
https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=423798，PROSPERO（CRD42023423798）
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