Clark Alexa, Su Shannon, Wang Jennifer, Shauly Orr, Losken Albert, Brooks Kendall, Cuzzone Daniel
From the Division of Plastic and Reconstructive Surgery, Emory School of Medicine, Atlanta, GA.
Emory Division of Plastic and Reconstructive Surgery, Atlanta, GA.
Plast Reconstr Surg Glob Open. 2025 Jan 10;13(1):e6414. doi: 10.1097/GOX.0000000000006414. eCollection 2025 Jan.
Postoperative dressings expedite wound healing and decrease the rate of infection. Options for wound dressings vary based on cost, time to apply, method of wound healing, and availability at the hospital; however, a significant difference in postoperative complications between each type has not been found. As such, this study evaluates patient cosmetic preferences for various wound dressings as it relates to early postoperative satisfaction.
A cross-sectional study was conducted using an online crowdsourcing service that connects research studies to participants. The survey asked users to rate images of various wound dressings. Steri-Strips, Dermabond PRINEO (Johnson & Johnson, Ethicon, Inc.), gauze, surgical tape, and metal staples were the materials assessed. The ratings, based on cleanliness, compactness, and aesthetics, culminated in an average cosmetic score for each dressing.
Controlled for demographics, Steri-Strips and staples were the highest rated dressing types by participants and may correlate with increased patient satisfaction in the immediate postoperative period. Gauze was highly rated for aesthetics and cleanliness but averaged lower scores due to dressing bulk. Dermabond and surgical tape had the lowest and second lowest cosmetic score, respectively.
Although cost, availability, and time to apply are common factors surgeons evaluate when picking a dressing, cosmetic preference is another consideration. Allowing the patient to participate in dressing selection may give them more perceived autonomy and increase immediate postoperative satisfaction. Limitations of this study include limited lighting/positioning standardization of dressing photographs. This analysis does not consider opinions on later wound healing or scarring using the chosen material.
术后敷料可加速伤口愈合并降低感染率。伤口敷料的选择因成本、应用时间、伤口愈合方式以及医院是否有货而异；然而，尚未发现每种类型之间在术后并发症方面存在显著差异。因此，本研究评估了患者对各种伤口敷料的美容偏好及其与术后早期满意度的关系。
使用将研究与参与者联系起来的在线众包服务进行了一项横断面研究。该调查要求用户对各种伤口敷料的图片进行评分。所评估的材料有外科手术薄膜、皮肤粘合剂PRINEO（强生公司，爱惜康公司）、纱布、手术胶带和金属吻合钉。基于清洁度、紧实度和美观度的评分最终得出每种敷料的平均美容分数。
在对人口统计学因素进行控制后，外科手术薄膜和吻合钉是参与者评分最高的敷料类型，可能与术后即刻患者满意度的提高相关。纱布在美观度和清洁度方面评分很高，但由于敷料体积较大，平均分数较低。皮肤粘合剂和手术胶带的美容分数分别为最低和第二低。
尽管成本、可获得性和应用时间是外科医生选择敷料时评估的常见因素，但美容偏好是另一个需要考虑的因素。让患者参与敷料选择可能会让他们感觉更自主，并提高术后即刻满意度。本研究的局限性包括敷料照片的照明/定位标准化有限。该分析未考虑使用所选材料对后期伤口愈合或瘢痕形成的意见。
