Weiss Y
Int Surg. 1983 Jul-Sep;68(3):237-40.
Of a total of 3,674 surgical wounds, 2,525 were treated by the early exposure method, i.e. the wounds were left undressed from the first postoperative day. The incidence of wound infection was 1.7% in clean wounds and 7.9% in clean-contaminated wounds. The acceptance of the method by the patients was evaluated by questionnaire on a random sample of 100 patients. The response was overwhelmingly in favor of the method. It is submitted that the usually postulated indications for dressings (protection, prevention of contamination, absorption, compression and stabilization/immobilization) do not obtain after the first 24 postoperative hours. The hospitalized patient is not exposed to trauma, the risk of contamination is low, body hygiene can be resumed earlier and the need for pressure-dressings or splinting is negligible in general surgery. Dressings are expensive, time-consuming, often interfere with breathing and cause discomfort. They are unnecessary on a clean wound after 24 hours.
在总共3674个手术伤口中，2525个采用早期暴露法治疗，即从术后第一天起伤口不包扎。清洁伤口的伤口感染发生率为1.7%，清洁-污染伤口为7.9%。通过对100名患者的随机样本进行问卷调查来评估患者对该方法的接受程度。调查结果绝大多数支持该方法。有人认为，通常假定的敷料使用指征（保护、防止污染、吸收、压迫和固定）在术后24小时后并不适用。住院患者不会受到创伤，污染风险低，能更早恢复身体卫生，并且在普通外科手术中，一般不需要加压包扎或夹板固定。敷料昂贵、耗时，常常妨碍呼吸并引起不适。术后24小时后，清洁伤口不需要敷料。
