Izvorni znanstveni članak
Application of Wound Dressing Molndal Technique in Clean and Potentially Contamined Postoperative Wounds – Initial Comparative Study
Marin Marinović
Tedi Cicvarić
Nikola Gržalja
Giordano Bačić
Endi Radović
Sažetak
Because of a possible delayed wound healing, critical colonization and infection of wounds present a problem for surgeons,
particularly in patients with compromised immune system or in case where the wound is heavy contaminated or
poorly perfused. Molndal technique of wound dressing has proven to be effective in prevention of infection. In our study
we wanted to describe the benefits of the application of Molndal technique wound dressing compared to traditional
wound dressing technique at potentially contaminated and clean postoperative wounds. We examined postoperative
wound after radical excision of pilonidal sinus and after implantation of partial endoprosthesis in hip fracture. Molndal
technique consisted of wound dressing with Aquacel Ag – Hydrofiber. Traditional technique was performed using gauze
compresses and hypoallergic adhesives.We analyzed the results of 50 patients after radical excision of pilonidal sinus. 25
patients were treated by Molndal technique and 25 patients by the traditional technique of wound dressing. In the group
treated by Molndal technique only 1 (4%) patient has revealed a wound infection, proven by positive microbiological examination
and suppuration. In the traditional technique group 4 (16%) patients developed wound infection as inflammation
and secretion as a sign of superficial infection. In the other group we analyzed the results of 50 patients after implantation
of partial endoprosthesis after hip fracture. 20 patients were treated by Molndal technique and 30 patients by
the traditional technique of wound dressing. In the group treated by Molndal technique no patient has revealed a wound
infection (0%). In the traditional technique group 4 (13%) patients developed wound infection. All complication in both
group were superficial incisional surgical infection (according to HPSC). There was no deep incisional surgical site infection
or organ / space surgical site infection. Our results are clearly showing that Molndal technique is effective in preventing
the postoperative wound infection.
Ključne riječi
hip endoprosthesis; infection; Molndal; sinus pilonidalis; wound healing
Hrčak ID:
72245
URI
Datum izdavanja:
25.9.2011.
Posjeta: 2.013 *