Book review
https://doi.org/10.3325/cmj.2021.62.614
Is the use of specific time cut-off or “golden period” for primary closure of acute traumatic wounds evidence based? A systematic review
Josip Jaman
orcid.org/0000-0003-2281-1069
; Department of Surgery, Sestre Milosrdnice University Hospital Center, Zagreb, Croatia
Krešimir Martić
; Department for Plastic, Reconstructive, and Esthetic Surgery, Dubrava University Hospital, Zagreb, Croatia
Nivez Rasic
; Pediatric Anesthesia and Pain Medicine, Alberta Children’s Hospital, Calgary, Canada
Helena Markulin
; Central Medical Library, University of Zagreb School of Medicine, Zagreb, Croatia
Sara Haberle
; Institute of Emergency Medicine Krapina-Zagorje County, Krapina, Croatia
Abstract
The time cut-off for primary closure of acute wounds is not
clearly defined in the literature or in the surgical textbooks.
It is even unclear whether the wound age increases wound
infection rate. The scarcity of scientific evidence may explain the diverse wound management practices. To give
guidance for further research in the field, this systematic
review assessed recent evidence on the impact of wound
age on the infection rate and on the selection of wound
closure method. Using predefined criteria, we systematically searched Cochrane Central Register of Controlled Trials/CENTRAL, Cochrane Database of Systematic Reviews,
MEDLINE, Scopus, Web of Science Core Collection, Current
Contents, SciELO Citation Index, KCI-Korean Journal Database, Russian Science Citation Index, BIOSIS Citation Index,
Data Citation Index, LILACS/Latin American and Caribbean
Health Sciences Literature, and African Index Medicus; as
well as online trial registries: ClinicalTrials.gov, WHO International Clinical Trials Registry Platform/WHO ICTRP, and
CenterWatch. Nine studies met the selection criteria and
were included in the review. This review could not establish the time frame for primary closure of wounds. The time
intervals mentioned in many surgical textbooks were supported by only a few low-quality studies. More important
factors to be considered when delaying primary closure of
acute wounds were the history of diabetes, wound location, wound length, and the presence of a foreign body
Keywords
Hrčak ID:
278872
URI
Publication date:
23.12.2021.
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