Surgeon Preference Regarding Wound Dressing Management in Lumbar Fusion Surgery: An AO Spine Global Cross-Sectional Study
| Title: | Surgeon Preference Regarding Wound Dressing Management in Lumbar Fusion Surgery: An AO Spine Global Cross-Sectional Study |
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| Authors: | Luca Ambrosio, Gianluca Vadalà, Javad Tavakoli, Laura Scaramuzzo, Giovanni Barbanti Brodano, Stephen J. Lewis, So Kato, Samuel K. Cho, S. Tim Yoon, Ho-Joong Kim, Matthew F. Gary, Vincenzo Denaro |
| Source: | Neurospine, Vol 21, Iss 1, Pp 204-211 (2024) |
| Publisher Information: | Korean Spinal Neurosurgery Society, 2024. |
| Publication Year: | 2024 |
| Collection: | LCC:Neurology. Diseases of the nervous system |
| Subject Terms: | dressing, spine fusion, surgical site infection, intervertebral disc degeneration, minimally invasive spine surgery, survey, Neurology. Diseases of the nervous system, RC346-429 |
| More Details: | Objective To evaluate the global practice pattern of wound dressing use after lumbar fusion for degenerative conditions. Methods A survey issued by AO Spine Knowledge Forums Deformity and Degenerative was sent out to AO Spine members. The type of postoperative dressing employed, timing of initial dressing removal, and type of subsequent dressing applied were investigated. Differences in the type of surgery and regional distribution of surgeons’ preferences were analyzed. Results Right following surgery, 60.6% utilized a dry dressing, 23.2% a plastic occlusive dressing, 5.7% glue, 6% a combination of glue and polyester mesh, 2.6% a wound vacuum, and 1.2% other dressings. The initial dressing was removed on postoperative day 1 (11.6%), 2 (39.2%), 3 (20.3%), 4 (1.7%), 5 (4.3%), 6 (0.4%), 7 or later (12.5%), or depending on drain removal (9.9%). Following initial dressing removal, 75.9% applied a dry dressing, 17.7% a plastic occlusive dressing, and 1.3% glue, while 12.1% used no dressing. The use of no additional coverage after initial dressing removal was significantly associated with a later dressing change (p < 0.001). Significant differences emerged after comparing dressing management among different AO Spine regions (p < 0.001). Conclusion Most spine surgeons utilized a dry or plastic occlusive dressing initially applied after surgery. The first dressing was more frequently changed during the first 3 postoperative days and replaced with the same type of dressing. While dressing policies tended not to vary according to the type of surgery, regional differences suggest that actual practice may be based on personal experience rather than available evidence. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 2586-6583 2586-6591 |
| Relation: | http://www.e-neurospine.org/upload/pdf/ns-2347168-584.pdf; https://doaj.org/toc/2586-6583; https://doaj.org/toc/2586-6591 |
| DOI: | 10.14245/ns.2347168.584 |
| Access URL: | https://doaj.org/article/d8dd989c6f7d46bf9a42ef609ef2bf96 |
| Accession Number: | edsdoj.8dd989c6f7d46bf9a42ef609ef2bf96 |
| Database: | Directory of Open Access Journals |
| ISSN: | 25866583 25866591 |
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| DOI: | 10.14245/ns.2347168.584 |
| Published in: | Neurospine |
| Language: | English |