Can nursing actions prevent surgical wound dehiscence?
DOI:
https://doi.org/10.5327/Z1414-4425202000020008Keywords:
Deiscência de Feridas Cirúrgicas, Infecção da Ferida Cirúrgica, Feridas Cirúrgicas, Enfermagem Perioperatória, Assistência Perioperatória, Período perioperatórioAbstract
Objective: To identify useful nursing interventions for preventing Surgical Wound Dehiscence in scientific literature. Method: This is an integrative
literature review, guided by the question: are there nursing actions that can contribute to the prevention of surgical wound dehiscence? The search was
carried out in March 2019, including articles published from 1990 to 2018. We used the following databases and/or portals to select the articles: National
Library of Medicine (PubMed); Web of Science; Scopus Info Site (Scopus); Latin American and Caribbean Health Sciences Literature (LILACS), and
Cumulative Index to Nursing and Allied Health Literature (CINHAL). Results: The search resulted in 64 articles. We excluded four of them for being
duplicates, and another 40 that did not meet the inclusion criteria (24 were about treatment, 13 due to the nature of the article, two were not available,
and one was in French). Twenty articles were fully evaluated, and 14 were excluded because they did not answer the guiding question of this review.
Thus, at the end of this analysis process, we selected six articles that met the inclusion criteria and constituted the final sample. Conclusion: The nursing
production on the subject was scarce. The main nursing actions for preventing surgical wound dehiscence are associated with the prevention of surgical
site infections and the indication and use of negative pressure wound therapy
References
Sandy-Hodgetts, K. and Leslie, G. and Lewin, G. and Hendrie, D. and Carville, K. 2016. Surgical wound dehiscence in an Australian community nursing service: Time and cost to healing. Journal of Wound Care. 25 (7): pp. 377-383. DOI: 10.12968/jowc.2016.25.7.377
Stannard JP, Gabriel A, Lehner B. Use of negative pressure wound therapy over clean, closed surgical incisions. International Wound Journal. 2012; 9:32–39. DOI:10.1111/j.1742-481x.2012.01017.x
Shanmugam VK, Fernandez SJ, Evans KK, McNish S, Banerjee AN, Couch KS, Mete M, Shara N. Postoperative wound dehiscence: Predictors and associations. Wound Repair Regen. 2015;23(2):184-90. DOI: 10.1111/wrr.12268
Ramshorst GH, Nieuwenhuizen J, Hop WC, Arends P, Boom J, Jeekel J, Lange JF. Abdominal wound dehiscence in adults: development and validation of a risk model. World J Surg. 2010 Jan;34(1):20-7. DOI: 10.1007/s00268-009-0277-y.
Ursi ES, Galvão CM. Prevenção de lesões de pele no perioperatório: revisão integrativa da literatura. Rev. latino-am enferm. 2006;14 (1):124-31. DOI:10.1590/S0104-11692006000100017.
Pavlidis TE, Galatianos IN, Papaziogas BT, Lazaridis CN, Atmatzidis KS, Makris JG, Papaziogas TB. Complete dehiscence of the abdominal wound and incriminating factors. Eur J Surg. 2001; 167(5):351-4. DOI:10.1080/110241501750215221
Sandy-Hodgetts K, Leslie GD, Parsons R, et al. Prevention of postsurgical wound dehiscence after abdominal surgery with NPWT: a multicentre randomized controlled trial protocol. J Wound Care 2017; 26(2): S23–26. DOI: 10.12968/jowc.2017.26.Sup2.S23
Vuolo JC. Assessment and management of surgical wounds in clinical practice. Nurs Stand. 2006;20(52):46-56. https://www.ncbi.nlm.nih.gov/pubmed/16989341 DOI:10.7748/ns2006.09.20.52.46.c4494
Walming S, Angenete E, Block M, Bock D, Gessler B, Haglind E. Retrospective review of risk factors for surgical wound dehiscence and incisional hernia. BMC Surg. 2017 Feb 22;17(1):19. DOI: 10.1186/s12893-017-0207-0.
Mir MA, Manzoor F, Singh B, et al. Development of a risk model for abdominal wound dehiscence. Surgical Sci 2016; 7: 466–74.
Spiliotis J, Tsiveriotis K, Datsis AD, Vaxevanidou A, Zacharis G, Giafis K, Kekelos S, Rogdakis A. Wound dehiscence: is still a problem in the 21th century: a retrospective study. World J Emerg Surg. 2009; 4:12. DOI: 10.1186/1749-7922-4-12.
Kerim Bora Yılmaz, Melih Akıncı, Lütfi Doğan, Niyazi Karaman, Cihangir Özaslan, Can Atalay. A prospective evaluation of the risk factors for development of wound dehiscence and incisional hernia. Ulus Cerrahi Derg. 2013; 29(1): 25–30. DOI: 10.5152/UCD.2013.06
Butler LD. Early Postoperative Complications Following Ostomy Surgery: A Review. J Wound Ostomy Continence Nurs. 2009; 36(5):513–519. DOI:10.1097/WON.0b013e3181b35eaa
Souza MT, Silva MD, Carvalho R. Revisão integrativa: o que é e como fazer. Einstein [Internet]. 2010;8(1pt1):102-6.
Aromataris E, Munn Z (Editors). Joanna Briggs Institute Reviewer's Manual. The Joanna Briggs Institute, 2017. Disponível em: https://reviewersmanual.joannabriggs.org/
Scalise A, Calamita R, Tartaglione C, Pierangeli M, Bolletta E, Gioacchini M, Gesuita R, Di Benedetto G. Improving wound healing and preventing surgical site complications of closed surgical incisions: a possible role of Incisional Negative Pressure Wound Therapy. A systematic review of the literature. Int Wound J. 2016;13(6):1260-1281. DOI: doi: 10.1111/iwj.12492
Sandy-Hodgetts K, Watts, R. Effectiveness of negative pressure wound therapy/closed incision management in the prevention of post-surgical wound complications: a systematic review and meta-analysis. JBI Database of Systematic Reviews and Implementation Reports. 2015; 13(issue 1):253–303. DOI: 10.11124/jbisrir-2015-1687
World Union of Wound Healing Societies (WUWHS) Consensus Document. Surgical wound dehiscence: Improving prevention and outcomes. 2018. Available at: www.woundsinternational.com
Paiva CSB, Oliveira SMJV, Francisco AA ,Silva RL, Mendes EPB, Steen M. Length of perineal pain relief after ice pack application: A quasi-experimental study. Women and Birth. 2016; 29(2):117-122, 2016. DOI: 10.1016/j.wombi.2015.09.002
Kenig J, Richter P, Żurawska S, Lasek A, Zbierska K. Risk factors for wound dehiscence after laparotomy - clinical control trial. Pol Przegl Chir. 2012 Nov;84(11):565-73. DOI: 10.2478/v10035-012-0094-0
Aksamija G, Mulabdic A, Rasic I, Aksamija L. Evaluation of Risk Factors of Surgical Wound Dehiscence in Adults After Laparotomy. Med Arch. 2016; 70(5): 369–372. DOI: 10.5455/medarh.2016.70.369-372
Petito EL, Esteves MT, Elias S, Facina G, Nazário AC, Gutiérrez MG. The influence of the initiation of an exercise programme on seroma formation and dehiscence following breast cancer surgery. J Clin Nurs. 2014;23(21-22):3087-94. DOI: 10.1111/jocn.12544
World Health Organization. Global guidelines for the prevention of surgical site infection. World Health Organization, 2016. Available at: http://www.who.int/gpsc/ssi-prevention-guidelines/en/
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