TY - JOUR
T1 - Surgeon Preference Regarding Wound Dressing Management in Lumbar Fusion Surgery
T2 - An AO Spine Global Cross-Sectional Study
AU - AO Spine Knowledge Forum Degenerative
AU - Ambrosio, Luca
AU - Vadalà, Gianluca
AU - Tavakoli, Javad
AU - Scaramuzzo, Laura
AU - Brodano, Giovanni Barbanti
AU - Lewis, Stephen J.
AU - Kato, So
AU - Cho, Samuel K.
AU - Yoon, S. Tim
AU - Kim, Ho Joong
AU - Gary, Matthew F.
AU - Denaro, Vincenzo
N1 - Publisher Copyright:
© 2024 by the Korean Spinal Neurosurgery Society.
PY - 2024/3
Y1 - 2024/3
N2 - 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.
AB - 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.
KW - Dressing
KW - Intervertebral disc degeneration
KW - Minimally invasive spine surgery
KW - Spine fusion
KW - Surgical site infection
KW - Survey
UR - http://www.scopus.com/inward/record.url?scp=85188989674&partnerID=8YFLogxK
U2 - 10.14245/ns.2347168.584
DO - 10.14245/ns.2347168.584
M3 - Article
AN - SCOPUS:85188989674
SN - 2586-6583
VL - 21
SP - 204
EP - 211
JO - Neurospine
JF - Neurospine
IS - 1
ER -