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Use of an impervious wound edge protector decreased postoperative wound infection
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 QUESTION: In patients having abdominal surgery, does the use of an impervious wound edge protector reduce postoperative wound infections?

Design

Randomised {allocation concealed*}, blinded (outcome assessor),* controlled trial with 30 day follow up.

Setting

Cork, Ireland.

Patients

352 patients (56% women) who were having transabdominal surgery for gastrointestinal disease. Follow up was complete.

Intervention

All patients received systemic antibiotic prophylaxis and povidone iodine skin preparation and were allocated either to an impervious wound edge protector (n=170) or to no wound edge protector (n=182). The protector was an impermeable plastic drape attached to the abdomen with adhesive patches. A hole in the middle of the protector ringed by semirigid plastic protected the abdominal wound edge from …

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