Early postoperative dressing removal in hand surgery: Novel concepts for individualized surgical dressing management.

摘要: Abstract Postoperative dressing protocols after clean surgery without implant vary widely. The purpose of this study was to elucidate whether early postoperative removal is a valid option, as compared untouched or twice-weekly change approach. A prospective randomized conducted on patients who underwent carpal tunnel release (CTR) trigger finger (TFR) between January and November 2020. Patients were randomly distributed into 3 groups: surgical until first follow up (SDU); changed twice week in health maintenance organization (HMO); removed at day (SDR). Data collected included patient characteristics, pre-and post-operative functional (QuickDASH) autonomy (Instrumental Activities Daily Living performance (IADL)) scores, Vancouver scar scale (VSS) potential complications. Eighty-four included: 28 (33.3%), 29 (34.5%) 27 (32.1%) the SDU, HMO SDR groups, respectively. Deterioration mean IADL score 2-week follow-up statistically significant group (mean delta 3.35, p = 0.008). Quick DASH improved significantly preoperative values only SDU 9.12, p = 0.012). Other parameters, including wound complications, did not differ groups. Early immediate exposure safe option CTR TFR. An bulky correlated with improvement. Finally, iterative showed no benefit led deterioration autonomy. IRB approval 0548-18-TLV. Level evidence I.