مقايسه بين دو روش انجام آمادگي پوست در اعمال جراحي شكم

A Comprison of Two Methods of Skin Preration In Abdominal Surgery

Many studies have been made on wound infection and its causes. However,wound infection is still the most frequent postoperative complication. Numerous factors besides skin preparation of the operative site play a role in prevent of infection, skin preparation is an integral part of surgical oprations, and many methods have been proposed. Surgeons are always seeking a rapid, simple, cheap and effective method of skin preparation for surgery. The surgical texts recommend two methods of preparation: A 1-minute prep with alcohol and povidine-iodine or a 10-minute prep with Povidine-Iodine solution. No preference has been given to either technique despite the fact that the 1-minute prep is much quicker. This study seeked to evaluate postoperative wound infection following preparation using both methods in 180 patients undergoing abdominal surgery, with similar age, and operating patients were followed for one month. Eleven patients developed infections, five of these were from the 1-min prep group and six were from 10-min prep group. The Chi-square test did not show a significant difference between the groups. Therefore the 1-min prep may suffice for abdominal surgery.