Document Detail


A modified technique of delayed primary closure using a povidone iodine wick: influence on wound healing in an experimental model.
MedLine Citation:
PMID:  8244649     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a modified technique of delayed primary wound closure using a wound wick. A rodent model was used to determine its influence on healing. After loose primary closure of two paravertebral incisions on the dorsum of male rats, a 10 cm length of ribbon gauze, soaked in either saline or 1% povidone-iodine, was inserted into the right sided wound. Wicks were soaked daily with the same solution until removal on the third post-operative day. The inclusion of a wick soaked in saline had an early transient effect on healing. A more prolonged impairment of healing was demonstrated in povidone-iodine wicked wounds and their respective controls. These data suggest that povidone-iodine impaired healing not only in the wicked wound, but also inhibited healing in the adjacent unwicked wound which was not directly exposed to the antiseptic. The observed delay in healing in povidone-iodine wicked wounds must however be balanced against its beneficial effect on wound infection rates. We suggest that further evaluation of this method of closure in contaminated wounds is warranted.
Authors:
R G Molloy; M P Brady
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Irish journal of medical science     Volume:  162     ISSN:  0021-1265     ISO Abbreviation:  Ir J Med Sci     Publication Date:  1993 Aug 
Date Detail:
Created Date:  1993-12-30     Completed Date:  1993-12-30     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7806864     Medline TA:  Ir J Med Sci     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  297-300     Citation Subset:  IM    
Affiliation:
University Department of Surgery, Regional Hospital, Cork, Ireland.
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MeSH Terms
Descriptor/Qualifier:
Animals
Male
Models, Biological
Postoperative Care*
Povidone-Iodine / pharmacology*,  therapeutic use
Rats
Rats, Sprague-Dawley
Tampons, Surgical*
Time Factors
Wound Healing / drug effects*
Chemical
Reg. No./Substance:
25655-41-8/Povidone-Iodine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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