Postoperative Wound Complications in Obstetrics and Gynecology. Treatment and prevention methods
Introduction and purpose: Postoperative wound complications are a significant concern in obstetrics and gynecology, particularly with the increasing cesarean section rates globally. This study aims to analyze and evaluate current prevention and treatment methods for postoperative wound complication...
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Kazimierz Wielki University
2025-03-01
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| Series: | Journal of Education, Health and Sport |
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| Online Access: | https://apcz.umk.pl/JEHS/article/view/58174 |
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| author | Mirosław Sawicki Wojciech Nowak Maciej Gołębski Jagoda Mikołajczyk Zuzanna Kukla Stella Mieruszyńska Paulina Krzemińska Izabela Sadowska Jakub Włosiański Sebastian Musialik |
| author_facet | Mirosław Sawicki Wojciech Nowak Maciej Gołębski Jagoda Mikołajczyk Zuzanna Kukla Stella Mieruszyńska Paulina Krzemińska Izabela Sadowska Jakub Włosiański Sebastian Musialik |
| author_sort | Mirosław Sawicki |
| collection | DOAJ |
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Introduction and purpose: Postoperative wound complications are a significant concern in obstetrics and gynecology, particularly with the increasing cesarean section rates globally. This study aims to analyze and evaluate current prevention and treatment methods for postoperative wound complications, focusing on cesarean sections, while identifying innovative approaches and knowledge gaps to inspire further research. Description of the State of Knowledge: The most frequent complications—SSI, wound dehiscence, and fistula formation—are exacerbated in high-risk groups, such as patients with diabetes, obesity, hypertension, or those undergoing emergency cesarean sections. While surgical advancements and new wound care materials offer potential solutions, discrepancies in their efficacy, particularly for high-risk populations, remain unresolved. Techniques such as continuous suturing and mass closure reduce hernia risks, while innovative interventions, including Negative Pressure Wound Therapy and active dressings (hydrogel, hydrocolloid, alginate), show promise in promoting healing and minimizing complications. Materials and Methods: This study involved a comprehensive literature review of databases such as PubMed, Medline, and Cochrane, focusing on surgical techniques, wound healing mechanisms, and advanced dressing technologies. Results: Findings underscore the value of continuous suturing and mass closure techniques in reducing postoperative hernias and other complications. Innovative methods, including NPWT and active dressings, demonstrate potential in improving healing outcomes for high-risk patients. Summary: Optimizing surgical techniques and postoperative wound care protocols is essential for reducing complications. Further research is needed to standardize guidelines and assess innovative wound management strategies, particularly in obstetrics and gynecology.
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| format | Article |
| id | doaj-art-7ee5198b015a4bacb8468837224e7d2d |
| institution | DOAJ |
| issn | 2391-8306 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Kazimierz Wielki University |
| record_format | Article |
| series | Journal of Education, Health and Sport |
| spelling | doaj-art-7ee5198b015a4bacb8468837224e7d2d2025-08-20T02:58:08ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062025-03-017910.12775/JEHS.2025.79.58174Postoperative Wound Complications in Obstetrics and Gynecology. Treatment and prevention methodsMirosław Sawicki0https://orcid.org/0009-0007-1740-5046Wojciech Nowak1https://orcid.org/0009-0000-1259-3067Maciej Gołębski 2https://orcid.org/0009-0005-3065-814XJagoda Mikołajczyk3https://orcid.org/0009-0009-1745-5339Zuzanna Kukla 4https://orcid.org/0009-0005-2652-6988Stella Mieruszyńska5https://orcid.org/0009-0004-3483-5660Paulina Krzemińska6https://orcid.org/0009-0003-6071-4320Izabela Sadowska7https://orcid.org/0000-0003-3441-1636Jakub Włosiański8https://orcid.org/0009-0005-6985-4076Sebastian Musialik9https://orcid.org/0009-0006-6237-9820District hospital in Nysa, ul. Bohaterów Warszawy 34, 48-300 Nysa, PolandHelidor Swiecicki Clinical Hospital, Przybyszewskiego 49, 60-355 Poznań, Poland Zaglebiow Clinical Hospital, Szpitalna 40, 41-250 Czeladz, PolandCollegium Medicum, Nicolaus Copernicus University, Jagiellońska 13/15, 85-067 Bydgoszcz, PolandHelidor Swiecicki Clinical Hospital, Przybyszewskiego 49, 60-355 Poznań, Poland Collegium Medicum, Nicolaus Copernicus University, Jagiellońska 13/15, 85-067 Bydgoszcz, PolandNon-public Health Care Facility „Radziwie Clinic”, Popłacińska 42, 09-401 Płock, PolandProvincial Polyclinical Hospital in Płock of Marcina Kacprzaka, Medyczna 19, 09-400 Płock, PolandPoznań University of Medical Sciences, ul. Fredry 10, 61-701 Poznań, Poland SALUS Outpatient Medical Care, Wrocławska 8, 55-095 Siedlec, Poland Introduction and purpose: Postoperative wound complications are a significant concern in obstetrics and gynecology, particularly with the increasing cesarean section rates globally. This study aims to analyze and evaluate current prevention and treatment methods for postoperative wound complications, focusing on cesarean sections, while identifying innovative approaches and knowledge gaps to inspire further research. Description of the State of Knowledge: The most frequent complications—SSI, wound dehiscence, and fistula formation—are exacerbated in high-risk groups, such as patients with diabetes, obesity, hypertension, or those undergoing emergency cesarean sections. While surgical advancements and new wound care materials offer potential solutions, discrepancies in their efficacy, particularly for high-risk populations, remain unresolved. Techniques such as continuous suturing and mass closure reduce hernia risks, while innovative interventions, including Negative Pressure Wound Therapy and active dressings (hydrogel, hydrocolloid, alginate), show promise in promoting healing and minimizing complications. Materials and Methods: This study involved a comprehensive literature review of databases such as PubMed, Medline, and Cochrane, focusing on surgical techniques, wound healing mechanisms, and advanced dressing technologies. Results: Findings underscore the value of continuous suturing and mass closure techniques in reducing postoperative hernias and other complications. Innovative methods, including NPWT and active dressings, demonstrate potential in improving healing outcomes for high-risk patients. Summary: Optimizing surgical techniques and postoperative wound care protocols is essential for reducing complications. Further research is needed to standardize guidelines and assess innovative wound management strategies, particularly in obstetrics and gynecology. https://apcz.umk.pl/JEHS/article/view/58174sutureclosuremethodtechniquematerialcomplication |
| spellingShingle | Mirosław Sawicki Wojciech Nowak Maciej Gołębski Jagoda Mikołajczyk Zuzanna Kukla Stella Mieruszyńska Paulina Krzemińska Izabela Sadowska Jakub Włosiański Sebastian Musialik Postoperative Wound Complications in Obstetrics and Gynecology. Treatment and prevention methods Journal of Education, Health and Sport suture closure method technique material complication |
| title | Postoperative Wound Complications in Obstetrics and Gynecology. Treatment and prevention methods |
| title_full | Postoperative Wound Complications in Obstetrics and Gynecology. Treatment and prevention methods |
| title_fullStr | Postoperative Wound Complications in Obstetrics and Gynecology. Treatment and prevention methods |
| title_full_unstemmed | Postoperative Wound Complications in Obstetrics and Gynecology. Treatment and prevention methods |
| title_short | Postoperative Wound Complications in Obstetrics and Gynecology. Treatment and prevention methods |
| title_sort | postoperative wound complications in obstetrics and gynecology treatment and prevention methods |
| topic | suture closure method technique material complication |
| url | https://apcz.umk.pl/JEHS/article/view/58174 |
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