TITLE:
Absence of Dressing versus Dressing in Gynaecological and Obstetrical Surgery at the University Hospital of Brazzaville
AUTHORS:
C. Itoua, Eouani Lme, P. Obara Ngoli Mbongui, P. S. Koko, L.-H. Iloki
KEYWORDS:
Absence of Dressing, Operating Site, Cicatrisation, Cost, Gynaecological and Obstetric Surgery, Congo, Brazzaville
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.3,
March
23,
2018
ABSTRACT: Objective: To compare the evolution of the operative site in the presence or absence of an
occlusive skin dressing. Patients and methods: Prospective, comparative study that took place at
the University Hospital of Brazzaville from January 1st to August 31st, 2016.
120 patients were randomly recruited divided into two groups: A study group
consisting of 60 patients without a dressing and a control group consisting of
60 patients. Results: Sociodemographic
characteristics were similar in both groups, as well as pre- and intraoperative characteristics. Postoperative
complications included parietal infection (3 vs. 4 cases, p > 0.05), one case of disunion, and one case of
skin irritation by the plaster in the study group. The duration of healing was
shorter in the control group compared to the study group (11 ± 2 days vs. 12 ± 2, p > 0.05). The average cost of care equipment was 3.5
times higher for the group with dressing (5120 FCFA vs. 18620 FCFA, p 0.05). In the study group, only one patient was
afraid of seeing her wound. Patients in the control group were less satisfied,
indeed they dreaded the time of removal of the plaster because of the pain.