<p>An infection that develops after plastic or reconstructive surgery is one of the most common and difficult consequences to deal with. In addition to compromising functional recovery and cosmetic outcomes, these infections can greatly lengthen hospital stays, raise patient morbidity, and slow wound healing. Infection risk in plastic surgery is complex and multifaceted, necessitating an all-encompassing and preventative strategy. Strict aseptic surgical procedures, perioperative antibiotic prophylaxis based on procedure type and patient risk profile, and comprehensive preoperative skin preparation to decrease microbial load are important preventive strategies. Significantly less infection risk can be achieved with patient optimization prior to surgery by controlling comorbidities like diabetes, correcting dietary deficiencies, stopping smoking, and managing immunosuppressive conditions. New approaches to wound care have emerged that promise to speed up the healing process while simultaneously decreasing the incidence of infections. Some of these methods include using antimicrobial dressings that release silver or iodine over time, using negative pressure wound therapy to increase blood flow and drain excess fluid, and utilizing bioengineered scaffolds and matrices rich in growth factors to stimulate cell proliferation and angiogenesis. Preventing deep tissue involvement and surgical site infection requires early diagnosis of infection signals and rapid action. The purpose of this review is to highlight current evidence-based methods and advances in the field of plastic surgery that aim to reduce infections and enhance wound healing. It also emphasizes the significance of an integrated, multidisciplinary approach in order to improve both the functional and aesthetic outcomes of surgical procedures.</p>

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Infection control and wound care innovations in plastic surgery: a multidisciplinary approach

  • Rasha Abu-Khudir,
  • Ahmed S. Doghish,
  • Reda M. Mansour,
  • Ghadir A. Sayed,
  • Nourhan H. Elshami,
  • Hebatallah Ahmed Mohamed Moustafa,
  • Wagiha S. Elkalla,
  • Ahmed O. Abdulkader,
  • Sherif S. Abdel Mageed,
  • Osama A. Mohammed,
  • Rabab S. Hamad,
  • Ahmed I. Abulsoud,
  • Mohamed Bakr Zaki,
  • Mahmoud A. Elrebehy,
  • Amr M. Abdelfatah,
  • Akram N. Salah

摘要

An infection that develops after plastic or reconstructive surgery is one of the most common and difficult consequences to deal with. In addition to compromising functional recovery and cosmetic outcomes, these infections can greatly lengthen hospital stays, raise patient morbidity, and slow wound healing. Infection risk in plastic surgery is complex and multifaceted, necessitating an all-encompassing and preventative strategy. Strict aseptic surgical procedures, perioperative antibiotic prophylaxis based on procedure type and patient risk profile, and comprehensive preoperative skin preparation to decrease microbial load are important preventive strategies. Significantly less infection risk can be achieved with patient optimization prior to surgery by controlling comorbidities like diabetes, correcting dietary deficiencies, stopping smoking, and managing immunosuppressive conditions. New approaches to wound care have emerged that promise to speed up the healing process while simultaneously decreasing the incidence of infections. Some of these methods include using antimicrobial dressings that release silver or iodine over time, using negative pressure wound therapy to increase blood flow and drain excess fluid, and utilizing bioengineered scaffolds and matrices rich in growth factors to stimulate cell proliferation and angiogenesis. Preventing deep tissue involvement and surgical site infection requires early diagnosis of infection signals and rapid action. The purpose of this review is to highlight current evidence-based methods and advances in the field of plastic surgery that aim to reduce infections and enhance wound healing. It also emphasizes the significance of an integrated, multidisciplinary approach in order to improve both the functional and aesthetic outcomes of surgical procedures.