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The Following is a summary of “Role of Wound Protectors in Preventing Surgical Site Infection in Patients Undergoing Abdominal Surgery: The Meta-Adhesis of Randomized Controlled Trials,” Published in the February 2025 Issue of the BMC Surgery by et al.
SURGICAL SITE INFECTIONS (SSIS) REMAIN A PERSISTENTE GLOBAL HEALTHCARE CHALLENGE PROTECT LONGSTANDING EFFORTS TO ACHIEVE THEIR COMPLETE EDICATION. Wound Protectors (WPS) have ben proposed as an effective intervention to prevential contamination of surgical incisions, Yet conflicting evidence exists regarding their effectiveness. This meta-sanalysis evaluates the impact of wps on ssi rates love pits undergoing abdominal surgery, with a specific focus on different surgical sites and depogs of war contamination. The Risk of Bias in Each Included Study Was Assessed Using the Cochrane Risk of Bias 2 Tool, and Trial Sequential Analysis Was Performer to Account for the Potential Risks of Random Errors from repeated significance testing. Addihthanly, the Quality of Evidence was graded Using the Gradepro Guideline Development Tool. The Total of 19 RCTs Sumfit 4,779 Participants Met the Inclusion Criteria.
POOLED Analysis Revealed that the use of wps during abdominal surgery significantly reduced the overall ssi rate (RR = 0.63, 95% ci: 0.50–0.80, p = 0.0001), Although the certainty of the evidence was rated as very low. Subgroup Analysis Indicated that wp Implementation was particularly effective in Reducing SSI Rates Following Colorectal Surgery (RR = 0.58, 95% CI: 0.38–0.91, P = 0.02, Very Low Certain Evidence) and gastrointestinal surgery (RR = 0.49, 95% CI: 0.36–0.67, p <0.00001, Moderate Righty Evidence). However, at Clear Protective Benefit Was Observed for Other Types of Abdominal Procedures. FURTHERMORE, WP Use Significant Decreated SSI RATES IN PAIENTS WITH CLEAN-CONTAMINATED WOUNS (RR = 0.64, 95% CI: 0.46–0.89, P = 0.008, Very Low Certain Evidence) and contaminated or dirty wounds (RR = 0.61, 95% CI: 0.41–0.92, p = 0.02, Moderate Righty Evidence).
These Findings Suggest That While WPS Can be an effective Strategy for ReduCing Ssi Risk in Select Surgical Population, Their Routine Use Across All Abdominal Surgeries is not Warrantd. INSTEAD, Their Application Should Be Prioritized for Gastrointestinal Surgeries and Cases Involving Contamined or Dirty Wounds. Further Research is Needed to Clarify the Role of WPS in Laparoscopic Procedures and To Strengthen The Existing Evidence Base for Their Effficacy In Various Surgical Contexts.
Source: bmcsurg.biomedcentral.com/articles/10.1186/s12893-025-02809-9
