Patients are often advised to keep the initial postoperative dressings dry and undisturbed for 24 to 72 hours. However, these requirements may result in significant disruption of patients' activities of daily living, such as bathing, leisure, and exercise. Compare standard management of keeping wounds dry and covered (48 hours) with early (6 hours) postoperative water exposure. Investigator-blinded, randomized (1:1), controlled trial evaluating rate of infection and additional outcomes of interest. Overall, 437 patients were randomized to either the early (6-hour) water exposure ( = 218) intervention group or the standard cohort ( = 219). The incidence of culture-proven infection in the intervention group (1.8%) was similar to the standard group (1.4%) ( > .99). There was also no difference in rates of bleeding or bruising. Scar assessment using the Patient and Observer Scar Assessment Scale revealed similar scar outcomes. Single site, academic center. Surgical wounds can be allowed to get wet in the immediate postoperative period with no increased incidence of infection or other complications and with similar cosmesis.

中文翻译：

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术后早期水暴露不会增加皮肤手术并发症：一项随机、研究者设盲、对照试验


通常建议患者在 24 至 72 小时内保持初始术后敷料干燥且不受干扰。然而，这些要求可能会导致患者的日常生活活动严重中断，例如洗澡、休闲和锻炼。将保持伤口干燥和覆盖（48 小时）的标准管理与术后早期（6 小时）接触水进行比较。研究者设盲、随机 （1：1）、对照试验评估感染率和其他感兴趣的结果。总体而言，437 名患者被随机分配到早期 （6 小时） 水暴露组 （ = 218） 干预组或标准队列 （ = 219）。干预组经培养证实的感染发生率 （1.8%） 与标准组 （1.4%） （ > .99） 相似。出血或瘀伤的发生率也没有差异。使用患者和观察者疤痕评估量表的疤痕评估揭示了相似的疤痕结果。单一地点，学术中心。手术后即刻可以让手术伤口弄湿，感染或其他并发症的发生率不会增加，并且具有类似的美观性。