[Clinical application of liquid wound dressing in circumcision].

OBJECTIVE

To investigate the clinical application value of liquid wound dressing in circumcision.

METHODS

This retrospective study included 200 cases of redundant prepuce or phimosis undergoing circumcision in the Affiliated Hospital of Nanjing University of Chinese Medicine between August 2021 and December 2022. We divided the patients into two groups of an equal number to receive wound care with liquid wound dressing (the observation group) and iodine gauze dressing (the control group), respectively. We compared the operation time, postoperative bleeding, edema, infection, incision exudation and scarring, and pain scores during dressing change at 4, 24 and 72 hours after surgery. Results： No statistically significant differences were observed between the observation and control groups in the operation time (［16.22 ± 3.15］ vs ［17.01 ± 3.37］ min, P > 0.05) or postoperative bleeding (12 vs 14 cases, P > 0.05). The patients in the observation group, compared with the controls, showed significantly lower incidences of postoperative edema (9 vs 23 cases), infection (6 vs 17 cases), incision exudation (7 vs 21 cases) and scarring (5 vs 14 cases), and lower pain scores during dressing change at 4 hours (6.71 ± 1.02 vs 7.04 ± 0.92), 24 hours (5.38 ± 1.45 vs 5.87 ± 1.35) and 72 hours after surgery (3.65 ± 1.53 vs 4.26 ± 1.63) (all P < 0.05). Conclusion： For postoperative wound care of the patients undergoing circumcision, liquid wound dressing can evidently reduce postoperative pain, incision bleeding, edema, infection and scarring, and therefore deserves clinical promotion.