An incision film, also known as an incision cloth, is used during a surgical procedure to provide sterile protection to the skin surrounding a surgical incision and to maintain the sterile environment of the surgical glue during operations. It has been estimated that surgical site infection occurs in approximately 15% of cases of clean surgery and in 30% of cases of contaminated surgery. The use of adhesive plastic drapes to protect the wound from organisms that may be present in the surrounding skin during surgery is a strategy used to prevent infection of the surgical site. The results of non-randomized studies have yielded conflicting results on efficacy of this approach.
A systematic review was required to guide clinical practice. Wound dressings form an integral part of wound care. For much of history, it was believed that wounds should be left open to dry in order to improve healing. However, a better understanding of the normal physiology of wound healing through clinical advances led doctors to realize the importance of bandages in optimizing wound healing injuries.
Since George Winter introduced the concept of wet wound healing, new wound dressings were developed that could retain moisture and played an active role in wound healing. Clear film dressings are one of the first wound dressings developed that could maintain wound moisture. The results of non-randomized studies have yielded conflicting results about the effectiveness of this approach. Plastic implants allow greater movement and are more comfortable than other materials.
Medical plastics are common for medical devices such as heart valves, knee and hip replacements, and surgical items such as facial augmentation implants. In a systematic review of seven randomized controlled studies involving 4,195 patients, researchers concluded that there was no evidence to support the use of adhesive plastic drapes for incisions as a method of reducing infections, and that there was some evidence that infection rates could increase when adhesive drapes were used for incisions. Randomized controlled trials that compared any adhesive plastic cloth to any adhesive plastic cloth, used alone or in combination with woven (material) or disposable (paper) cloths, in patients undergoing any type of surgery. In addition, a statistically significant increase of 23% in the risk of suffering acute respiratory infections in the group treated with plastic cloths seems clinically important to us and ignoring it would be indefensible.
We also contacted manufacturers of plastic adhesive cloths (Johnson & Johnson, 3M Company and Smith & Nephew) to request details of any unpublished tests. Tests in which “ring” or “V” shaped plastic drapes were evaluated were excluded, since the incision was not made through the cloth. This technology could create new uses for plastic in a training environment, with the possibility of recreating bones or organs to study or prepare for surgery. You'll find many single-use plastic items, such as syringes and tubes, since medical plastic is durable and, in most cases, recyclable.
Despite the time lapse, direct comparisons between the absence of an adhesive plastic cloth and the use of an adhesive plastic cloth have consistently demonstrated that there is no advantage associated with adhesive cloths. According to a meta-analysis of two additional studies, involving 1113 participants, no effect was seen on surgical site infection rates, comparing iodine-impregnated plastic adhesive incision cloths and those that did not use them. The main objective of this systematic review was to evaluate the effect of plastic adhesive drapes used during surgery on surgical site infection (SSI) rates. One of the most commonly used surgical strategies to reduce SSI is the use of adhesive plastic drapes (hereinafter referred to as drapes).
adhesives). A wide range of single-use items use plastic because it is inexpensive and because throwing away these items is safer than disinfecting equipment. The authors of the Cochrane review concluded that there was some evidence that adhesive plastic incision curtains increase infection rates, but there is no such evidence. You won't find any medical procedure that doesn't require the use of several items made of plastic.
You'll also find plastic bottles and containers that protect prescription drugs from UV rays, moisture and other elements that could damage them.
