The effectiveness of waxing or epilation compared to conventional methods of hair removal in reducing the incidence of surgical site infections: a systematic review and meta-analysis.

IF 1.6 4区医学 Q2 SURGERY Frontiers in Surgery Pub Date : 2024-12-06 eCollection Date: 2024-01-01 DOI:10.3389/fsurg.2024.1395681

Joseph Cutteridge, Pierre Garrido, Tim Staniland, Arthur Lim, Joshua Totty, Ross Lathan, George Smith, Ian Chetter

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Abstract

Background: Surgical site infections (SSIs) pose a significant challenge to healthcare systems by elevating patient morbidity and mortality and driving up financial costs. Preoperative skin preparation is crucial for preventing SSIs; however, certain traditional methods of hair removal have been found to increase the risk of SSI development. Mechanical epilation and waxing constitute two relatively explored methods of hair removal, which may hold potential to accelerate wound healing due to the activation of stem cells within hair follicles. This review assesses the efficacy of preoperative hair removal via waxing and mechanical epilation in reducing SSI incidence.

Methods: This systematic review was prospectively registered with PROSPERO (ref: CRD42023423798) and a protocol previously published in a peer-reviewed journal. All findings are reported according to PRISMA guidelines. A comprehensive search of Medline, Embase, CENTRAL, ClinicalTrials.gov and CINAHL. Inclusion criteria encompassed adult patients undergoing any surgical procedure, comparing waxing or epilation against other hair removal methods or no hair removal, with SSI incidence as the primary outcome. There was no restriction on study size or quality to ensure a comprehensive literature evaluation.

Results: The review found no studies meeting the selection criteria out of 576 records screened.

Discussion/conclusion: This review has identified no literature regarding the use of waxing and mechanical epilation as methods of preoperative hair removal. The lack of experimental evidence combined with the potential physiological advantages of these techniques indicate that this could be a valuable area of future research. These techniques may represent novel approaches to SSI prevention, particularly beneficial in high-risk surgical disciplines like vascular surgery.

Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=423798, PROSPERO (CRD42023423798).

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与传统脱毛方法相比，脱毛或脱毛在减少手术部位感染发生率方面的有效性：一项系统回顾和荟萃分析。

背景：手术部位感染（ssi）通过提高患者发病率和死亡率并增加财务成本，对医疗保健系统构成了重大挑战。术前皮肤准备对预防ssi至关重要；然而，某些传统的脱毛方法被发现会增加SSI发展的风险。机械脱毛和脱毛是两种相对探索的脱毛方法，由于毛囊内干细胞的激活，它们可能具有加速伤口愈合的潜力。本综述评估了术前脱毛打蜡和机械脱毛在减少SSI发生率方面的效果。方法：本系统综述在PROSPERO （ref: CRD42023423798）和之前发表在同行评议期刊上的一项方案中前瞻性注册。所有发现均根据PRISMA指南进行报告。综合检索Medline， Embase， CENTRAL, ClinicalTrials.gov和CINAHL。纳入标准包括接受任何外科手术的成年患者，将脱毛或脱毛与其他脱毛方法或不脱毛进行比较，以SSI发生率为主要结局。没有限制研究的规模和质量，以确保全面的文献评价。结果：在筛选的576条记录中，没有发现符合选择标准的研究。讨论/结论：本综述未发现有关使用脱毛蜡和机械脱毛作为术前脱毛方法的文献。实验证据的缺乏以及这些技术潜在的生理优势表明，这可能是未来研究的一个有价值的领域。这些技术可能代表了预防SSI的新方法，尤其对血管外科等高危外科学科有益。系统评价注册：https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=423798, PROSPERO （CRD42023423798）。

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来源期刊

Frontiers in Surgery Medicine-Surgery

CiteScore

1.90

自引率

11.10%

发文量

1872

审稿时长

12 weeks

期刊介绍： Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.