Feasibility and Safety of Utilizing Air Ultrafine Bubble Water for Preoperative Skin Cleaning Before Foot and Ankle Surgery.

IF 1.4 4区医学 Q3 DERMATOLOGY

Advances in Skin & Wound Care Pub Date : 2025-09-22 DOI:10.1097/ASW.0000000000000367

Yuki Tabuse, Makoto Hirao, Takaaki Noguchi, Gensuke Okamura, Shigeyoshi Tsuji, Yuki Etani, Kosuke Ebina, Hyota Takamatsu, Shiro Ohshima, Seiji Okada, Jun Hashimoto

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引用次数: 0

Abstract

Objective: The surgical site infection (SSI) rate is reportedly higher with foot and ankle surgeries than with other parts. This is problematic for rheumatoid arthritis and diabetes mellitus patients. Ultrafine bubble (UFB) technology is expected to elongate the duration for which the surgical site can remain disinfected, thanks to its stable nanobubble structure and disinfection effects by its own radical actions. This study evaluated the feasibility and safety of preoperative skin cleaning utilizing UFB water before foot/ankle surgery.

Methods: This observational study retrospectively examined 219 extremities in 217 patients who had undergone foot/ankle surgery. Preoperative skin cleaning was performed using either conventional alcohol (concentration 80%) (conventional group; 113 extremities) or 500 mL of UFB water and conventional alcohol (UFB group; 106 extremities). Frequencies of postoperative events such as blister formation, eschar formation (width >10 mm) on the wound, and wound dehiscence after suture removal were compared, as was the time until suture removal.

Results: Rates of eschar formation and wound dehiscence after suture removal were significantly reduced in the UFB group. Time to suture removal was significantly shorter in the UFB group (12.9 d) than in the conventional group (15.5 d). All 3 cases with infected open wounds in the UFB water group achieved complete cure with wound closure within 2 weeks.

Conclusions: Preoperative skin cleaning using air UFB water appears safe and might help prevent eschar formation and wound dehiscence after foot/ankle surgeries. These effects could improve wound healing for patients undergoing foot and ankle surgery.

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超细气泡水用于足踝手术前皮肤清洁的可行性和安全性。

目的：据报道，足部和踝关节手术部位感染（SSI）的发生率高于其他部位。这对类风湿关节炎和糖尿病患者是有问题的。超细气泡（UFB）技术由于其稳定的纳米气泡结构和自身自由基作用的消毒效果，有望延长手术部位保持消毒的时间。本研究评估足/踝关节手术前使用UFB水进行术前皮肤清洁的可行性和安全性。方法：本观察性研究回顾性检查了217例接受足/踝关节手术的患者的219个肢体。术前使用常规酒精（浓度80%）（常规组，113条肢体）或500 mL UFB水加常规酒精（UFB组，106条肢体）进行皮肤清洁。比较术后创面水疱形成、创面瘢痕形成（宽度bbb10 mm）、拆线后创面裂开等事件的频率，以及拆线前的时间。结果：UFB组术后瘢痕形成率和创面裂开率均明显降低。UFB组拆线时间（12.9 d）明显短于常规组（15.5 d）。UFB水组3例感染创面均在2周内完全愈合。结论：术前使用空气UFB水清洗皮肤是安全的，可能有助于防止足/踝关节手术后瘢痕形成和伤口开裂。这些效果可以改善接受足部和踝关节手术患者的伤口愈合。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in Skin & Wound Care DERMATOLOGY-NURSING

CiteScore

2.50

自引率

12.50%

发文量

271

审稿时长

>12 weeks

期刊介绍： A peer-reviewed, multidisciplinary journal, Advances in Skin & Wound Care is highly regarded for its unique balance of cutting-edge original research and practical clinical management articles on wounds and other problems of skin integrity. Each issue features CME/CE for physicians and nurses, the first journal in the field to regularly offer continuing education for both disciplines.