International survey on surgeon’s attitudes and perceptions of surgical wound complications: navigating the challenges.

Abstract

Introduction: Surgical wound complications (SWCs), including surgical site infections (SSIs) and wound dehiscence (SWD), significantly impact postoperative recovery, contributing to morbidity and reduced quality of life. The prevalence of SSIs ranges from 2% to 38%, with higher rates in low-resource settings. This study explores surgeons’ perceptions of SWCs, prevention protocols, and the use of advanced therapies such as negative pressure wound therapy (NPWT).

Methods: An online survey of surgeons from Europe and the UK was conducted to examine their experiences with surgical wound management. The 36-question survey included topics such as SWC prevention strategies, dressing selection criteria, and the application of NPWT. Respondents ranked challenges in surgical care and reflected on responsibilities for postoperative wound care tasks. Quantitative data were collected through closed- and open-ended questions.

Results: From 244 respondents, over 55% of respondents identified SWCs as a top challenge, followed by resource constraints (41%) and antimicrobial resistance (36%). Respondents indicated that surgeons are primarily responsible for SWC risk assessment (80%), while nurses often handle dressing applications (62%). NPWT was used by 91% of respondents, with 68% citing faster wound healing as the primary factor for its use. Hospital protocols were the most common influence on dressing selection, with only 21% referring to international guidelines.

Discussion: Surgical wound complications are a significant burden, emphasizing the need for improved protocols and education on advanced wound management. The widespread use of NPWT highlights its perceived benefits, though evidence gaps remain. Multidisciplinary collaboration and consistent guideline implementation are critical to addressing SWC-related challenges. Further research should examine interprofessional approaches and disparities in wound care practices globally.