MANAGEMENT OF POSTOPERATIVE WOUND COMPLICATIONS OF COLORECTAL CÂNCER RESECTION: LITERATURE REVIEW

Ana Carolina Altafini Nastri; Karina Maria de Santana Gonçalves; Karine akemi tomigawa okama; Adriana Marques da Silva; Daniele Cristina Ferreira de Siqueira

Todos os Trabalhos

Trabalho

Título do Trabalho

MANAGEMENT OF POSTOPERATIVE WOUND COMPLICATIONS OF COLORECTAL CÂNCER RESECTION: LITERATURE REVIEW

Autores

Ana Carolina Altafini Nastri
Karina Maria de Santana Gonçalves
Karine akemi tomigawa okama
Adriana Marques da Silva
Daniele Cristina Ferreira de Siqueira

Modalidade

Regras de Submissão

Área temática

Acadêmicos / Academics

Data de Publicação

22/07/2025

País da Publicação

Brasil

Idioma da Publicação

pt-BR

Página do Trabalho

https://www.even3.com.br/anais/sgawcm2025/1116085-management-of-postoperative-wound-complications-of-colorectal-cancer-resection--literature-review

ISBN

978-65-272-1566-0

Palavras-Chave

Keywords: Colorectal surgery, Colorectal neoplasms. Surgical wound, Nursing care, Postoperative complications.

Resumo

Objective: To identify existing nursing interventions in scientific databases for the management of postoperative wound complications in colorectal cancer (CRC). Method: This study consists of a systematic literature review with an electronic search for publications in the databases PubMed, LILACS, Web of Science, CINAHL, Cochrane, and Scopus, as well as free searches in SciELO, Revista Estima, and Google Scholar. Studies published within the last 10 years in Portuguese, Spanish, and English were included. Results: A total of 1,273 articles were identified, and all international articles had versions available in either English or Spanish. After applying the exclusion criteria, 13 studies were selected for inclusion in the sample. The selected articles addressed complications related to surgical wounds in colorectal cancer resections, risk factors for these complications, as well as case reports, systematic reviews, dissertations, and consensus documents. Of the selected articles, only three specifically addressed the treatment of complications resulting from colorectal surgical procedures: one focused on the prophylactic use of silver-impregnated dressings, one on the use of Negative Pressure Therapy (NPT) as treatment, and another on the use of NPT as a prophylactic measure. Only one study addressed wound dehiscence. Eight articles were selected for their focus on surgical site infections, due to the relevance of this complication. These studies highlighted risk factors, prognosis, the infection itself, and the influence of surgical technique and site on the complication. It is worth noting that two of the articles focused on perineal surgical approaches. Within this theme, when using the descriptor "nursing care," the number of relevant articles significantly decreased, reaching zero. Conclusion: CRC is one of the most prevalent neoplasms in Brazil and worldwide. Surgical resection is a curative-intent treatment modality and may result in postoperative complications. In managing postoperative wound complications following colorectal tumor resection, the prophylactic use of silver-impregnated dressings as a primary covering reduces infection rates; however, the literature still lacks strong evidence. As for wound dehiscence, the use of NPT is indicated, though it also requires further study. The importance of preventing Surgical Site Infection (SSI) through knowledge of risk factors was evident. However, there is a clear scarcity of publications specifically addressing the role of nursing in managing complications associated with complex surgical wounds, particularly in cases involving colorectal cancer resection. The management of these wounds may still be based primarily on clinical experience rather than scientific evidence. This study highlights the urgent need for further research and publications by the nursing field to enhance understanding, support evidence-based practice, and improve patient care.

Título do Evento: SGAWCm2025
Cidade do Evento: São Paulo
Título dos Anais do Evento: Anais SGAWCm: Sobratafe Global Advanced Wound Care Meeting
Nome da Editora: Even3
Meio de Divulgação: Meio Digital

Como citar

NASTRI, Ana Carolina Altafini et al.. MANAGEMENT OF POSTOPERATIVE WOUND COMPLICATIONS OF COLORECTAL CÂNCER RESECTION: LITERATURE REVIEW.. In: Anais SGAWCm: Sobratafe Global Advanced Wound Care Meeting. Anais...Sao Paulo(SP) Centro de Convenções Rebouças, 2025. Disponível em: https//www.even3.com.br/anais/sgawcm2025/1116085-MANAGEMENT-OF-POSTOPERATIVE-WOUND-COMPLICATIONS-OF-COLORECTAL-CANCER-RESECTION--LITERATURE-REVIEW. Acesso em: 05/05/2026