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In lumbosacral radicular syndrome based on a herniated lumbar disc, do not operate a herniated disc if the only symptom is low back pain.
Choosing Wisely Netherlands Campaign
Dutch Society of Neurosurgery - Dutch OMS Association - ZonMw
If back pain is the sole or primary symptom, lumbar herniated disc surgery is not advisable.
A herniated lumbar disc is almost always accompanied by back pain, but pain almost always
radiates to the leg as well. An operation will almost certainly eliminate the leg pain (sciatic
pain), but rarely affects the back pain unless it is part of the radicular pain pattern.
For further information please visit the website of the initiative (link below)
In patients with an acute wound, never send a patient home without wound care instructions.
Choosing Wisely Netherlands Campaign
Association of Surgeons in the Netherlands- Dutch Society of Dermatology and Venereology - Dutch OMS
A patient with a surgically closed wound may take a shrt shower 24 hours after surgery
(but should not shower longer than 10 minutes). Tell the patient what to do if signs of
infection appear. Also give the patient instructions about when and how he or she can
resume using the body part where the wound is located.
For further information please visit the website of the initiative (link below)
In patients with an acute wound, do not use expensive dressings if gauze is sufficient.
Choosing Wisely Netherlands Campaign
Association of Surgeons in the Netherlands- Dutch Society of Dermatology and Venereology - Dutch OMS
A non-adhesive gauze dressing (coated in ointment or paraffin) is sufficient for many wounds,
including post-operative incisions, lacerations, skin tears or bite wounds.
For further information please visit the website of the initiative (link below)
In patients with an acute wound, do not bandage a primary closure wound.
Choosing Wisely Netherlands Campaign
Association of Surgeons in the Netherlands- Dutch Society of Dermatology and Venereology - Dutch OMS
Covering a surgically closed wound with dressings after an incision does not lead to fewer
wound infections. Changing bandages that adhere to the wound may also be painful.
Cover the wound only if it is leaking fluids, if it needs protection from abrasive clothing, or if
the patient does not want to see the wound.
For further information please visit the website of the initiative (link below)
In patients with an acute wound, do not soak the wound in a bath containing a detergent.
Choosing Wisely Netherlands Campaign
Association of Surgeons in the Netherlands- Dutch Society of Dermatology and Venereology - Dutch OMS
Using a basin of water containing soap or cleansing agents (soda, Biotex, etc.) to soak a wound on feet or hands will have a negative impact on the wound itself and the skin around
it. This may increase the risk of infection and slow down the healing process.
For further information please visit the website of the initiative (link below)