What is the best solution for performing wound care on a postoperative incision with a Jackson-Pratt drain?

Using sterile normal saline is considered the best solution for performing wound care on a postoperative incision with a Jackson-Pratt drain for several reasons.

Sterile normal saline is isotonic, which means it maintains the pH of the wound, minimizing irritation and supporting the natural healing process. It efficiently cleanses the wound by flushing away debris and exudate without damaging the tissue or disrupting the healing process. This gentle cleaning method helps to reduce the risk of introducing bacteria, as it does not leave harmful residues that could impede healing.

In contrast, povidone-iodine can be cytotoxic, meaning it can damage fibroblasts and keratinocytes, which are essential for wound healing. Hydrogen peroxide, while effective at killing bacteria, can also be damaging to healthy cells and may lead to delayed wound healing. Additionally, antibacterial ointments, while they can prevent infection, may trap moisture beneath the wound dressing, leading to maceration or an unsuitable environment for healing.

Therefore, sterile normal saline is the safest and most effective choice for caring for wounds associated with surgical drains, promoting optimal healing while minimizing complications.