A new hydrocolloid dressing prevents surgical site infection of median sternotomy wounds

Teshima, Hideki; Kawano, Hiroshi; Kashikie, Hideyuki; Nakamura, Katsuhiko; Imada, Tatsuya; Oda, Tatsuya; Aoyagi, Shigeaki

doi:10.1007/s00595-008-3974-5

Cited by 23 publications

(10 citation statements)

References 28 publications

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“…Various studies have focused on techniques or devices to reduce SWI such as microbial sealant prior to surgery [ 14 ], different methods of sternal closure (Robicsek technique [ 15 ], rigid-plate sternal fixation [ 16 ], nitinol clips [ 17 ]), different methods of skin closure (intradermic closure [ 18 ], skin staples [ 19 ], liquid skin adhesive [ 20 ], prophylactic gentamycin-collagen sponge [ 21 ], topical application of autologous blood products [ 22 ], hydrocolloids [ 23 ], growth factors [ 24 ]) or a combination of them. All these techniques have showed good results reducing incidence of mediastinitis and reducing the length of stay in the hospital.…”

Section: Introductionmentioning

confidence: 99%

First experience with a new negative pressure incision management system on surgical incisions after cardiac surgery in high risk patients

Colli

Cámara

2011

J Cardiothorac Surg

101

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BackgroundSternal wound infection remains a serious potential complication after cardiac surgery. A recent development for preventing wound complications after surgery is the adjunctive treatment of closed incisions with negative pressure wound therapy. Suggested mechanisms of preventive action are improving the local blood flow, removing fluids and components in these fluids, helping keep the incision edges together, protecting the wound from external contamination and promoting incision healing. This work reports on our initial evaluation and clinical experience with the Prevena™Incision Management System, a recently introduced new negative pressure wound therapy system specifically developed for treating closed surgical incisions and helping prevent potential complications. We evaluated the new treatment on sternal surgical incisions in patients with multiple co-morbidities and consequently a high risk for wound complications.MethodsThe Prevena™incision management system was used in 10 patients with a mean Fowler risk score of 15.1 [Range 8-30]. The negative pressure dressing was applied immediately after surgery and left in place for 5 days with a continuous application of -125 mmHg negative pressure. Wounds and surrounding skin were inspected immediately after removal of the Prevena™ incision management system and at day 30 after surgery.ResultsWounds and surrounding skin showed complete wound healing with the absence of skin lesions due to the negative pressure after removal of the Prevena™ dressing. No device-related complications were observed. No wound complications occurred in this high risk group of patients until at least 30 days after surgery.ConclusionsThe Prevena™system appears to be safe, easy to use and may help achieve uncomplicated wound healing in patients at risk of developing wound complications after cardiothoracic surgery.

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Section: Introductionmentioning

confidence: 99%

First experience with a new negative pressure incision management system on surgical incisions after cardiac surgery in high risk patients

Colli

Cámara

2011

J Cardiothorac Surg

101

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“…When a tight hydrocolloid dressing applied on the wound for 7 days was used, a significant difference with regard to incidence of superficial and deep infections was found as compared to patients treated with Tegaderm dressings changes in the postoperative period (6). No differences were found as compared to wounds sutured with cutaneous sutures and closed with staples with regard to incidence of wound infections, but total complications (erythema, effusion, necrosis, infection) were more common in the group of wounds managed with staples (7).…”

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confidence: 99%

Preliminary Outcome of Treatment of Postoperative Primarily Closed Sternotomy Wounds Treated Using Negative Pressure Wound Therapy

Witt-Majchrzak¹,

Żelazny²,

Snarska³

2015

Polish Journal of Surgery

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Hospital infections, and in particular infections of the surgical site are a common problem of the procedural departments. Due to continuous progress of surgical techniques and patient population getting older with multiple co-morbidities, multidirectional actions need to be taken to avoid these infections or, if they do occur, achieve optimal treatment outcomes. Vacuum wound therapy is one of the directions that has been developed over the recent years.evaluate wound healing in patients after an off-pump coronary artery bypass grafting procedure, using the internal mammary artery, treated with negative pressure wound therapy system.This prospective, open label study evaluated healing of postoperative sternotomy wounds after their primary closure with negative pressure wound therapy, using continuous negative pressure of -80 mmHg in 40 patients and 40 patients in a control group in whom conventional dressings were applied in the postoperative period.The number of patients in whom primary wound healing occurred without complications was significantly higher in the negative pressure wound therapy group versus the control group (xNegative pressure wound therapy after primary wound closure reduces the risk of superficial infections in the population with multiple risk factors of complications in the sternotomy wound healing.

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“…Teshima et al found the hydrocolloid dressing to play an important role in the prevention of superficial infections, reporting 3.4% of infections. 14 In comparison, the use of traditional gauzes is associated with lower rates of both deep and superficial complications, maybe because it imposes more frequent dressing changes, as the drainage is visible through the transparency of the gauze. As shown in another article comparing NPWT and dry dressing, deep infections rate was 0 versus 11.1%, 15 that supports our results.…”

Section: Discussionmentioning

confidence: 99%

Use of a negative pressure wound therapy system over closed incisions option in preventing post‐sternotomy wound complications

Brega

Calvi

Albertini

2021

Wound Repair Regeneration

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A new hydrocolloid dressing prevents surgical site infection of median sternotomy wounds

Abstract: The new hydrocolloid dressing, applied with an occlusive dressing technique to median sternotomy wounds, prevented SSI and was cost effective.

Cited by 23 publications

References 28 publications

First experience with a new negative pressure incision management system on surgical incisions after cardiac surgery in high risk patients

First experience with a new negative pressure incision management system on surgical incisions after cardiac surgery in high risk patients

Preliminary Outcome of Treatment of Postoperative Primarily Closed Sternotomy Wounds Treated Using Negative Pressure Wound Therapy

Use of a negative pressure wound therapy system over closed incisions option in preventing post‐sternotomy wound complications

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