Clinical Experiences with Closed Incisional Negative Pressure Wound Treatment on Various Anatomic Locations

Abstract

BackgroundClosed incisional negative pressure wound treatment (ciNPWT) is one of the promising methods for the prevention of complications in surgical incisions. The mechanisms of ciNPWT have previously been elucidated and in this series, we demonstrate various, as of yet, underreported uses for the technology. Our aim is to share our experience with ciNPWT on various anatomic sites with novel indications. Materials and methodsciNPWT was used in 24 patients. The mean age was 49.6. All the incisions were sutured, clean, and non-infected. Patients' sex, age, comorbidities, anatomic location of the wound, and the indications for ciNPWT were recorded. ResultsThe mean number of applications was three per patient. One suture dehiscence after one session of ciNPWT was encountered in a flap donor site of an infant operated for meningomyelocele. Late-term seroma and hematoma formation were encountered in two patients. No surgical site infection, wound dehiscence, and ciNPWT related complications were seen in other patients. The majority of the applications were on the trunk, lower extremity, pelvis, upper extremity, and scalp respectively. Indications for ciNPWT utilization were preventing dehiscence, seroma, and hematoma formation in the majority of the patients. ConclusionciNPWT is reliable and effective in the prevention of post-operative wound dehiscence and surgical site infections. It can be used safely in various locations and different indications for preventing complications such as preventing dehiscence in revision surgeries, cerebrospinal fluid (CSF) fistula formation in the scalp, and wound breakdown in chronic corticosteroid use, Categories: Plastic Surgery

Healing Peristomal Wounds Around Retracted Stomas with Negative-Pressure Wound Therapy: A Case Series

“…Typically, a portable pump included in the set generates a stable pressure of approximately 80 mm Hg as the surface of a wound decreases and the retracted ostomy is elevated. 25,26 Because this system is lightweight, has a silent pump, and requires simple battery changes, it is accepted by patients in both ambulatory settings and at home. In the authors' experience, telemedicine (eg, iWound; Polmedi) improves the safety of NPWT use in patients' continued treatment at home.…”

“…Moreover, this type of vacuum therapy may be left in the wound for up to 7 days, on the condition that it retains its full capacity to absorb exudates. Typically, a portable pump included in the set generates a stable pressure of approximately 80 mm Hg as the surface of a wound decreases and the retracted ostomy is elevated 25,26 . Because this system is lightweight, has a silent pump, and requires simple battery changes, it is accepted by patients in both ambulatory settings and at home.…”

Double Layer Reconstruction of Exposed Cardiac Implantable Electronic Devices in Elderly Patients

“…Third, the dissection area was larger than that of small flaps, and meticulous hemostasis and drain placement were needed for hematoma prevention. We additionally advise closed incisional negative pressure application for the prevention of dehiscence, hematoma, and edema relief at the operation site for a one-week postoperative period [ 24 ].…”

Closed Incision Negative Pressure Therapy vs Standard of Care Dressing in Breast Surgery: A Systematic Review

“…CINPT has been available for the last two decades as an alternative method of managing complex surgical wounds, especially in patients who are at high risk of developing wound dehiscence [ 5 ]. The negative pressure from vacuum-assisted closure of wound therapy that is applied to close incision is aimed at promoting blood flow to the wound edges, removing infectious debris, reducing tissue oedema, and reducing the tension of the suture line [ 16 ]. The devices that were used in breast surgery, PREVENA and PICO, have been widely adopted by other surgical subspecialties including orthopaedic, gynaecological, colorectal, and vascular [ 17 ].…”