Evaluation of negative pressure wound therapy to closed laparotomy incisions in acute care surgery

Schurtz, Elleson; Differding, Jerome A.; Jacobson, Eric; Maki, Christopher J; Ahmeti, Mentor

doi:10.1016/j.amjsurg.2017.08.009

Cited by 34 publications

(33 citation statements)

References 10 publications

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“…30 A small case-control study by Schurtz et al yielded comparable findings. 31 Both studies, however, did not report their incidence of wound breakdown. A potential alternative to NPD, particularly for dirty wounds, is the use of wicks and allowing the wound to heal by secondary intent.…”

Section: Discussionmentioning

confidence: 99%

Prophylactic Negative-pressure Dressings Reduce Wound Complications and Resource Burden After Emergency Laparotomies

Liu

Cheng

Islam

et al. 2021

Journal of Surgical Research

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Section: Discussionmentioning

confidence: 99%

Prophylactic Negative-pressure Dressings Reduce Wound Complications and Resource Burden After Emergency Laparotomies

Liu

Cheng

Islam

et al. 2021

Journal of Surgical Research

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“…The literature search identified 12 RCTs, a majority of which reported reduced SSI rates, reduced readmission rates, and reduced reoperation rates. Six of the non-RCT, comparative studies identified also reported reduced rates of SSIs, readmissions, and reoperations [20][21][22][23][24][25]. However, these studies examined a wide range of patients, with a variety of comorbidities, undergoing different surgical procedures.…”

Section: Discussionmentioning

confidence: 99%

“…The successful application of ciNPT on clean, closed wounds has been reported in a broad spectrum of patients and operative interventions resulting in positive clinical results in a majority of the RCTs identified in the literature search ( Table 2) [11][12][13][14][15][16][17][18][19]. Similarly, rates of SSIs, surgical site complications, readmissions, and/or reoperations were reduced in patients receiving ciNPT compared to historical control populations [20][21][22][23][24][25].…”

Section: Literature Searchmentioning

confidence: 95%

Closed Incision Negative Pressure Therapy: Review of the Literature

Fernández¹,

Matthews²,

Alvarez³

et al. 2019

Cureus

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Surgical site infection and other common surgical site complications (dehiscence, hematoma, and seroma formation) can lead to serious and often life-threatening complications. Gauze, adhesive dressings, and skin adhesives have traditionally been utilized for incision management. However, the application of negative pressure wound therapy over clean, closed surgical incisions (closed incision negative pressure therapy, ciNPT), has become a recent option for incision management. A brief review of ciNPT clinical evidence and health economic evidence are presented. A brief literature review was performed using available publication databases (PubMed, Ovid®, Embase®, and QUOSA™) for articles in English reporting on the use of ciNPT between October 1, 2016, to March 31, 2019. The successful application of ciNPT over clean, closed wounds has been reported in a broad spectrum of patients and operative interventions, resulting in favorable clinical results. Four of the five studies that examined health economics following the use of ciNPT reported a potential reduction in the cost of care. The authors' own experience and published results suggest that patients at high risk for developing a surgical site complication may benefit from the use of ciNPT during the immediate postoperative period. Additional studies are needed across various surgical disciplines to further assess the safety, and cost-effectiveness of ciNPT use in patient populations.

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“…Despite increasing evidence supporting the prophylactic use of NPD for elective laparotomies, there are a paucity of trials in the emergency setting. Multiple reasons exist for this.…”

Section: Npds In Emergency Laparotomymentioning

confidence: 99%

Prophylactic negative pressure dressings for closed emergency laparotomy incisions: where is the evidence?

Cheng

Strugnell

Liu

2020

ANZ Journal of Surgery

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Evaluation of negative pressure wound therapy to closed laparotomy incisions in acute care surgery

Cited by 34 publications

References 10 publications

Prophylactic Negative-pressure Dressings Reduce Wound Complications and Resource Burden After Emergency Laparotomies

Prophylactic Negative-pressure Dressings Reduce Wound Complications and Resource Burden After Emergency Laparotomies

Closed Incision Negative Pressure Therapy: Review of the Literature

Prophylactic negative pressure dressings for closed emergency laparotomy incisions: where is the evidence?

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