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

Abstract

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.

Nursing Evaluation of Risk Factors Associated with Surgical Site Infection Among Coronary Artery Bypass Graft Patients at King Abdulaziz University Hospital

“…This study's findings are comparable to previous study2014 that compared negative wound pressure dressing to conventional dressing [42]. A fewer number of patients required dressing.…”

“…In this study, 100% of the infected cases and 100% of non-infected cases used antibiotics. These results support of the last study in 2014 that found 10% of patients having conventional wound dressing received antibiotics, but none of the patients who received negative pressure wound therapy [42]. And 92.3% of the patients receiving negative pressure wound therapy heal without complications, eliminating the need for antibiotics compared to 77.5% receiving conventional dressing [42].…”

“…However, different types of dressing and the duration of dressing pose different levels of risk to coronary artery bypass graft patients. In negative pressure dressing, 7.5% of patients had complications in wound healing compared to 25% of patients using conventional wound dressing [42]. Mechanical Ventilation: It is another significant postoperative risk factor affecting patient undergoing coronary artery bypass graft surgery.…”

Economic and organizational sustainability of a negative-pressure portable device for the prevention of surgical-site complications

“…These treatment protocols declared that the portable devices could be administered to patients presenting an ASA score higher than 2 or an IRI higher than 3. It should be noted that the portable device efficacy was derived from the most recent and updated literature evidence available 12,18,27,28…”

“…Although the effectiveness of the portable device has been amply reported in literature,12,18,27,28 and is shown to be more effective compared with traditional NPWT, little is known with regard to the economic impact of its introduction and consequent adoption into clinical practice.…”