scholarly journals Long-Term Results of Vascular Graft and Artery Preserving Treatment With Negative Pressure Wound Therapy in Szilagyi Grade III Infections Justify a Paradigm Shift

2012 ◽  
Vol 55 (2) ◽  
pp. 615
Author(s):  
D. Mayer ◽  
B. Hasse ◽  
J. Koelliker
Keyword(s):  
Negative Pressure ◽  
Paradigm Shift ◽  
Vascular Graft ◽  
Negative Pressure Wound Therapy ◽  
Long Term Results ◽  
Wound Therapy ◽  
Grade Iii

scholarly journals Effect of Negative Pressure Wound Therapy on Wound Complications Post-Pancreatectomy

2019 ◽  
Vol 85 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Michael P. Kuncewitch ◽  
Aaron U. Blackham ◽  
Clancy J. Clark ◽  
Rebecca M. Dodson ◽  
Gregory B. Russell ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Delayed Gastric Emptying ◽  
Controlled Trial ◽  
Wound Complications ◽  
Wound Therapy ◽  
Randomized Controlled ◽  
Short And Long Term

Surgical site infection (SSI) and incisional hernia are common complications after major pancreatectomy. We investigated the effects of negative pressure wound therapy (NPWT) on short-and long-term wound outcomes in patients undergoing pancreatectomy. A randomized controlled trial comparing the effect of NPWT with standard surgical dressing (SSD) on wounds was performed in 265 patients undergoing open gastrointestinal resections from 2012 to 2016. We performed a subset analysis of 73 patients who underwent pancreatectomy. Wound complications in the first 30 days and incisional hernia rates were assessed. There were 33 (45%) female patients in the study and the average BMI was 27.6. The pancreaticoduodectomy rate was 68 per cent, whereas 27 per cent of patients underwent distal or subtotal pancreatectomy, and 4 per cent total pancreatectomy. Incisional hernia rates were 32 per cent and 14 per cent between the SSD and NPWT groups, respectively (P = 0.067). In the SSD (n = 37) and NPWT (n = 36) cohorts, the superficial SSI, deep SSI, seroma, and dehiscence rates were 16 per cent and 14 per cent (P > 0.99), 5 per cent and 8 per cent (P = 0.67), 16 per cent and 11 per cent (P = 0.74), and 5 per cent and 3 per cent (P ≥ 0.99), respectively. After adjusting for pancreatic fistula and delayed gastric emptying, no statistically significant differences in the primary outcomes were observed. These findings were true irrespective of the type of resection performed. Short- and long-term wound complications were not improved with NPWT. We observed a trend toward decreased incisional hernia rates in patients treated with NPWT. Owing to the multifactorial nature of wound complications, it is yet to be determined which cohorts of pancreatectomy patients will benefit from NPWT.

scholarly journals Use of negative pressure in the treatment of anaerobic non-clostridial perineal infection

2021 ◽  
Vol 8 (3) ◽  
pp. 44-47
Author(s):  
B. A. Salazar Mun'oz
Keyword(s):  
Diabetes Mellitus ◽  
Negative Pressure ◽  
Clinical Case ◽  
Negative Pressure Wound Therapy ◽  
Local Treatment ◽  
Complex Treatment ◽  
Wound Therapy

The article presents a clinical case of a successful complex treatment anaerobic non-clostridial perineal infection in a 54-year-old patient with long-term diabetes mellitus. Particular attention is paid to the possibilities of local treatment using negative pressure wound therapy in the management of this patients category.

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