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

2020 ◽  
Vol 90 (9) ◽  
pp. 1542-1544
Author(s):  
Chao Cheng ◽  
Neil Strugnell ◽  
David S. Liu
Keyword(s):  
Negative Pressure ◽  
Emergency Laparotomy ◽  
Negative Pressure Dressings

SP3.2.2 Closed Incision Negative Pressure Wound Therapy reduces Surgical Site Infection following Emergency Laparotomy: A Propensity Matched, NELA Registry Study

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Emma Hawthornthwaite ◽  
Jordan Ng- Cheong-Chung ◽  
Tom Watkinson ◽  
Ursula Blyth ◽  
Deena Harji ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Negative Pressure ◽  
Significant Proportion ◽  
Primary Outcome Measure ◽  
Emergency Laparotomy ◽  
Emergency Setting ◽  
Site Infection ◽  
Comprehensive Complication Index ◽  
Pressure Therapy ◽  
Operative Morbidity

Abstract Aims Surgical site infection (SSI) contributes to a significant proportion of post-operative morbidity in people undergoing emergency surgery. Prophylactic closed incision negative pressure therapy (CINPT) has been shown to reduce SSI rates in patients undergoing elective laparotomy however there is limited evidence for their use in the emergency setting. This study aimed to determine whether prophylactic CINPT provides comparable SSI rate to SSD for midline incision following emergency laparotomy. Methods A registry-based, prospective cohort study was undertaken using data from National Emergency Laparotomy Audit (NELA) database at our centre. The primary outcome measure was SSI as defined by the Centers for Disease Control (CDC) criteria. Secondary outcomes included 30 day post-operative morbidity and grade using Clavien-Dindo (CD) classification and the Comprehensive Complication Index, length of stay, 30 day mortality and readmission rates. CINPT and standard surgical dressing group were compared with respect to peri-operative characteristics and post-operative outcomes. A propensity- score matching (PSM) was performed to mitigate for selection bias. Results A total of 1484 patients were identified. Following PSM, a matched cohort of 474 patients were identified with 237 patients in each arm. SSI rate in CINPT cohort was found to be significantly lower compared to the SSD cohort (16.9% vs. 33.8%, p < 0.001). The rate of superficial and deep infections were higher in the standard dressing arm compared to the CINPWT, p < 0.001. There were no overall differences in 30-day morbidity and grade of post-operative complications. Conclusion Prophylactic CINPT in the emergency laparotomy is associated with reduced SSI rates.

scholarly journals A comparative study of the efficacy of topical negative pressure moist dressings and conventional moist dressings in chronic wounds

2007 ◽  
Vol 40 (02) ◽  
pp. 133-140
Author(s):  
Surajit Bhattacharya ◽  
J Ravikrishnan ◽  
B S Satish Rao ◽  
H. Divakar Shenoy ◽  
S R Shetty ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Surface Area ◽  
Negative Pressure ◽  
Chronic Wounds ◽  
Tissue Formation ◽  
Granulation Tissue Formation ◽  
Topical Negative Pressure ◽  
Graft Take ◽  
The Mean ◽  
Negative Pressure Dressings

ABSTRACT Aim: To assess the efficacy of topical negative pressure moist wound dressing as compared to conventional moist wound dressings in improving the healing process in chronic wounds and to prove that negative pressure dressings can be used as a much better treatment option in the management of chronic wounds. Materials and Methods: This is a prospective comparative study of data from 112 patients with chronic wounds, of which 56 patients underwent topical negative pressure dressings (17 diabetic, 10 pressure sores, nine ischemic, two varicose, 10 post-infective raw areas and eight traumatic - six had bone exposed, two orthopaedic prosthesis exposed). The remaining 56 patients underwent conventional moist dressings (20 diabetic, two ischemic, 15 pressure sores, three varicose, eight post-infective raw areas and eight traumatic - five had bone exposed, three orthopaedic prosthesis exposed). The results were compared after 10 days. The variables compared were, rate of granulation tissue formation as a percentage of ulcer area covered, skin graft take up as the percentage of ulcer surface area and duration of hospital stay. The variables were compared using Unpaired Student′s t test. A " P" value < 0.05 was considered significant. Results: Out of 56 patients who underwent topical negative pressure dressings, six (10.71%) were failures, due to failure in maintaining topical negative pressure due to defective sealing technique; these were included into the study group. After 10 days, the mean rate of granulation tissue formation was 71.43% of ulcer surface area. All these 56 cases underwent split-thickness skin grafting. The mean graft take-up was 79.29%. The mean hospital stay was 32.64 days. In the remaining 56 patients, the mean rate of granulation tissue formation was 52.85% of ulcer surface area. The mean graft take-up was only 60.45% of the total ulcer surface area. The mean hospital stay was 60.45 days. Conclusion: To conclude, topical negative pressure dressings help in faster healing of chronic wounds and better graft take-up and reduce hospital stay of these patients.

Does a Zone of Increased Perfusion Exist around Negative-Pressure Dressings?

2013 ◽  
Vol 132 (4) ◽  
pp. 978-987 ◽  
Author(s):  
Nicolas Kairinos ◽  
William J. M. Holmes ◽  
Michael Solomons ◽  
Donald A. Hudson ◽  
Delawir Kahn
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Dressings

Use of Negative-Pressure Dressings and Split-Thickness Skin Grafts Following Penile Shaft Reduction and Reduction Scrotoplasty in the Management of Penoscrotal Elephantiasis

2006 ◽  
Vol 56 (6) ◽  
pp. 649-653 ◽  
Author(s):  
Tracey H. Stokes ◽  
Keith E. Follmar ◽  
Ari D. Silverstein ◽  
Alon Z. Weizer ◽  
Craig F. Donatucci ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Skin Grafts ◽  
Penile Shaft ◽  
Thickness Skin ◽  
Negative Pressure Dressings

scholarly journals Use of Negative-Pressure Dressings to Manage a Difficult Surgical Neck Wound

2006 ◽  
Vol 85 (6) ◽  
pp. 390-391 ◽  
Author(s):  
Satya Shreenivas ◽  
J. Scott Magnuson ◽  
Eben L. Rosenthal
Keyword(s):  
Negative Pressure ◽  
Neck Wound ◽  
Negative Pressure Dressings

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

2021 ◽  
Vol 257 ◽  
pp. 22-31
Author(s):  
David S. Liu ◽  
Chao Cheng ◽  
Rumana Islam ◽  
Mark Tacey ◽  
Ankur Sidhu ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Wound Complications ◽  
Negative Pressure Dressings
Sign in / Sign up

Export Citation Format

Share Document