scholarly journals Incisional negative pressure wound therapy to reduce perineal wound infection after abdominoperineal resection

2020 ◽  
Author(s):  
Tomoaki Kaneko ◽  
Kimihiko Funahashi ◽  
Mitstunori Ushigome ◽  
Satoru Kagami ◽  
Mayu Goto ◽  
...  
Keyword(s):  
Wound Infection ◽  
Abdominoperineal Resection ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Perineal Wound ◽  
Wound Therapy ◽  
Perineal Wound Infection

Negative pressure wound therapy versus conventional dressing for open fractures in lower extremity trauma

2020 ◽  
Vol 102-B (7) ◽  
pp. 912-917 ◽  
Author(s):  
Muhammad Tahir ◽  
Ejaz A. Chaudhry ◽  
Faridullah K. Zimri ◽  
Nadeem Ahmed ◽  
Saeed A. Shaikh ◽  
...  
Keyword(s):  
Wound Infection ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Mean Difference ◽  
Open Fractures ◽  
Life Assessment ◽  
Wound Therapy ◽  
Significant Difference ◽  
Gauze Dressing ◽  
Secondary Outcomes

Aims It has been generally accepted that open fractures require early skeletal stabilization and soft-tissue reconstruction. Traditionally, a standard gauze dressing was applied to open wounds. There has been a recent shift in this paradigm towards negative pressure wound therapy (NPWT). The aim of this study was to compare the clinical outcomes in patients with open tibial fractures receiving standard dressing versus NPWT. Methods This multicentre randomized controlled trial was approved by the ethical review board of a public sector tertiary care institute. Wounds were graded using Gustilo-Anderson (GA) classification, and patients with GA-II to III-C were included in the study. To be eligible, the patient had to present within 72 hours of the injury. The primary outcome of the study was patient-reported Disability Rating Index (DRI) at 12 months. Secondary outcomes included quality of life assessment using 12-Item Short-Form Health Survey questionnaire (SF-12), wound infection rates at six weeks and nonunion rates at 12 months. Logistic regression analysis and independent-samples t-test were applied for secondary outcomes. Analyses of primary and secondary outcomes were performed using SPSS v. 22.0.1 and p-values of < 0.05 were considered significant. Results A total of 486 patients were randomized between January 2016 and December 2018. Overall 206 (49.04%) patients underwent NPWT, while 214 (50.95%) patients were allocated to the standard dressing group. There was no statistically significant difference in DRI at 12 months between NPWT and standard dressing groups (mean difference 0.5; 95% confidence interval (CI) -0.08 to 1.1; p = 0.581). Regarding SF-12 scores at 12 months follow-up, there was no significant difference at any point from injury until 12 months (mean difference 1.4; 95% CI 0.7 to 1.9; p = 0.781). The 30-day deep infection rate was slightly higher in the standard gauze dressing group. The non-union odds were also comparable (odds ratio (OR) 0.90, 95% CI 0.56 to 1.45; p = 0.685). Conclusion Our study concludes that NPWT therapy does not confer benefit over standard dressing technique for open fractures. The DRI, SF-12 scores, wound infection, and nonunion rates were analogous in both study groups. We suggest surgeons continue to use cheaper and more readily available standard dressings. Cite this article: Bone Joint J 2020;102-B(7):912–917.

Local gentamicin reduces perineal wound infection after radiotherapy and abdominoperineal resection

2008 ◽  
Vol 12 (4) ◽  
pp. 303-307 ◽  
Author(s):  
A. F. J. de Bruin ◽  
M. P. Gosselink ◽  
N. A. T. Wijffels ◽  
P. -P. L. L. Coene ◽  
E. van der Harst
Keyword(s):  
Wound Infection ◽  
Abdominoperineal Resection ◽  
Perineal Wound ◽  
Perineal Wound Infection

scholarly journals A Hybrid Technique to Treat Inguinal Wound Infection after Arterial Surgery with Lateral Femoral Bypass and Intra-Incisional Negative Pressure Wound Therapy

2021 ◽  
Author(s):  
Yi-Fan Wu ◽  
Dong Zhang ◽  
Ai-Xi Yu ◽  
Baiwen Qi ◽  
Chao Jian
Keyword(s):  
Wound Infection ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Hybrid Technique ◽  
Wound Therapy ◽  
Imaging Evaluation ◽  
Clinical Challenge ◽  
Vascular Bypass ◽  
Radical Debridement ◽  
Staged Treatment

Abstract Background: Patients with the inguinal wound infection after arterial surgery remains clinical challenge. Sustaining lymphatic leakage have been shown as a common and potentially serious complication. However, it remains clinical challenge for surgery to deal with this tough problem. Methods: This study describes a hybrid technique of using radical debridement, lateral femoral bypass (LFB) and intra-incisional negative pressure wound therapy (iNPWT) for single-staged treatment of complex inguinal wound infection after arterial surgery (IWI-AS).Results: Between January 2017 and June 2021, 5 IWI-AS cases treated with this new method were identified. Of the patients, 3 were males and 2 were females. The average age was 49.4 years (range, 33 to 77 years). 4 cases suffered emergent operations due to the sudden bleedings. after vascular bypass reconstructions and an average of 2.2 (range:1-3) iNWPT, all cases achieved wound healing at an average duration of 4.6 weeks (range: 3-6weeks). Moreover, all cases showed no bacterial growth and grafts patency as indicated by doppler ultrasound or CT angiography postoperatively. One case did not receive bypass imaging evaluation at postoperative 12 months. Weakness of quadriceps femoris was observed in one case. Conclusion: single-staged therapy of LFB and iNPWT hybridization is a technically handy and effective method for treatment of inguinal wound infection after arterial surgery.

Impact of incisional negative pressure wound therapy on perineal wound healing after abdominoperineal rectum extirpation

2016 ◽  
Vol 32 (2) ◽  
pp. 291-293 ◽  
Author(s):  
Armin Wiegering ◽  
Ulrich A. Dietz ◽  
Caroline Corteville ◽  
Lars Plaßmeier ◽  
Christian Jurowich ◽  
...  
Keyword(s):  
Wound Healing ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Perineal Wound ◽  
Wound Therapy ◽  
Perineal Wound Healing ◽  
Rectum Extirpation
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