scholarly journals Use of incisional preventive negative pressure wound therapy in open incisional hernia repair: Who benefits?

2021 ◽  
Author(s):  
Matthias Leuchter ◽  
Michael Hitzbleck ◽  
Clemens Schafmayer ◽  
Mark Philipp
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Incisional Hernia Repair ◽  
Wound Therapy

scholarly journals Management of non-absorbable mesh infection after hernia repair by negative pressure wound therapy

2019 ◽  
Vol 13 (1) ◽  
pp. 008
Author(s):  
Amreen Faruq ◽  
HM Sabbir Raihan ◽  
Muhtarima Haque
Keyword(s):  
Hernia Repair ◽  
Granulation Tissue ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Mesh Infection ◽  
Wound Therapy ◽  
Absorbable Mesh ◽  
Deep Wound ◽  
Infected Mesh ◽  
A Prospective Study

Background and objectives: Mesh infection following hernia repair has previously often resulted in removal of mesh. The aim of this study was to evaluate if negative pressure wound therapy (NPWT) can be used to treat such complications and preserve the mesh. Materials and method: A prospective study was carried in the Department of Surgery, BIRDEM General Hospital from January 2017 to January 2019. Patients with deep wound infection and exposed infected mesh after hernioplasty were included in the study. Patients’ demographics, existing comorbidities and outcome were recorded. All patients were treated with NPWT till the wound was covered with healthy granulation tissue and closed. Results: NPWT was used to treat 7 patients with mesh infection following hernia repair. There was 2 male and 5 female cases and age ranged from 38-58 years. With NPWT the mesh in 6 patients (86%) out of 7 could be completely salvaged and wound closed with secondary suturing. However, in 1 patient although the mesh covered with granulation tissue by NPWT and wound was closed; but it had to be partly removed later on due to development of chronic discharging sinus 20 days after stitch removal. Conclusion: The study demonstrated that NPWT was a useful technique for the treatment and preservation of infected mesh after hernia repair. IMC J Med Sci 2019; 13(1): 008

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.

Prophylactic Single-use Negative Pressure Dressing in Closed Surgical Wounds After Incisional Hernia Repair

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
José Bueno-Lledó ◽  
Ascensión Franco-Bernal ◽  
María Teresa Garcia-Voz-Mediano ◽  
Antonio Torregrosa-Gallud ◽  
Santiago Bonafé
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Negative Pressure ◽  
Incisional Hernia Repair ◽  
Surgical Wounds ◽  
Single Use ◽  
Pressure Dressing
Sign in / Sign up

Export Citation Format

Share Document