Cost of care using prophylactic negative pressure wound vacuum on closed laparotomy incisions

Surgical site infection after primary surgery for epithelial ovarian cancer: Predictors and impact on survival

“…Additionally, in gynecologic cancer surgery, if utilization of prophylactic vacuum-assisted wound closure devices could decrease SSI by 33% their use would result in significant cost savings [40]. Given that more than 10% of our study developed an SSI, this is an intervention worth exploring in this highrisk population.…”

Prophylactic Use of Negative Pressure Wound Therapy After Cesarean Delivery

“…33 The cost-savings among this population could be sizeable because more than one half of pregnant women in the United States are overweight or obese, and 8% of reproductive-aged women are morbidly obese. 27 They conducted a cost-benefit analysis examining the economic benefit of prophylactic negative pressure wound therapy compared with routine incision care after closed laparotomy incision for gynecologic malignancy. 27 They conducted a cost-benefit analysis examining the economic benefit of prophylactic negative pressure wound therapy compared with routine incision care after closed laparotomy incision for gynecologic malignancy.…”

“…[24][25][26][27] To account for this risk, patients in the prophylactic negative pressure wound therapy branch of the tree have a 3-20% risk of skin blisters. Based on published data, the incidence of wound complications from negative pressure wound therapy is very low.…”

“…Based on published data, the incidence of wound complications from negative pressure wound therapy is very low. 27 After passing through the node for wound complications from negative pressure wound therapy, patients in the prophylactic branch continued through different chance nodes with probabilities of specific events including risk of surgical site infection after cesarean delivery despite use of negative pressure wound therapy, outpatient management, or readmission for inpatient management. [24][25][26][27] We assumed that 5-10% of these complications would require additional skin care at the time of device removal.…”

Closed incision prophylactic negative pressure wound therapy in patients undergoing major complex abdominal wall repair

“…We identified three studies [25–27] on cost-effectiveness of pNPWT and these were all performed in a gynaecological population. Lewis et al [26] found that the risk of wound complications must be reduced by 33% for pNPWT to achieve cost savings. For obese and morbid obese patients, required reduction was slightly less.…”