“…All six studies [6,15,16,29,35,45] with data regarding flap rates and extended negative pressure wound therapy use reported a decrease in flap procedures with extended negative pressure wound therapy. Two [15,16] of the studies reported infection complications similar to those of historic controls [1,11,13,20,26,28]. Dedmond et al [15,16] concluded the avoidance of flap procedures, particularly in the pediatric population, in the end outweighed the equivalent infection rates.…”