Incisional Negative-Pressure Wound Therapy Versus Conventional Dressings Following Abdominal Wall Reconstruction

Condé-Green, Alexandra; Chung, Thomas L.; Holton, Luther H.; Hui-Chou, Helen G.; Zhu, Yue; Wang, Howard; Zahiri, H. Reza; Singh, Devinder P.

doi:10.1097/sap.0b013e31824c9073

Cited by 131 publications

(128 citation statements)

References 17 publications

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“…39%) when compared with conventional dressings. Regardless of the surgical technique employed, in order to prevail over the specifi c obstacles that the repair of complex abdominal wall defects can present, the prophylactic use of NPWT in a continuous suction mode of 125 mmHg for 7 days duration over a closed incision has been shown to improve outcomes [ 29 ] ( Fig. 32.3 ).…”

Section: Negative Pressure Wound Therapy and Special Circumstances CLmentioning

confidence: 98%

Negative Pressure Wound Therapy

Zomerlei

Janis

2016

Hernia Surgery

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Section: Negative Pressure Wound Therapy and Special Circumstances CLmentioning

confidence: 98%

Negative Pressure Wound Therapy

Zomerlei

Janis

2016

Hernia Surgery

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“…50,51 Investigators have reported significantly lower rates of wound complications and skin dehiscence with negative pressure wound therapy compared to conventional dressings following abdominal wall reconstruction. 52 Finally, there is some experimental evidence that negative pressure on closed incisions may promote angiogenesis. 49 Other practices we have adopted to reduce SSO are routine placement of drains above and below the repair material and strict avoidance of the use of abdominal binders in the early postoperative period.…”

Section: Discussionmentioning

confidence: 99%

A Modified Approach to Component Separation Using Biologic Graft as a Load-Sharing Onlay Reinforcement for the Repair of Complex Ventral Hernia

et al. 2013

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Background. Components separation has been proposed as a means to close large ventral hernia without undue tension. We report a modification on open components separation that allows for the incorporation of onlaid noncrosslinked porcine acellular dermal matrix (Strattice, LifeCell Corp, Branchburg, NJ) as a load-sharing structure. Methods. This was a retrospective case series including all cases using Strattice from July 2008 through December 2009. Data evaluated included patient demographics, comorbidities associated with risk of recurrence, hernia grade, and postoperative complications. The primary outcomes were hernia recurrence and surgical site occurrences. Results. There were 58 patients; 60.8% presented with a recurrent incisional hernia. Average length of follow-up was 384 days. There were 4 hernia recurrences (7.9%). Complications included surgical site infection (20.7%), seroma (15.5%), and hematoma (5%) requiring intervention. Four deaths occurred in the series due to causes unrelated to the hernia repair, only 1 within 30 days of operation. Conclusions. This series demonstrates that components separation reinforced with noncrosslinked porcine acellular dermal matrix onlay is an efficacious, single-stage repair with a low rate of recurrence and surgical site occurrences.

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“…Negative pressure therapy has proven benefits in the management of open wounds, and more recently a negative pressure system has been developed for use on closed wounds at high risk of breakdown [9]. The latter system has proven beneficial in the management of difficult wounds, for instance after abdominoplasty.…”

Section: Introductionmentioning

confidence: 99%