The impact of closed incisional negative pressure therapy on anterior lateral thigh flap donor site healing and scarring: A retrospective case-control study

Falkner, Frank; Thomas, Benjamin; Mayer, S; Haug, Valentin; Harhaus, Leila; Nagel, Sarah S.; Kneser, Ulrich; Bigdeli, Amir K.

doi:10.1016/j.bjps.2021.05.049

Cited by 8 publications

(8 citation statements)

References 27 publications

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“…Our CINPT is an off-label use of the material and portable device for negative pressure therapy for open wounds. Previous studies have confirmed its successful use on other donor sites in free flap microsurgery [ 16 , 18 ]. Additionally, new designs of negative pressure therapy, such as closed incision negative pressure therapy for incisions and surrounding soft tissue, rely on the safe application and off-label use of conventional products for negative pressure therapy for open wounds [ 32 ].…”

Section: Discussionmentioning

confidence: 87%

“…Additionally, CINPT had no effect on time to drain removal at the TMG donor site. Similarly CINPT had no effect on fluid drainage at the lower abdomen donor site in DIEP and MS2-TRAM breast reconstruction and ALT donor site compared to the control [ 16 , 18 ]. The authors assume that the evident effects of CINPT on the wound surface diminish in the deep soft tissue, which might explain the insufficient clinical effect in complex multi-layer wounds with strong fluid drainage in the deep soft tissue.…”

Section: Discussionmentioning

confidence: 99%

“…The concept is based on the protection of the clean wound environment, thediminishment of tension forces, the enhancement of tissue perfusion and the elimination of wound fluid [ 10 , 11 , 12 ]. The advantages of CINPT have been outlined in multiple studies in plastic and reconstructive surgery as well as in oncological breast surgery [ 13 , 14 , 15 , 16 ]. In particular, evidence exists for the superiority of CINPT compared to conventional wound management at the donor site of patients undergoing free flap breast reconstruction from the lower abdomen [ 17 , 18 , 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

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The Use of Closed Incision Negative Pressure Therapy on the Medial Thigh Donor Site in Transverse Musculocutaneous Gracilis Flap Breast Reconstruction

Siegwart

Tapking

Diehm

et al. 2022

JCM

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The objective of this study was to examine the impact of closed incision negative pressure therapy (CINPT) on donor site complications and patient perceptions in transverse musculocutaneous gracilis (TMG) flap breast reconstruction. Our institution conducted a retrospective cohort study, including all patients with TMG flap breast reconstruction from 1 January 2010 to 31 December 2021. Patients were grouped according to conventional wound management or CINPT. Outcomes were surgical site complications, fluid drainage, time to drain removal, and in-hospital stay length. A patient survey was created. A total of 56 patients with 83 TMG flaps were included (control group: 35 patients with 53 TMG flaps; CINPT group: 21 patients with 30 TMG flaps). Patient characteristics were similar in both groups. The flap width was significantly larger in the CINPT group (8.0 cm vs. 7.0 cm, p = 0.013). Surgical site complications were reduced in the CINPT group without statistical difference (30.0% vs. 50.9%, p = 0.064). Fluid drainage and time to drain removal were similar in both groups. The average in-hospital stay was significantly shortened in the CINPT group (10.0 days vs. 13.0 days, p = 0.030). The survey excluded pain, skin irritations, and discomfort during sleep and movement in the CINPT group and showed that the patients felt well protected. This study fails to provide compelling evidence for CINPT to enhance incision healing on the donor site in TMG flap breast reconstruction. There was a trend toward reduced surgical site complications on the donor thigh and the in-hospital stay was shortened. Prophylactic CINPT increases patient comfort and provides a feeling of additional wound protection.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Use of Closed Incision Negative Pressure Therapy on the Medial Thigh Donor Site in Transverse Musculocutaneous Gracilis Flap Breast Reconstruction

Siegwart

Tapking

Diehm

et al. 2022

JCM

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“…Durch diesen gesteigerten Flüssigkeitstransport können ciNPWT-Verbände im Vergleich zu konventionellen Verbänden die Bildung von Ödemen, Seromen und Hämatomen um bis zu 63 % reduzieren [21]. Insgesamt zeigt die Therapie mittels ciNPWT ebenfalls eine deutliche Reduktion der postoperativen Wundinfektionen [21,22].…”

Section: Wirkmechanismen Und Wissenschaftliche Grundlagenunclassified

“…Die ciNPWT-Applikation ist jedoch nicht nur im postoperativen Management von Hochrisikowunden effektiv, sondern zeigte auch durch die reduzierte Hautspannung eine verbesserte Narbenqualität mit schmaleren und weicheren Operationsnarben im Vergleich zu konventionellen Verbänden 22 , 23 , 24 .…”

Section: Inzisionale Unterdrucktherapieunclassified