The impact of negative pressure wound therapy for closed surgical incisions on surgical site infection: A systematic review and meta-analysis

Brisinda, Giuseppe; Chiarello, Maria Michela

doi:10.1016/j.surg.2020.07.039

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…These results provide more information than earlier meta‐analyses on the subject, as more researches were comprised, and sensitivity and grading of endorsements, valuation, development, and evaluation analyses were carried out. These outcomes are in line with the successful use of preventive ciNPWT in numerous other surgical specialties 26,27 . ciNPWT showed a discernible overall impact on side effects.…”

Section: Discussionsupporting

confidence: 74%

“…These outcomes are in line with the successful use of preventive ciNPWT in numerous other surgical specialties. 26,27 ciNPWT showed a discernible overall impact on side effects. Numerous interventions, such as the antimicrobial dialkyl carbamoyl chloride dressings, 28 antimicrobial triclosan coated sutures, 29 and cyanoacrylate glue, 30 were not evaluated in the setting of groin wounds in spite of indication from other surgical fields that these interventions lower SWSI rates.…”

Section: Discussionmentioning

confidence: 96%

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The wound adjuncts effect of closed incision negative pressure wound therapy on stopping groin surgical site wound infection in arterial surgery: A meta‐analysis

Xie

Фан

Huang

2023

International Wound Journal

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A meta‐analysis study was conducted to assess the influence of the wound adjuncts therapy of closed incision negative pressure wound therapy (ciNPWT) on stopping groin site wound infection (SWSI) in arterial surgery. A comprehensive literature examination till January 2023 was implemented and 2186 linked studies were appraised. The picked studies contained 2133 subjects with groin surgical wounds of arterial surgery in the picked studies' baseline, 1043 of them were using ciNPWT, and 1090 were using standard care. Odds ratio (OR) in addition to 95% confidence intervals (CIs) were used to calculate the consequence of the wound adjuncts therapy of ciNPWT on stopping groin SWSI in arterial surgery by the dichotomous and continuous styles and a fixed or random model. The ciNPWT had a significantly lower SWSI (OR, 0.42; 95% CI, 0.33–0.55, P < .001), superficial SWSI (OR, 0.46; 95% CI, 0.33–0.66, P < .001), and deep SWSI (OR, 0.39; 95% CI, 0.25–0.63, P < .001) compared with the standard care in groin surgical wound of arterial surgery. The ciNPWT had a significantly, lower SWSI, superficial SWSI, and deep SWSI compared with the standard care in groin surgical wounds of arterial surgery. Although precautions should be taken when commerce with the consequences because some of the picked studies for this meta‐analysis was with low sample sizes.

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 96%

The wound adjuncts effect of closed incision negative pressure wound therapy on stopping groin surgical site wound infection in arterial surgery: A meta‐analysis

Xie

Фан

Huang

2023

International Wound Journal

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“…25 However, responses to this publication highlight the notable lack of cost analysis in their conclusions. 31 Abesamis et al examined iNPWT in 19 abdominoplasty patients and reported a 70% reduction of post-operative fluid drainage and shortened time to drain removal by approximately 5 days. 16 Altogether, current literature on abdominal BCP has positive clinical and aesthetic outcomes after iNPWT use 29 but lacks associated cost analysis.…”

Section: Discussionmentioning

confidence: 99%

Negative Pressure Wound Therapy After Abdominal Body Contouring: A Comparative Matched Analysis of Outcomes and Cost

et al. 2021

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Background: Studies that have previously validated the use of incisional negative pressure wound therapy (iNPWT) after body contouring procedures (BCP) have provided limited data regarding associated health care utilization and cost. We matched 2 cohorts of patients after BCP with and without iNPWT and compared utilization of health care resources and post-operative clinical outcomes. Methods: Adult patients who underwent abdominoplasty and/or panniculectomy between 2015 and 2020 by a single surgeon were identified. Patients were propensity score matched by body mass index (BMI), gender, smoking history, diabetes mellitus, hypertension, and incision type. Primary outcomes included time to final drain removal, outpatient visits, homecare visits, emergency department visits, and cost. Secondary outcomes included surgical site occurrences (SSO), surgical site infections, reoperations, and revisions. Results: One hundred sixty-six patients were eligible, and 40 were matched (20 with iNPWT and 20 without iNPWT) with a median age of 47 years and BMI of 32 kg/m2. There were no differences in demographics or intraoperative details (all P > .05). No significant differences were found between the cohorts in terms of health care utilization measures or clinical outcomes (all P > .05). Direct cost was significantly greater in the iNPWT cohort ( P = .0498). Inpatient length of stay and procedure time were independently associated with increased cost on multivariate analysis (all P < .0001). Conclusion: Consensus guidelines recommend the use of iNPWT in high-risk patients, including abdominal BCP. Our results show that iNPWT is associated with equivalent health care utilization and clinical outcomes, with increased cost. Additional randomized controlled trials are needed to further elucidate the cost utility of this technique in this patient population.

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An invited commentary on: “A randomized controlled trial on irrigation of open appendectomy wound with gentamicin-saline solution versus saline solution for prevention of surgical site infection.” (Int J Surg 2020; 81:140–146)

Chiarello

Brisinda

2020

International Journal of Surgery

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The impact of negative pressure wound therapy for closed surgical incisions on surgical site infection: A systematic review and meta-analysis

Cited by 3 publications

References 11 publications

The wound adjuncts effect of closed incision negative pressure wound therapy on stopping groin surgical site wound infection in arterial surgery: A meta‐analysis

The wound adjuncts effect of closed incision negative pressure wound therapy on stopping groin surgical site wound infection in arterial surgery: A meta‐analysis

Negative Pressure Wound Therapy After Abdominal Body Contouring: A Comparative Matched Analysis of Outcomes and Cost

An invited commentary on: “A randomized controlled trial on irrigation of open appendectomy wound with gentamicin-saline solution versus saline solution for prevention of surgical site infection.” (Int J Surg 2020; 81:140–146)

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