Journalartikel
Autorenliste: Pleger, Sebastian P.; Nink, Nadine; Elzien, Meshal; Kunold, Alexander; Koshty, Ahmed; Boening, Andreas
Jahr der Veröffentlichung: 2018
Seiten: 75-83
Zeitschrift: International Wound Journal
Bandnummer: 15
Heftnummer: 1
ISSN: 1742-4801
eISSN: 1742-481X
Open Access Status: Hybrid
DOI Link: https://doi.org/10.1111/iwj.12836
Verlag: Wiley
Abstract:
Groin wound infections in patients undergoing vascular procedures often cause a lengthy process of wound healing. Several clinical studies and case reports show a reduction of surgical site infections (SSIs) in various wound types after using closed incision negative pressure therapy (ciNPT). The aim of this prospective, randomised, single-institution study was to investigate the effectiveness of ciNPT (PREVENA Therapy) compared to conventional therapy on groin incisions after vascular surgery. From 1 February to 30 October 2015, 100 patients with 129 groin incisions were analysed. Patients were randomised and treated with either ciNPT (n = 58 groins) or the control dressing (n = 71 groins). ciNPT was applied intraoperatively and removed on days 5-7 postoperatively. The control group received a conventional adhesive plaster. Wound evaluation based on the Szilagyi classification took place postoperatively on days 5-7 and 30. Compared to the control group, the ciNPT group showed a significant reduction in wound complications (P < 00005) after both wound evaluation periods and in revision surgeries (P = 0022) until 30 days postoperatively. Subgroup analysis revealed that ciNPT had a significant effect on almost all examined risk factors for wound healing. ciNPT significantly reduced the incidence of incision complications and revision procedures after vascular surgery.
Zitierstile
Harvard-Zitierstil: Pleger, S., Nink, N., Elzien, M., Kunold, A., Koshty, A. and Boening, A. (2018) Reduction of groin wound complications in vascular surgery patients using closed incision negative pressure therapy (ciNPT): a prospective, randomised, single-institution study, International Wound Journal, 15(1), pp. 75-83. https://doi.org/10.1111/iwj.12836
APA-Zitierstil: Pleger, S., Nink, N., Elzien, M., Kunold, A., Koshty, A., & Boening, A. (2018). Reduction of groin wound complications in vascular surgery patients using closed incision negative pressure therapy (ciNPT): a prospective, randomised, single-institution study. International Wound Journal. 15(1), 75-83. https://doi.org/10.1111/iwj.12836
Schlagwörter
ARTERIAL RECONSTRUCTION; closed incision negative pressure therapy; DRESSINGS; HIGH-RISK; MANAGEMENT-SYSTEM; PREVENA(TM); SKIN-GRAFTS; surgical incision; VACUUM-ASSISTED CLOSURE; vascular surgery
