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ROLE OF INCISIONAL VACUUM THERAPY IN ENDOPROSTHETIC BONE RECONSTRUCTION SURGERY

Reconstructive surgery with endoprostheses is the chosen method for treating bone malignancies. Postoperative infections are frequent complications, and their treatment involves prolonged hospital stays and antibiotic therapy. Among the advancements aimed at reducing the rate of postoperative infect...

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Autores principales: BAPTISTA, ANDRÉ MATHIAS, CAMARGO, ANDRÉ FERRARI DE FRANÇA DE, CAIERO, MARCELO TADEU, TORRES, JOSÉ SAINT CLAIR DE SOUSA, NARCISO, JORGE HENRIQUE, SILVA, MARCELA ROCHA DIAS
Formato: Online Artículo Texto
Lenguaje:English
Publicado: ATHA EDITORA 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10399998/
https://www.ncbi.nlm.nih.gov/pubmed/37547234
http://dx.doi.org/10.1590/1413-785220233104e260330
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author BAPTISTA, ANDRÉ MATHIAS
CAMARGO, ANDRÉ FERRARI DE FRANÇA DE
CAIERO, MARCELO TADEU
TORRES, JOSÉ SAINT CLAIR DE SOUSA
NARCISO, JORGE HENRIQUE
SILVA, MARCELA ROCHA DIAS
author_facet BAPTISTA, ANDRÉ MATHIAS
CAMARGO, ANDRÉ FERRARI DE FRANÇA DE
CAIERO, MARCELO TADEU
TORRES, JOSÉ SAINT CLAIR DE SOUSA
NARCISO, JORGE HENRIQUE
SILVA, MARCELA ROCHA DIAS
author_sort BAPTISTA, ANDRÉ MATHIAS
collection PubMed
description Reconstructive surgery with endoprostheses is the chosen method for treating bone malignancies. Postoperative infections are frequent complications, and their treatment involves prolonged hospital stays and antibiotic therapy. Among the advancements aimed at reducing the rate of postoperative infection, the use of incisional negative pressure therapy (iNPT) has shown promising results, with no reports in the literature regarding its use in patients with such conditions. OBJECTIVE: To evaluate the effectiveness of iNPT in reducing postoperative complications in surgeries for resection of bone tumors associated with modular endoprosthesis reconstruction. METHODS: Retrospective case series of 16 patients diagnosed with osteosarcoma, who underwent resection and reconstruction with endoprosthesis associated with iNPT during the postoperative period. Follow-up was performed for a period of six months, and the evaluated outcomes were the incidence of postoperative infection and complications of the surgical wound. RESULTS: The use of iNPT for a postoperative period of seven days resulted in only three (18.7%) cases of postoperative infection. No cases of wound dehiscence, seroma formation, or hematoma at the surgical site were observed. CONCLUSION: The rate of surgical wound complications in our case series is lower than that reported in most of the literature, and iNPT appears to be an efficient way to reduce the rate of local complications in reconstructive surgeries with endoprosthesis after resection of bone malignancies. Level of Evidence III, Retrospective Study.
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spelling pubmed-103999982023-08-04 ROLE OF INCISIONAL VACUUM THERAPY IN ENDOPROSTHETIC BONE RECONSTRUCTION SURGERY BAPTISTA, ANDRÉ MATHIAS CAMARGO, ANDRÉ FERRARI DE FRANÇA DE CAIERO, MARCELO TADEU TORRES, JOSÉ SAINT CLAIR DE SOUSA NARCISO, JORGE HENRIQUE SILVA, MARCELA ROCHA DIAS Acta Ortop Bras Original Article Reconstructive surgery with endoprostheses is the chosen method for treating bone malignancies. Postoperative infections are frequent complications, and their treatment involves prolonged hospital stays and antibiotic therapy. Among the advancements aimed at reducing the rate of postoperative infection, the use of incisional negative pressure therapy (iNPT) has shown promising results, with no reports in the literature regarding its use in patients with such conditions. OBJECTIVE: To evaluate the effectiveness of iNPT in reducing postoperative complications in surgeries for resection of bone tumors associated with modular endoprosthesis reconstruction. METHODS: Retrospective case series of 16 patients diagnosed with osteosarcoma, who underwent resection and reconstruction with endoprosthesis associated with iNPT during the postoperative period. Follow-up was performed for a period of six months, and the evaluated outcomes were the incidence of postoperative infection and complications of the surgical wound. RESULTS: The use of iNPT for a postoperative period of seven days resulted in only three (18.7%) cases of postoperative infection. No cases of wound dehiscence, seroma formation, or hematoma at the surgical site were observed. CONCLUSION: The rate of surgical wound complications in our case series is lower than that reported in most of the literature, and iNPT appears to be an efficient way to reduce the rate of local complications in reconstructive surgeries with endoprosthesis after resection of bone malignancies. Level of Evidence III, Retrospective Study. ATHA EDITORA 2023-07-31 /pmc/articles/PMC10399998/ /pubmed/37547234 http://dx.doi.org/10.1590/1413-785220233104e260330 Text en https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Original Article
BAPTISTA, ANDRÉ MATHIAS
CAMARGO, ANDRÉ FERRARI DE FRANÇA DE
CAIERO, MARCELO TADEU
TORRES, JOSÉ SAINT CLAIR DE SOUSA
NARCISO, JORGE HENRIQUE
SILVA, MARCELA ROCHA DIAS
ROLE OF INCISIONAL VACUUM THERAPY IN ENDOPROSTHETIC BONE RECONSTRUCTION SURGERY
title ROLE OF INCISIONAL VACUUM THERAPY IN ENDOPROSTHETIC BONE RECONSTRUCTION SURGERY
title_full ROLE OF INCISIONAL VACUUM THERAPY IN ENDOPROSTHETIC BONE RECONSTRUCTION SURGERY
title_fullStr ROLE OF INCISIONAL VACUUM THERAPY IN ENDOPROSTHETIC BONE RECONSTRUCTION SURGERY
title_full_unstemmed ROLE OF INCISIONAL VACUUM THERAPY IN ENDOPROSTHETIC BONE RECONSTRUCTION SURGERY
title_short ROLE OF INCISIONAL VACUUM THERAPY IN ENDOPROSTHETIC BONE RECONSTRUCTION SURGERY
title_sort role of incisional vacuum therapy in endoprosthetic bone reconstruction surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10399998/
https://www.ncbi.nlm.nih.gov/pubmed/37547234
http://dx.doi.org/10.1590/1413-785220233104e260330
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