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Prophylactic incisional negative pressure wound therapy for gynaecologic malignancies

Wound complications are an important cause of postoperative morbidity among patients with gynaecologic malignancies. We evaluated whether the placement of closed‐incisional negative pressure therapy (ciNPT) at the time of laparotomy for gynaecologic cancer surgery reduced wound complication rates. A...

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Autores principales: Martí, Maria Teresa Climent, Fernandez‐Gonzalez, Sergi, Martí, Maria Dolores, Pla, Maria Jesus, Barahona, Marc, Ponce, Jordi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8762569/
https://www.ncbi.nlm.nih.gov/pubmed/34268886
http://dx.doi.org/10.1111/iwj.13628
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author Martí, Maria Teresa Climent
Fernandez‐Gonzalez, Sergi
Martí, Maria Dolores
Pla, Maria Jesus
Barahona, Marc
Ponce, Jordi
author_facet Martí, Maria Teresa Climent
Fernandez‐Gonzalez, Sergi
Martí, Maria Dolores
Pla, Maria Jesus
Barahona, Marc
Ponce, Jordi
author_sort Martí, Maria Teresa Climent
collection PubMed
description Wound complications are an important cause of postoperative morbidity among patients with gynaecologic malignancies. We evaluated whether the placement of closed‐incisional negative pressure therapy (ciNPT) at the time of laparotomy for gynaecologic cancer surgery reduced wound complication rates. A retrospective cohort study with primary wound closure performed by a gynaecologic oncologist was carried out. We evaluated two cohorts of patients who underwent surgery in 2017 with standard closure and patients who underwent surgery in 2019 with the placement of prophylactic ciNPT. Postoperative outcomes were examined. A total of 143 patients were included, 85 (59.4%) vs 58 (40.6%) with standard closure and ciNPT, respectively. The total complication rate in our sample was 38.71%. The rate of surgical complications in patients treated with ciNPT was 6.9% compared with 31.8% (P = .000) in patients treated with standard closure. In the analysis of complications, a significant reduction in infections (17.1%), seromas (15.4%), and wound dehiscence (17.1%) were observed when ciNPT was applied. The median hospital stay was 8 vs 6 days in the standard closure vs ciNPT groups (P = .048). The use of the prophylactic ciNPT following a laparotomy may decrease wound complications and hospital stays in oncological patients. ciNPT could be considered as part of clinical practice in patients at high risk of wound complications, such as patients with gynaecological malignancies.
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spelling pubmed-87625692022-01-21 Prophylactic incisional negative pressure wound therapy for gynaecologic malignancies Martí, Maria Teresa Climent Fernandez‐Gonzalez, Sergi Martí, Maria Dolores Pla, Maria Jesus Barahona, Marc Ponce, Jordi Int Wound J Original Articles Wound complications are an important cause of postoperative morbidity among patients with gynaecologic malignancies. We evaluated whether the placement of closed‐incisional negative pressure therapy (ciNPT) at the time of laparotomy for gynaecologic cancer surgery reduced wound complication rates. A retrospective cohort study with primary wound closure performed by a gynaecologic oncologist was carried out. We evaluated two cohorts of patients who underwent surgery in 2017 with standard closure and patients who underwent surgery in 2019 with the placement of prophylactic ciNPT. Postoperative outcomes were examined. A total of 143 patients were included, 85 (59.4%) vs 58 (40.6%) with standard closure and ciNPT, respectively. The total complication rate in our sample was 38.71%. The rate of surgical complications in patients treated with ciNPT was 6.9% compared with 31.8% (P = .000) in patients treated with standard closure. In the analysis of complications, a significant reduction in infections (17.1%), seromas (15.4%), and wound dehiscence (17.1%) were observed when ciNPT was applied. The median hospital stay was 8 vs 6 days in the standard closure vs ciNPT groups (P = .048). The use of the prophylactic ciNPT following a laparotomy may decrease wound complications and hospital stays in oncological patients. ciNPT could be considered as part of clinical practice in patients at high risk of wound complications, such as patients with gynaecological malignancies. Blackwell Publishing Ltd 2021-07-16 /pmc/articles/PMC8762569/ /pubmed/34268886 http://dx.doi.org/10.1111/iwj.13628 Text en © 2021 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Articles
Martí, Maria Teresa Climent
Fernandez‐Gonzalez, Sergi
Martí, Maria Dolores
Pla, Maria Jesus
Barahona, Marc
Ponce, Jordi
Prophylactic incisional negative pressure wound therapy for gynaecologic malignancies
title Prophylactic incisional negative pressure wound therapy for gynaecologic malignancies
title_full Prophylactic incisional negative pressure wound therapy for gynaecologic malignancies
title_fullStr Prophylactic incisional negative pressure wound therapy for gynaecologic malignancies
title_full_unstemmed Prophylactic incisional negative pressure wound therapy for gynaecologic malignancies
title_short Prophylactic incisional negative pressure wound therapy for gynaecologic malignancies
title_sort prophylactic incisional negative pressure wound therapy for gynaecologic malignancies
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8762569/
https://www.ncbi.nlm.nih.gov/pubmed/34268886
http://dx.doi.org/10.1111/iwj.13628
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