Cargando…

A systemic review and a meta‐analysis on the influences of closed incisions in orthopaedic trauma surgery by negative pressure wound treatment compared with conventional dressings

We performed a meta‐analysis to evaluate the influences of closed incisions in orthopaedic trauma surgery (OTS) by negative pressure wound treatment (NPWT) compared with conventional dressings. A systematic literature search up to March 2022 was done and 14 studies included 3935 subjects with OTS at...

Descripción completa

Detalles Bibliográficos
Autores principales: Zhang, Dahua, He, Liang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9797922/
https://www.ncbi.nlm.nih.gov/pubmed/35535660
http://dx.doi.org/10.1111/iwj.13835
_version_ 1784860791973871616
author Zhang, Dahua
He, Liang
author_facet Zhang, Dahua
He, Liang
author_sort Zhang, Dahua
collection PubMed
description We performed a meta‐analysis to evaluate the influences of closed incisions in orthopaedic trauma surgery (OTS) by negative pressure wound treatment (NPWT) compared with conventional dressings. A systematic literature search up to March 2022 was done and 14 studies included 3935 subjects with OTS at the start of the study; 2023 of them used NPWT and 1912 were conventional dressings. They were reporting relationships between the influences of closed incisions in OTS by NPWT compared with conventional dressings. We calculated the odds ratio (OR) with 95% confidence intervals (CIs) to assess the influences of closed incisions in OTS by NPWT compared with conventional dressings using the dichotomous methods with a random or fixed‐effect model. NPWT had significantly lower deep surgical site infections (SSIs) (OR, 0.65; 95% CI, 0.48‐0.87, P = .004), superficial SSIs (OR, 0.34; 95% CI, 0.19‐0.61, P < .001), and wound dehiscence (OR, 0.41; 95% CI, 0.21‐0.80, P = .009) compared with conventional dressings in subjects with closed incisions in OTS. NPWT showed a beneficial effect on deep SSIs, superficial SSIs, and wound dehiscence compared with conventional dressings in subjects with closed incisions in OTS. Further studies are required to validate these findings.
format Online
Article
Text
id pubmed-9797922
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Blackwell Publishing Ltd
record_format MEDLINE/PubMed
spelling pubmed-97979222023-01-05 A systemic review and a meta‐analysis on the influences of closed incisions in orthopaedic trauma surgery by negative pressure wound treatment compared with conventional dressings Zhang, Dahua He, Liang Int Wound J Original Articles We performed a meta‐analysis to evaluate the influences of closed incisions in orthopaedic trauma surgery (OTS) by negative pressure wound treatment (NPWT) compared with conventional dressings. A systematic literature search up to March 2022 was done and 14 studies included 3935 subjects with OTS at the start of the study; 2023 of them used NPWT and 1912 were conventional dressings. They were reporting relationships between the influences of closed incisions in OTS by NPWT compared with conventional dressings. We calculated the odds ratio (OR) with 95% confidence intervals (CIs) to assess the influences of closed incisions in OTS by NPWT compared with conventional dressings using the dichotomous methods with a random or fixed‐effect model. NPWT had significantly lower deep surgical site infections (SSIs) (OR, 0.65; 95% CI, 0.48‐0.87, P = .004), superficial SSIs (OR, 0.34; 95% CI, 0.19‐0.61, P < .001), and wound dehiscence (OR, 0.41; 95% CI, 0.21‐0.80, P = .009) compared with conventional dressings in subjects with closed incisions in OTS. NPWT showed a beneficial effect on deep SSIs, superficial SSIs, and wound dehiscence compared with conventional dressings in subjects with closed incisions in OTS. Further studies are required to validate these findings. Blackwell Publishing Ltd 2022-05-10 /pmc/articles/PMC9797922/ /pubmed/35535660 http://dx.doi.org/10.1111/iwj.13835 Text en © 2022 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Articles
Zhang, Dahua
He, Liang
A systemic review and a meta‐analysis on the influences of closed incisions in orthopaedic trauma surgery by negative pressure wound treatment compared with conventional dressings
title A systemic review and a meta‐analysis on the influences of closed incisions in orthopaedic trauma surgery by negative pressure wound treatment compared with conventional dressings
title_full A systemic review and a meta‐analysis on the influences of closed incisions in orthopaedic trauma surgery by negative pressure wound treatment compared with conventional dressings
title_fullStr A systemic review and a meta‐analysis on the influences of closed incisions in orthopaedic trauma surgery by negative pressure wound treatment compared with conventional dressings
title_full_unstemmed A systemic review and a meta‐analysis on the influences of closed incisions in orthopaedic trauma surgery by negative pressure wound treatment compared with conventional dressings
title_short A systemic review and a meta‐analysis on the influences of closed incisions in orthopaedic trauma surgery by negative pressure wound treatment compared with conventional dressings
title_sort systemic review and a meta‐analysis on the influences of closed incisions in orthopaedic trauma surgery by negative pressure wound treatment compared with conventional dressings
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9797922/
https://www.ncbi.nlm.nih.gov/pubmed/35535660
http://dx.doi.org/10.1111/iwj.13835
work_keys_str_mv AT zhangdahua asystemicreviewandametaanalysisontheinfluencesofclosedincisionsinorthopaedictraumasurgerybynegativepressurewoundtreatmentcomparedwithconventionaldressings
AT heliang asystemicreviewandametaanalysisontheinfluencesofclosedincisionsinorthopaedictraumasurgerybynegativepressurewoundtreatmentcomparedwithconventionaldressings
AT zhangdahua systemicreviewandametaanalysisontheinfluencesofclosedincisionsinorthopaedictraumasurgerybynegativepressurewoundtreatmentcomparedwithconventionaldressings
AT heliang systemicreviewandametaanalysisontheinfluencesofclosedincisionsinorthopaedictraumasurgerybynegativepressurewoundtreatmentcomparedwithconventionaldressings