Closed Incision Negative Pressure Therapy: Review of the Literature.
| Autor: | Fernandez LG; Surgery, Trauma Wound Care, University of Texas Health Science Center, Tyler, USA., Matthews MR; Surgery, Arizona Burn Center, Phoenix, USA., Sibaja Alvarez P; General Surgery, Universidad Federada San Judas Tadeo, San Jose, CRI., Norwood S; Surgery, University of Texas Health Science Center, Tyler, USA., Villarreal DH; Trauma, Acute Care Surgery, Surgical Critical Care, University of Texas Health Science Center, Tyler, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2019 Jul 21; Vol. 11 (7), pp. e5183. Date of Electronic Publication: 2019 Jul 21. |
| DOI: | 10.7759/cureus.5183 |
| Abstrakt: | Surgical site infection and other common surgical site complications (dehiscence, hematoma, and seroma formation) can lead to serious and often life-threatening complications. Gauze, adhesive dressings, and skin adhesives have traditionally been utilized for incision management. However, the application of negative pressure wound therapy over clean, closed surgical incisions (closed incision negative pressure therapy, ciNPT), has become a recent option for incision management. A brief review of ciNPT clinical evidence and health economic evidence are presented. A brief literature review was performed using available publication databases (PubMed, Ovid®, Embase®, and QUOSA™) for articles in English reporting on the use of ciNPT between October 1, 2016, to March 31, 2019. The successful application of ciNPT over clean, closed wounds has been reported in a broad spectrum of patients and operative interventions, resulting in favorable clinical results. Four of the five studies that examined health economics following the use of ciNPT reported a potential reduction in the cost of care. The authors' own experience and published results suggest that patients at high risk for developing a surgical site complication may benefit from the use of ciNPT during the immediate postoperative period. Additional studies are needed across various surgical disciplines to further assess the safety, and cost-effectiveness of ciNPT use in patient populations. Competing Interests: The authors have declared financial relationships, which are detailed in the next section. (Copyright © 2019, Fernandez et al.) |
| Databáze: | MEDLINE |
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