Equivalent outcomes with once versus thrice weekly dressing changes in midline laparotomy wounds treated with negative pressure wound therapy
| Autor: | Omar E. Beidas, Aditi Jalla, Cressilee Bryant, Roxie M. Albrecht, Zoona Sarwar, Tabitha Garwe, Ryan F. Wicks |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent medicine.medical_treatment Wound size law.invention Young Adult 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Laparotomy Negative-pressure wound therapy Outcome Assessment Health Care Humans Medicine Prospective Studies Prospective cohort study Aged Aged 80 and over Wound Healing integumentary system business.industry 030208 emergency & critical care medicine Midline laparotomy General Medicine Middle Aged Bandages Surgery Female Wound closure business Wound healing Negative-Pressure Wound Therapy Follow-Up Studies |
| Zdroj: | The American Journal of Surgery. 217:1065-1071 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2018.10.015 |
| Popis: | Background While negative pressure wound therapy (NPWT) has been used for decades, there is a paucity of data regarding the appropriate length of time between dressing changes. Methods This was a prospective, randomized control trial examining time to wound closure in open midline laparotomy wounds treated with NPWT. The control group received the standard thrice weekly sponge changes (thrice) and the treatment group received once weekly sponge changes (once). Results 44 patients met study criteria over a 3-year period. There was no difference in NPWT duration between the two groups (37.1 vs 34.7 days, p = 0.7324), even after adjusting for potential confounders (p = 0.8091). No differences were found in initial wound size or reduction. The wound complication profile was similar for both groups. Conclusion There is no difference in time to wound closure or complications with NPWT dressing changes once a week compared to the standard three times a week. |
| Databáze: | OpenAIRE |
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