Negative pressure wound therapy for seroma prevention and surgical incision treatment in spinal fracture care
Autor: | Johannes Pauser, Matthias Nordmeyer, Roland Biber, Carsten Kopschina, Christian Rapke, Jonathan Jantsch, Hermann Josef Bail, M. H. Brem, Siegfried Lehrl, Raimund Forst |
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Rok vydání: | 2015 |
Předmět: |
medicine.medical_specialty
medicine.medical_treatment Surgical Wound Dermatology Group B 030207 dermatology & venereal diseases 03 medical and health sciences Wound care 0302 clinical medicine Negative-pressure wound therapy Spinal fracture medicine Humans Internal fixation Prospective Studies NPWT Wound Healing 030222 orthopedics integumentary system business.industry Surgical wound Original Articles medicine.disease Surgery Seroma Wound complication Anesthesia Spinal Fractures Original Article business Surgical incision Negative-Pressure Wound Therapy |
Zdroj: | International Wound Journal |
ISSN: | 1742-481X 1742-4801 |
Popis: | To evaluate the clinical use and economic aspects of negative pressure wound therapy (NPWT) after dorsal stabilisation of spinal fractures. This study is a prospective randomised evaluation of NPWT in patients with large surgical wounds after surgical stabilisation of spinal fractures by internal fixation. Patients were randomised to either standard wound dressing treatment (group A) or NPWT (group B). The wound area was examined by ultrasound to measure seroma volumes in both groups on the 5th and 10th day after surgery. Furthermore, data on economic aspects such as nursing time for wound care and material used for wound dressing were evaluated. A total of 20 patients (10 in each group) were enrolled. Throughout the whole study, mean seroma volume was significantly higher in group A than that in group B (day 5: 1·9 ml versus 0 ml; P = 0·0007; day 10: 1·6 ml versus 0·5 ml; P |
Databáze: | OpenAIRE |
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