Effect of closed incision negative pressure wound therapy on incidence rate of surgical site infection after stoma reversal: a pilot study.
closed incision negative pressure wound therapy
stoma reversal
surgical site infection
Journal
Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques
ISSN: 1895-4588
Titre abrégé: Wideochir Inne Tech Maloinwazyjne
Pays: Poland
ID NLM: 101283175
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
14
12
2020
accepted:
20
02
2021
entrez:
24
12
2021
pubmed:
25
12
2021
medline:
25
12
2021
Statut:
ppublish
Résumé
The stoma reversal (SR) procedure is associated with a relatively high risk of perioperative complications with surgical site infection (SSI) as the most common. Recently closed incision negative pressure wound therapy (ciNPWT) was applied widely to prevent SSI. To investigate the efficiency of ciNPWT in terms of the incidence rate of SSI after SR surgery. As an exploratory observational cohort study patients were treated either with ciNPWT (n = 15) or standard sterile dressing (SSD) (n = 15). CiNPWT was applied every 3 days whereas SSD was changed every day. Clinical evaluation for SSI signs, C-reactive protein level and pain assessment using the visual analogue scale (VAS) were analyzed. The incidence rate of SSI was in 13% (2/15) in the ciNPWT group and 26% (4/15) in the SSD group (p = 0.651, OR = 0.44, 95% CI: 0.03-3.73). All patients in the SSD group who developed SSI presented both local and generalized signs of infection. Pain-VAS levels assessed on the 1 CiNPWT seems not to have a benefit to reduce SSI after the SR procedure. Further investigation is needed to establish firmly the benefit of using ciNPWT in this group of patients.
Identifiants
pubmed: 34950263
doi: 10.5114/wiitm.2021.106426
pii: 44161
pmc: PMC8669980
doi:
Types de publication
Journal Article
Langues
eng
Pagination
686-696Informations de copyright
Copyright: © 2021 Fundacja Videochirurgii.
Déclaration de conflit d'intérêts
The authors declare no conflict of interest.
Références
Am J Surg. 1971 Sep;122(3):325-31
pubmed: 5570601
Wideochir Inne Tech Maloinwazyjne. 2020 Dec;15(4):560-566
pubmed: 33294070
Int Wound J. 2017 Feb;14(1):255-264
pubmed: 27000995
Aesthetic Plast Surg. 2014 Aug;38(4):767-78
pubmed: 24912426
Plast Reconstr Surg Glob Open. 2019 Jun 21;7(6):e2259
pubmed: 31624675
Bone Joint Res. 2016 Aug;5(8):328-37
pubmed: 27496913
J Am Coll Surg. 2005 Nov;201(5):759-73
pubmed: 16256921
Int J Colorectal Dis. 2016 Mar;31(3):771-3
pubmed: 26072131
J Wound Care. 2016 Nov 2;25(11):617-626
pubmed: 27827278
Am J Surg. 2010 May;199(5):621-4
pubmed: 20466105
Dis Colon Rectum. 2015 Aug;58(8):808-15
pubmed: 26163961
J Gastrointest Surg. 2015 Feb;19(2):327-34
pubmed: 25217092
Tech Coloproctol. 2021 Feb;25(2):185-193
pubmed: 33161523
J Pediatr Surg. 2010 Jul;45(7):1509-13
pubmed: 20638534
Dis Colon Rectum. 2009 Mar;52(3):469-74
pubmed: 19333048
Ann Plast Surg. 2016 Jun;76(6):717-22
pubmed: 25003432
Wideochir Inne Tech Maloinwazyjne. 2018 Dec;13(4):435-441
pubmed: 30524612
J Vasc Surg. 2013 Mar;57(3):791-5
pubmed: 23312938
Br J Surg. 2009 May;96(5):462-72
pubmed: 19358171
Surgery. 2009 Jul;146(1):40-51
pubmed: 19541009
J Thorac Cardiovasc Surg. 2013 May;145(5):1387-92
pubmed: 23111014
Dig Surg. 2016;33(6):449-54
pubmed: 27246708
Dis Colon Rectum. 2013 Dec;56(12):1403-8
pubmed: 24201395
Am J Med. 1991 Sep 16;91(3B):152S-157S
pubmed: 1656747
J Trauma. 2009 Mar;66(3):749-57
pubmed: 19276749
Dig Surg. 2014;31(2):73-8
pubmed: 24776653
Int J Colorectal Dis. 2012 Jan;27(1):49-54
pubmed: 21761119
World J Gastrointest Surg. 2014 Sep 27;6(9):169-74
pubmed: 25276286
Wound Repair Regen. 2017 Nov;25(6):994-1001
pubmed: 29356190
Plast Reconstr Surg. 2016 Apr;137(4):1284-1289
pubmed: 27018682
JAMA Surg. 2013 Feb;148(2):183-9
pubmed: 23426597
Surg Today. 2020 Dec;50(12):1687-1693
pubmed: 32638132
Int J Colorectal Dis. 2009 Jun;24(6):711-23
pubmed: 19221766
Ann Surg. 2004 Aug;240(2):205-13
pubmed: 15273542
Wounds. 2010 May;22(5):114-20
pubmed: 25902176
World J Surg. 2010 Dec;34(12):2877-82
pubmed: 20703459
Skin Pharmacol Physiol. 2018;31(1):28-58
pubmed: 29262416
Pol Przegl Chir. 2015 Mar 01;87(1):22-30
pubmed: 25803065
Int Wound J. 2017 Apr;14(2):385-398
pubmed: 27170231
Adv Skin Wound Care. 2016 Mar;29(3):114-8
pubmed: 26866867
Plast Reconstr Surg. 2010 Jul;126(1):87-96
pubmed: 20595860
Surg Innov. 2014 Apr;21(2):204-12
pubmed: 23883481
Wound Repair Regen. 2003 Mar-Apr;11(2):104-9
pubmed: 12631297
J Am Coll Surg. 2016 Apr;222(4):431-8
pubmed: 26847588
Dis Colon Rectum. 2014 Nov;57(11):1282-9
pubmed: 25285695
Am J Surg. 2013 Jun;205(6):647-54
pubmed: 23375758
Mol Clin Oncol. 2015 May;3(3):619-622
pubmed: 26137277
Plast Reconstr Surg. 2015 Sep;136(3):592-602
pubmed: 26313829