Does the use of epicutaneous vacuum-assisted closure after revision surgery on the spine reduce further wound revision surgery?
Epicutaneous vacuum therapy
Surgical site infection
Wound revision surgery
Journal
International orthopaedics
ISSN: 1432-5195
Titre abrégé: Int Orthop
Pays: Germany
ID NLM: 7705431
Informations de publication
Date de publication:
03 2023
03 2023
Historique:
received:
26
10
2022
accepted:
05
01
2023
pubmed:
18
1
2023
medline:
18
2
2023
entrez:
17
1
2023
Statut:
ppublish
Résumé
This study aimed to investigate the effect of epicutaneous vacuum therapy on the rate of unplanned spinal wound revisions compared with conventional wound dressing. This retrospective study included patients who underwent unplanned revision spine surgery after primary aseptic spine surgery who were treated at a level I spine centre between December 2011 and December 2019. Patients with revision surgery who required a further unplanned revision surgery during the inpatient stay were considered a treatment failure. The epicutaneous vacuum-assisted closure (Epi-VAC) therapy was the standard treatment method beginning in 2017 (the epi-VAC group). Before, conventional wound dressing was used (the control group (CG)). In addition, a one-to-one matched-pair comparison analysis was performed between both groups. Of 218 patients, 48 were in the epi-VAC group. The mean age was 65.1 years (epi-VAC 68.2 to CG 64.3 years (P = 0.085)), and the mean body mass index (BMI) was 28.2 kg/m Concerning repeat unplanned wound revision after spinal revision surgery, we cannot demonstrate an advantage of the epicutaneous vacuum therapy over conventional wound dressing.
Identifiants
pubmed: 36648534
doi: 10.1007/s00264-023-05695-z
pii: 10.1007/s00264-023-05695-z
pmc: PMC9931821
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
803-811Informations de copyright
© 2023. The Author(s).
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