Closed-wound negative pressure therapy dressing after loop ostomy closure: a retrospective comparative study.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_9F2046E568A9
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Closed-wound negative pressure therapy dressing after loop ostomy closure: a retrospective comparative study.
Journal
Scientific reports
Author(s)
Curchod P., Clerc D., Jurt J., Hubner M., Hahnloser D., Demartines N., Grass F.
ISSN
2045-2322 (Electronic)
ISSN-L
2045-2322
Publication state
Published
Issued date
12/05/2022
Peer-reviewed
Oui
Volume
12
Number
1
Pages
7790
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Closed-wound negative pressure wound therapy (NPWT) dressings were recently introduced with the purpose to reduce incisional surgical site infections (iSSI) in high-risk wounds. The aim of this study was to compare iSSI rates in patients after ostomy closure with and without additional application of a closed-wound NPWT dressing. Single-center retrospective analysis of consecutive patients undergoing ileo- or colostomy closure over an 8-year period (January 2013-January 2021). Intradermal non-purse string technique with absorbable sutures were used in all patients. Since November 2018, all patients (study group) received a NPWT device for a maximum of 5 days postoperatively (PICO, SMITH AND NEPHEW). Primary outcome was iSSI rate within 30 days of surgery. SSI was defined in accordance with the Center of Disease Control (CDC) classification and included superficial and deep incisional SSI. Data was retrieved from the institutional enhanced recovery after surgery (ERAS) database, with standardized complication assessment by trained abstractors. In total, 85 patients (25%) in the study group were comparable with 252 (75%) patients in the control group regarding demographics (age, gender, body mass index, ASA score), ostomy type and anastomotic technique (all p > 0.05), but not wound contamination class (class III: 5% vs 0%, p < 0.001). Median time to NPWT removal was 4 (IQR 3-5) days. Incisional SSI were observed in 4 patients (4.7%) in the study group and in 27 patients (10.7%) in the control group (p = 0.097). These preliminary results suggest a potential benefit of systematic application of the NPWT device after loop ostomy closure. A randomized controlled study is needed.
Keywords
Bandages/adverse effects, Humans, Negative-Pressure Wound Therapy, Ostomy/adverse effects, Retrospective Studies, Surgical Wound Infection/etiology, Surgical Wound Infection/prevention & control
Pubmed
Web of science
Open Access
Yes
Create date
19/05/2022 14:20
Last modification date
21/11/2022 8:09
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