Abstract
Negative pressure wound therapy, Vacuum-assisted closure, Surgical wound dehiscence, Abdomen, Surgery Purpose: Since the 1990's, negative pressure wound therapy (NPWT) has been used to treat soft tissue defects, burn wounds, and to achieve skin graft fixation. In the field of abdominal surgery, the application of NPWT is increasing in cases with an open abdominal wound requiring temporary wound closure and a second look operation. In the present study, the authors analyzed patients that underwent NPWT for postoperative wound dehiscence. Methods: The computerized records of patients that had undergone an abdominal operation from November 2009 to May 2012 were retrospectively analyzed. Results: The number of total enrolled patients was 50, and 30 patients (60%) underwent an emergency operation. Diagnoses were as follows: panperitonitis or intra-abdominal abscess (24 cases, 48%), intestinal obstruction (10 cases, 20%), cancer (7 cases, 14%), mesentery ischemia (3 cases, 6%), and hemoperitoneum (1 case, 2%). NPWT was applied at a mean of 12.9 ± 8.2 days after surgery and mean NPWT duration was 17.9 days (2 to 96 days). The 11 patients (22%) with unsuccessful wound closure had a deeper and more complex wound than the other 39 patients (78%) (90.9% vs. 38.5%, P = 0.005). There were two complication cases (4%) due to delayed wound healing. Conclusion: Most patients recovered well due to granulation formation and suturing. NPWT was found to be convenient and safe, but a prospective comparative study is needed to confirm the usefulness of NPWT in patients whose wounds are dehisced.
| Original language | English |
|---|---|
| Pages (from-to) | 180-184 |
| Number of pages | 5 |
| Journal | Journal of the Korean Surgical Society |
| Volume | 85 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 2013 Oct 1 |
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All Science Journal Classification (ASJC) codes
- Surgery
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Application of negative pressure wound therapy in patients with wound dehiscence after abdominal open surgery : A single center experience. / Jang, Ji Young; Shim, Hongjin; Lee, Yun Jin; Lee, Seung Hwan; Lee, JaeGil.
In: Journal of the Korean Surgical Society, Vol. 85, No. 4, 01.10.2013, p. 180-184.Research output: Contribution to journal › Article
TY - JOUR
T1 - Application of negative pressure wound therapy in patients with wound dehiscence after abdominal open surgery
T2 - A single center experience
AU - Jang, Ji Young
AU - Shim, Hongjin
AU - Lee, Yun Jin
AU - Lee, Seung Hwan
AU - Lee, JaeGil
PY - 2013/10/1
Y1 - 2013/10/1
N2 - Negative pressure wound therapy, Vacuum-assisted closure, Surgical wound dehiscence, Abdomen, Surgery Purpose: Since the 1990's, negative pressure wound therapy (NPWT) has been used to treat soft tissue defects, burn wounds, and to achieve skin graft fixation. In the field of abdominal surgery, the application of NPWT is increasing in cases with an open abdominal wound requiring temporary wound closure and a second look operation. In the present study, the authors analyzed patients that underwent NPWT for postoperative wound dehiscence. Methods: The computerized records of patients that had undergone an abdominal operation from November 2009 to May 2012 were retrospectively analyzed. Results: The number of total enrolled patients was 50, and 30 patients (60%) underwent an emergency operation. Diagnoses were as follows: panperitonitis or intra-abdominal abscess (24 cases, 48%), intestinal obstruction (10 cases, 20%), cancer (7 cases, 14%), mesentery ischemia (3 cases, 6%), and hemoperitoneum (1 case, 2%). NPWT was applied at a mean of 12.9 ± 8.2 days after surgery and mean NPWT duration was 17.9 days (2 to 96 days). The 11 patients (22%) with unsuccessful wound closure had a deeper and more complex wound than the other 39 patients (78%) (90.9% vs. 38.5%, P = 0.005). There were two complication cases (4%) due to delayed wound healing. Conclusion: Most patients recovered well due to granulation formation and suturing. NPWT was found to be convenient and safe, but a prospective comparative study is needed to confirm the usefulness of NPWT in patients whose wounds are dehisced.
AB - Negative pressure wound therapy, Vacuum-assisted closure, Surgical wound dehiscence, Abdomen, Surgery Purpose: Since the 1990's, negative pressure wound therapy (NPWT) has been used to treat soft tissue defects, burn wounds, and to achieve skin graft fixation. In the field of abdominal surgery, the application of NPWT is increasing in cases with an open abdominal wound requiring temporary wound closure and a second look operation. In the present study, the authors analyzed patients that underwent NPWT for postoperative wound dehiscence. Methods: The computerized records of patients that had undergone an abdominal operation from November 2009 to May 2012 were retrospectively analyzed. Results: The number of total enrolled patients was 50, and 30 patients (60%) underwent an emergency operation. Diagnoses were as follows: panperitonitis or intra-abdominal abscess (24 cases, 48%), intestinal obstruction (10 cases, 20%), cancer (7 cases, 14%), mesentery ischemia (3 cases, 6%), and hemoperitoneum (1 case, 2%). NPWT was applied at a mean of 12.9 ± 8.2 days after surgery and mean NPWT duration was 17.9 days (2 to 96 days). The 11 patients (22%) with unsuccessful wound closure had a deeper and more complex wound than the other 39 patients (78%) (90.9% vs. 38.5%, P = 0.005). There were two complication cases (4%) due to delayed wound healing. Conclusion: Most patients recovered well due to granulation formation and suturing. NPWT was found to be convenient and safe, but a prospective comparative study is needed to confirm the usefulness of NPWT in patients whose wounds are dehisced.
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U2 - 10.4174/jkss.2013.85.4.180
DO - 10.4174/jkss.2013.85.4.180
M3 - Article
VL - 85
SP - 180
EP - 184
JO - Annals of Surgical Treatment and Research
JF - Annals of Surgical Treatment and Research
SN - 2288-6575
IS - 4
ER -