Application of negative pressure wound therapy in patients with wound dehiscence after abdominal open surgery

A single center experience

Ji Young Jang, Hongjin Shim, Yun Jin Lee, Seung Hwan Lee, JaeGil Lee

Research output: Contribution to journalArticle

3 Citations (Scopus)

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 languageEnglish
Pages (from-to)180-184
Number of pages5
JournalJournal of the Korean Surgical Society
Volume85
Issue number4
DOIs
Publication statusPublished - 2013 Oct 1

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Negative-Pressure Wound Therapy
Wounds and Injuries
Surgical Wound Dehiscence
Hemoperitoneum
Abdominal Abscess
Mesentery
Intestinal Obstruction
Ambulatory Surgical Procedures
Abdomen
Wound Healing
Emergencies
Ischemia
Prospective Studies
Transplants

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

@article{327f7eef35924bdea0f8573b078b01dd,
title = "Application of negative pressure wound therapy in patients with wound dehiscence after abdominal open surgery: A single center experience",
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.",
author = "Jang, {Ji Young} and Hongjin Shim and Lee, {Yun Jin} and Lee, {Seung Hwan} and JaeGil Lee",
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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 journalArticle

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

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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.

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