Incisional negative-pressure wound therapy versus conventional dressings following abdominal wall reconstruction: A comparative study

Alexandra Condé-Green, Thomas L. Chung, Luther H. Holton, Helen G. Hui-Chou, Yue Zhu, Howard Wang, Hamid Zahiri, Devinder P. Singh

Research output: Contribution to journalArticlepeer-review

96 Scopus citations

Abstract

BACKGROUND: Improvements in surgical techniques have allowed us to achieve primary closure in a high percentage of large abdominal hernia repairs. However, postoperative wound complications remain common. The benefits of negative-pressure wound therapy (NPWT) in the management of open abdominal wounds are well described in the literature. Our study investigates the effects of incisional NPWT after primary closure of the abdominal wall. METHODS: A retrospective chart review was performed for the period between September 2008 and May 2011 to analyze the outcomes of patients treated postoperatively with incisional NPWT versus conventional dry gauze dressings. Patient information collected included history of abdominal surgeries, smoking status, and body mass index. Postoperative complications were analyzed using χ exact test and logistic regression analysis. RESULTS: Fifty-six patients were included in this study; of them, 23 were treated with incisional NPWT, whereas 33 received conventional dressings. The rates of overall wound complications in groups I and II were 22% and 63.6%, respectively (P = 0.020). The rates of skin dehiscence were 9% and 39%, respectively (P = 0.014). Both outcomes achieved statistical significance. Rates of infection, skin and fat necrosis, seroma, and hernia recurrence were 4%, 9%, 0%, and 4% for group I and 6%, 18%, 12%, 9% for group II, respectively. CONCLUSIONS: This study suggests that incisional NPWT following abdominal wall reconstruction significantly improves rates of wound complication and skin dehiscence when compared with conventional dressings. Prospective, randomized, controlled studies are needed to further characterize the potential benefits of this therapy on wound healing after abdominal wall reconstruction.

Original languageEnglish (US)
Pages (from-to)394-397
Number of pages4
JournalAnnals of plastic surgery
Volume71
Issue number4
DOIs
StatePublished - Oct 2013
Externally publishedYes

Keywords

  • Abdominal wall reconstruction
  • Conventional dry gauze dressings
  • Incisional negative-pressure wound therapy
  • Outcomes

ASJC Scopus subject areas

  • Surgery

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