Successful surgical closure of infected abdominal wounds following preconditioning with negative pressure wound therapy

• DOI: 10.1007/s00423-021-02221-w
• Publication Date: 2021-06-17T20:02:15Z
• Authors: Johanna C. Wagner; Anja Wetz; Armin Wiegering; Johan F. Lock; Stefan Löb; Christoph-Thomas ...; Ingo Klein
• Keywords: Negative-pressure wound therapy; Contraindication; Abdominal wound; Wound care; Wound Closure

Traditionally, previous wound infection was considered a contraindication to secondary skin closure; however, several case reports describe successful closure of wounds "preconditioned" with negative pressure therapy (NPWT). Although this has been increasingly applied in daily practice, systematic analysis its feasibility not published thus far. The aim study evaluate previously infected abdominal following treatment NPWT.Single-center retrospective patients treated NPWT followed by either referenced group receiving open therapy. Endpoints were rate, complications (such as recurrent or hernia), and perioperative data duration hospitalization parameters).One hundred ninety-eight during 2013-2016 received after analyzed 67 the same period NPWT. No significant difference BMI, chronic immunosuppressive medication, tobacco use found between both groups. mean hospital stay 30 days comparable patient groups (29 versus 33 days, p = 0.35). Interestingly, only 7.7% developed surgical site over 80% discharged closed requiring minimal outpatient care.Surgical is good safe alternative treatment. It prevents lengthy expected result higher quality life for reduce health care costs.