Clin Surg | Volume 6, Issue 1 | Research Article | Open Access

The Effect of Closed Incision Negative Pressure Therapy on Groin Wounds after Vascular Surgery: A Prospective Randomized Trial

Liesa Fuhrmann1, Ahmed Koshty1, Mouiad AlTattan1, Alexander Kunold1, Meshal Elzien1, Andreas Böning2 and Sebastian Paul Pleger1*

1Department of Vascular Surgery, Jung-Stilling Hospital, Siegen, Germany
2Department of Cardiovascular and Vascular Surgery, University Hospital, Giessen, Germany

*Correspondance to: Sebastian Paul Pleger 

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Abstract

Postoperative Wound Healing Complications (WHCs) are often responsible for prolonged hospital stay, patient dissatisfaction, and high treatment costs. Many clinical studies and case reports have reported a reduction of surgical site infections for various wound types after using closed incision Negative Pressure Therapy (ciNPT). Apart from a randomized study published in 2020, data regarding the effect of ciNPT (PICO™ system) on groin incision wounds are scarce. The aim of this prospective, randomized, single-institution study was to investigate the effectiveness of ciNPT (using the PICO™ system) on groin incisions after vascular surgery and compare it with that of conventional therapy. A total of 100 patients with 120 groin incisions were analyzed. Patients were randomized and treated with either PICO™ (n=62 groins) or a conventional wound dressing (n=58 groins). PICO™ was applied intraoperatively and removed on day 5 to 7 postoperatively. Wounds were evaluated 5 to 7 days and 30 days postoperatively. Compared with the control group, the PICO™ group showed a significant reduction in WHCs (p<0.0005). There was no significant effect of PICO™ in preventing revision surgeries (p=0.087) was not confirmed. Subgroup analysis revealed a significant effect of PICO™ for almost all wound healing risk factors. In comparison to the conventional adhesive dressing, ciNPT (PICO™ system) significantly reduced the incidence of WHCs in the groin after vascular surgery up until 30 days postoperatively.

Keywords:

Closed incision negative pressure therapy; Postoperative wound complications; Wound healing; Surgical site infections

Citation:

Fuhrmann L, Koshty A, AlTattan M, Kunold A, Elzien M, Böning A, et al. The Effect of Closed Incision Negative Pressure Therapy on Groin Wounds after Vascular Surgery: A Prospective Randomized Trial. Clin Surg. 2021; 6: 3321..

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