Negative Pressure Wound Therapy: The Experience of Our Surgery Department
Journal Title: Journal of Surgery Research and Practice - Year 2021, Vol 2, Issue 2
Abstract
Introduction: The negative pressure wound therapy NPWT is a simple technique using negative pressure which aims to heal different types of wounds in different kinds of surgeries.The purpose of our study is to evaluate the results of this therapy on patients who have had delayed wound healing in cardiac, vascular or thoracic surgery. Methods: It is a retrospective review, from 2009 to 2021, including 31 patients , hospitalized in the thoracic and cardiovascular surgery department of Abderrahman Mami hospital of Ariana - Tunisia. Data were collected on patient cardiovascular risk factors, primary diagnosis, intervention, site of the wound, duration of the therapy, number of NPWT dressing implemented, the inflammatory assessment, the microorganism found and the evolution after the NPWT. Results: The mean age was 61 years with a maximum of 78-year-old-patient and minimum of 24 (Range 24 Year Old-78 Year Old) There were 23 male and 8 female patients with the following risk factors and comorbidities: Diabetes (70,59%), Smoking (47,06%), Hypertension (41,17%), Dyslipidemia (29,41%). Five patients presented with mediastinitis after coronary by-pass and five others had an infected scarpa but the bypass was preserved. Ten (10) cases presented with critical limb ischemia and have had distal revascularization of the limb by bypass associated to trans metatarsal amputation. Six patients presented with diabetic foot ulceration. Four of them had limb revascularization. Four patients had a complex thoracic wound after lung biopsy for tuberculosis (1 case), lobectomy for purulent pleurisy (1case); resection of a tumor in the chest wall (1 case), pneumonectomy for adenocarcinoma (1 case). One patient had NPWT on lower limb aponeurotomy wound. The average duration of NPWT was 17 days with a maximum of 30 days and minimum of 5 days (range 5 days-30 days). The frequency of the dressing change varies from 3 to 5 days with the use of one to six dressings per patient. Wound closure was obtained in 28 patients. Three patients had major amputation for poor vascular supply. Conclusion: The application of NPWT in multiple surgeries have shown promising results. It helps rapid wound healing and can reduce morbidity and mortality in patients with severe wound infections. It also lower surgical reinterventions and reduces hospital stay.
Authors and Affiliations
Fatma Ben Saida*, Chaker Jaber, Nadia Azabou, Khadija Soumer
Keywords
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- EP ID EP698910
- DOI http://dx.doi.org/10.46889/JSRP.2021.2205
- Views 60
- Downloads 0
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