Preliminary Outcome of Treatment of Postoperative Primarily Closed Sternotomy Wounds Treated Using Negative Pressure Wound Therapy
Journal Title: Polish Journal of Surgery - Year 2014, Vol 86, Issue 10
Abstract
Hospital infections, and in particular infections of the surgical site are a common problem of the procedural departments. Due to continuous progress of surgical techniques and patient population getting older with multiple co-morbidities, multidirectional actions need to be taken to avoid these infections or, if they do occur, achieve optimal treatment outcomes. Vacuum wound therapy is one of the directions that has been developed over the recent years. The aim of the study evaluate wound healing in patients after an off-pump coronary artery bypass grafting procedure, using the internal mammary artery, treated with negative pressure wound therapy system. Material and methods. This prospective, open label study evaluated healing of postoperative sternotomy wounds after their primary closure with negative pressure wound therapy, using continuous negative pressure of -80 mmHg in 40 patients and 40 patients in a control group in whom conventional dressings were applied in the postoperative period. Results. The number of patients in whom primary wound healing occurred without complications was significantly higher in the negative pressure wound therapy group versus the control group (χ2 test =4.50, p=0.0339) and the number of total superficial infections was significantly smaller versus the control group (χ2 test =5; p=0.0254). Antibiotic therapy was also initiated significantly less often as compared to the group treated with conventional dressings (χ2 test = 4.11; p=0.0425). Conclusions. Negative pressure wound therapy after primary wound closure reduces the risk of superficial infections in the population with multiple risk factors of complications in the sternotomy wound healing.
Authors and Affiliations
Anna Witt-Majchrzak, Piotr Żelazny, Jadwiga Snarska
Pęknięcie pseudotętniaka tętnicy śledzionowej do torbieli rzekomej trzustki z jej następową perforacją przyczyną masywnego krwotoku śródbrzusznego – opis przypadku
Około 70% zmian torbielowatych trzustki stanowią torbiele rzekome. Jednym z najgroźniejszych powikłań torbieli rzekomych trzustki jest krwawienie do ich światła, a najczęstszym źródłem krwawienia jest pęknięty pseudotętn...
Colorectal cancer in the elderly patient
-
Is Age a Risk Factor of Postoperative Complications in Colorectal Cancer?
Colorectal cancer is the most common malignant neoplasm in elderly with peak of incidence in 7. and 8. decade of life. Elderly patients with colorectal cancer more often require surgery. Advanced age of patients seems to...
Analiza porównawcza powikłań w okresie pooperacyjnym po zabiegu totalnej gastrektomii
Wprowadzenie: Totalna gastrektomia (total gastrectomy, TG), mimo przerwania ciągłości przewodu pokarmowego i związanych z tym powikłań pooperacyjnych, jest zabiegiem z wyboru w przypadku resekcji raka żołądka. Celem tej...
Nutrition accesses among patients receiving enteral treatment in the home environment
Enteral feeding in the home environment is connected with creating access to digestive tract, and thanks to that, this kind of treatment is possible. The gold standard in enteral nutrition is PEG, other types of access a...