Effect of Prophylactic Negative-Pressure Wound Therapy for High-Risk Wounds in Colorectal Cancer Surgery: A Randomized Controlled Trial

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YÜCELER KAÇMAZ H., BAŞER M., Sozuer E. M.

ADVANCES IN SKIN & WOUND CARE, cilt.35, sa.11, ss.597-603, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 35 Sayı: 11
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1097/01.asw.0000874168.60793.10
  • Dergi Adı: ADVANCES IN SKIN & WOUND CARE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, PASCAL, CINAHL, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.597-603
  • Anahtar Kelimeler: colorectal surgery, negative-pressure wound therapy, NPWT, surgical site infection, surgical wound complications, wound care
  • Erciyes Üniversitesi Adresli: Evet

Özet

OBJECTIVE: To determine the effect of prophylactic negative-pressure wound therapy (pNPWT) in patients at high risk of surgical wound complications (SWCs) who underwent colorectal cancer (CRC) surgery. METHODS: In an open-label randomized controlled trial, 50 patients who underwent open CRC surgery between November 2018 and February 2020 were included. Participants were randomly assigned to the pNPWT group (n = 24) or control group (n = 26). For patients in the pNPWT group, the pNPWT device was placed on the wound for 7 days, whereas for patients in the control group, the wound was covered with a sterile gauze dressing. The primary outcome measured was 30-day SWCs: surgical site infection, hematoma, seroma, and wound dehiscence/evisceration. Secondary outcomes included postoperative wound infection assessment score and length of postoperative hospital stay. RESULTS: The incidence of 30-day SWCs differed significantly between the pNPWT and control groups (16.7% vs 53.8% respectively, P = .006). Patients in the pNPWT group had a significantly lower incidence of seroma than did those in the control group (8.3% vs 34.6%, P = .025). Surgical site infection occurred in 10 of 50 patients (20%) in the study: two (8.3%) in the pNPWT group and eight (30.8%) in the control group (P = .048). No hematomas or wound dehiscence/evisceration were noted in the study. There was no difference in median length of stay between groups (P = .153). CONCLUSIONS: This study confirmed that pNPWT effectively helps prevent SWCs in high-risk wounds after open CRC surgery.