Abstract
According to the literature, incisional closure complications may range from postoperative surgical site infections, representing 17-22% of health care-associated infections, surgical wound dehiscence and formation of haematomas or seromas, and can lead to delayed or impaired incision healing. These kinds of situations are more common when wounds are closed under tension or in specific patient morbidities. Obesity, in particular, is associated with an impaired blood flow to tissues, predisposing the patient to increased risk of wound complications by various mechanisms. Incisional complications can become relevant economic burdens for health care systems because of an increase in the average length of hospital stay and readmissions, and additional medical and surgical procedures. Thus, a preventive therapy may have a critical role in the management of healing. Negative pressure wound therapy (NPWT) technology as delivered by Prevena™ Customizable™ (Kinetic Concepts Inc., San Antonio, TX) has recently been the focus of a new investigation, as a prophylactic measure to prevent complications via immediate postoperative application in high-risk, clean, closed surgical incisions. The authors present a 62-year-old class II obese female, who underwent bilateral inguinal dermolipectomy. Prophylactic NPWT as delivered by Prevena™ was performed successfully over surgical incisions. Cosmetic and therapeutic results are shown.
| Original language | English |
|---|---|
| Pages (from-to) | 218-223 |
| Number of pages | 6 |
| Journal | International Wound Journal |
| Volume | 12 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Apr 1 2015 |
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Keywords
- Negative pressure wound therapy
- Surgical incision
- Surgical wound infection
- Wound healing
ASJC Scopus subject areas
- Surgery
- Dermatology
- Medicine(all)
Cite this
The enhanced healing of a high-risk, clean, sutured surgical incision by prophylactic negative pressure wound therapy as delivered by prevena™ customizable™ : Cosmetic and therapeutic results. / Scalise, Alessandro; Tartaglione, Caterina; Bolletta, Elisa; Calamita, Roberto; Nicoletti, Giovanni; Pierangeli, Marina; Grassetti, Luca; Di Benedetto, Giovanni.
In: International Wound Journal, Vol. 12, No. 2, 01.04.2015, p. 218-223.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The enhanced healing of a high-risk, clean, sutured surgical incision by prophylactic negative pressure wound therapy as delivered by prevena™ customizable™
T2 - Cosmetic and therapeutic results
AU - Scalise, Alessandro
AU - Tartaglione, Caterina
AU - Bolletta, Elisa
AU - Calamita, Roberto
AU - Nicoletti, Giovanni
AU - Pierangeli, Marina
AU - Grassetti, Luca
AU - Di Benedetto, Giovanni
PY - 2015/4/1
Y1 - 2015/4/1
N2 - According to the literature, incisional closure complications may range from postoperative surgical site infections, representing 17-22% of health care-associated infections, surgical wound dehiscence and formation of haematomas or seromas, and can lead to delayed or impaired incision healing. These kinds of situations are more common when wounds are closed under tension or in specific patient morbidities. Obesity, in particular, is associated with an impaired blood flow to tissues, predisposing the patient to increased risk of wound complications by various mechanisms. Incisional complications can become relevant economic burdens for health care systems because of an increase in the average length of hospital stay and readmissions, and additional medical and surgical procedures. Thus, a preventive therapy may have a critical role in the management of healing. Negative pressure wound therapy (NPWT) technology as delivered by Prevena™ Customizable™ (Kinetic Concepts Inc., San Antonio, TX) has recently been the focus of a new investigation, as a prophylactic measure to prevent complications via immediate postoperative application in high-risk, clean, closed surgical incisions. The authors present a 62-year-old class II obese female, who underwent bilateral inguinal dermolipectomy. Prophylactic NPWT as delivered by Prevena™ was performed successfully over surgical incisions. Cosmetic and therapeutic results are shown.
AB - According to the literature, incisional closure complications may range from postoperative surgical site infections, representing 17-22% of health care-associated infections, surgical wound dehiscence and formation of haematomas or seromas, and can lead to delayed or impaired incision healing. These kinds of situations are more common when wounds are closed under tension or in specific patient morbidities. Obesity, in particular, is associated with an impaired blood flow to tissues, predisposing the patient to increased risk of wound complications by various mechanisms. Incisional complications can become relevant economic burdens for health care systems because of an increase in the average length of hospital stay and readmissions, and additional medical and surgical procedures. Thus, a preventive therapy may have a critical role in the management of healing. Negative pressure wound therapy (NPWT) technology as delivered by Prevena™ Customizable™ (Kinetic Concepts Inc., San Antonio, TX) has recently been the focus of a new investigation, as a prophylactic measure to prevent complications via immediate postoperative application in high-risk, clean, closed surgical incisions. The authors present a 62-year-old class II obese female, who underwent bilateral inguinal dermolipectomy. Prophylactic NPWT as delivered by Prevena™ was performed successfully over surgical incisions. Cosmetic and therapeutic results are shown.
KW - Negative pressure wound therapy
KW - Surgical incision
KW - Surgical wound infection
KW - Wound healing
UR - http://www.scopus.com/inward/record.url?scp=84924959114&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84924959114&partnerID=8YFLogxK
U2 - 10.1111/iwj.12370
DO - 10.1111/iwj.12370
M3 - Article
C2 - 25234139
AN - SCOPUS:84924959114
VL - 12
SP - 218
EP - 223
JO - International Wound Journal
JF - International Wound Journal
SN - 1742-4801
IS - 2
ER -