Published October 30, 2023 | Version v1
Journal article Open

A Study to Assess the Closed Incisional Negative Pressure Wound Therapy at Flap Suture Line: A Retrospective Study

Authors/Creators

  • 1. Senior Resident, Department of Plastic Surgery, Nalanda Medical College and Hospital, Patna, Bihar, India

Description

Abstract
Aim: The aim of the present study was to assess the closed Incisional Negative Pressure Wound Therapy at Flap
Suture Line.
Material & Methods: A retrospective analysis for the duration of 12 months of patients who underwent
ciNPWT at the flap suture line was included in the study at department of Plastic Surgery. 30 patients were
included in the study.
Results: There were no significant differences between the two groups in terms of patient baseline information
such as age, gender, ASA classification, and preoperative laboratory indices (including haemoglobin, alanine
transaminase, aspartate transaminase, creatinine, prothrombin time, activated partial thromboplastin time, and
D-dimer). Within the NPWT group, all patients obtained scores below 20 score. Conversely, within the Control
group, a significant majority of patients demonstrated ASEPSIS scores surpassing 20 score. There was no
statistical difference in ADLS scores, LEFS scores, and VAS scores between the two groups.
Conclusion: Closed incisional NPWT decreases the untoward effects of dead space following the reconstruction
of complex wounds. The incidence of SSI and wound gaping can be reduced

Abstract (English)

Abstract
Aim: The aim of the present study was to assess the closed Incisional Negative Pressure Wound Therapy at Flap
Suture Line.
Material & Methods: A retrospective analysis for the duration of 12 months of patients who underwent
ciNPWT at the flap suture line was included in the study at department of Plastic Surgery. 30 patients were
included in the study.
Results: There were no significant differences between the two groups in terms of patient baseline information
such as age, gender, ASA classification, and preoperative laboratory indices (including haemoglobin, alanine
transaminase, aspartate transaminase, creatinine, prothrombin time, activated partial thromboplastin time, and
D-dimer). Within the NPWT group, all patients obtained scores below 20 score. Conversely, within the Control
group, a significant majority of patients demonstrated ASEPSIS scores surpassing 20 score. There was no
statistical difference in ADLS scores, LEFS scores, and VAS scores between the two groups.
Conclusion: Closed incisional NPWT decreases the untoward effects of dead space following the reconstruction
of complex wounds. The incidence of SSI and wound gaping can be reduced

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Additional details

Dates

Accepted
2023-09-11