Novel wound management system reduction of surgical site morbidity after ventral hernia repairs: a critical analysis - 13/02/15
Abstract |
Background |
Prophylactic incisional negative-pressure wound therapy use after ventral hernia repairs (VHRs) remains controversial. We assessed the impact of a modified negative-pressure wound therapy system (hybrid-VAC or HVAC) on outcomes of open VHR.
Methods |
A 5-year retrospective analysis of all VHRs performed by a single surgeon at a single institution compared outcomes after HVAC versus standard wound dressings. Multivariable logistic regression compared surgical site infections, surgical site occurrences, morbidity, and reoperation rates.
Results |
We evaluated 199 patients (115 HVAC vs 84 standard wound dressing patients). Mean follow-up was 9 months. The HVAC cohort had lower surgical site infections (9% vs 32%, P < .001) and surgical site occurrences (17% vs 42%, P = .001) rates. Rates of major morbidity (19% vs 31%, P = .04) and 90-day reoperation (5% vs 14%, P = .02) were lower in the HVAC cohort.
Conclusions |
The HVAC system is associated with optimized outcomes following open VHR. Prospective studies should validate these findings and define the economic implications of this intervention.
Le texte complet de cet article est disponible en PDF.Keywords : Ventral hernia, Incisional hernia, Surgical site infection, Surgical site occurrence, Negative-pressure wound therapy, Vacuum-assisted closure
Plan
| Kevin C. Soares and Pablo A. Baltodano contributed equally to this work. |
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| This study was made possible in part through an investigator-initiated trial grant from KCI grant number 115258. |
Vol 209 - N° 2
P. 324-332 - février 2015 Retour au numéro
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