Equivalent outcomes with once versus thrice weekly dressing changes in midline laparotomy wounds treated with negative pressure wound therapy - 24/05/19
Abstract |
Background |
While negative pressure wound therapy (NPWT) has been used for decades, there is a paucity of data regarding the appropriate length of time between dressing changes.
Methods |
This was a prospective, randomized control trial examining time to wound closure in open midline laparotomy wounds treated with NPWT. The control group received the standard thrice weekly sponge changes (thrice) and the treatment group received once weekly sponge changes (once).
Results |
44 patients met study criteria over a 3-year period. There was no difference in NPWT duration between the two groups (37.1 vs 34.7 days, p = 0.7324), even after adjusting for potential confounders (p = 0.8091). No differences were found in initial wound size or reduction. The wound complication profile was similar for both groups.
Conclusion |
There is no difference in time to wound closure or complications with NPWT dressing changes once a week compared to the standard three times a week.
El texto completo de este artículo está disponible en PDF.Highlights |
• | Seventy patients with midline laparotomy wounds were enrolled in this study. |
• | Patients were treated with negative pressure wound therapy over a closed fascia. |
• | Patients were randomized to once weekly or thrice weekly dressing changes. |
• | There was no difference in number of days to wound closure between the two groups. |
Esquema
Vol 217 - N° 6
P. 1065-1071 - juin 2019 Regresar al número
Artículo precedente
- The paralyzing effect of insurance status on throughput of acute spinal cord patients
- Mary Lindemuth, Tabitha Garwe, Kiran Venincasa, Tyler Zander, Cullen McCarthy, Morgan Bonds, Zoona Sarwar, Roxie Albrecht, Jason Lees, Aaron Scifres, Alisa Cross
- Decreasing failed extubations with the implementation of an extubation checklist
- Melanie Bobbs, Marc D. Trust, Pedro Teixeira, Ben Coopwood, Jayson Aydelotte, Irene Tabas, Sadia Ali, Carlos V.R. Brown
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
El acceso al texto completo de este artículo requiere una suscripción.
¿Ya suscrito a @@106933@@ revista ?