PP079 RETROSPECTIVE ANALYSIS OF A RANDOMIZED TRIAL PROTOCOL ON THE USE OF INTERACTIVE DRESSINGS AND NPW ON PATIENTS UNDERGOING MAJOR GASTROENTEROLOGY SURGERY...European Wound Management Association (EWMA) Conference, May 3-5, 2023, Milan, Italy
Aim: Infections are one of the leading causes of postoperative morbidity in gastroenterological surgery. A negative pressure incision system has been shown to reduce the incidence of groin infections, although RCT data are not yet available. The objective is to evaluate the impact of negative pressu...
| Publicado en: | Journal of Wound Management Vol. 24; no. 2; p. 528 |
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| Autores principales: | , , |
| Formato: | abstract proceedings research Journal Article |
| Publicado: |
Cambridge Publishing
Jul2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| Sumario: | Aim: Infections are one of the leading causes of postoperative morbidity in gastroenterological surgery. A negative pressure incision system has been shown to reduce the incidence of groin infections, although RCT data are not yet available. The objective is to evaluate the impact of negative pressure incision management in high-risk patients on surgical wound infections and/or wound dehiscence as well as the impact of DACC-coated dressings in low-risk patients. Method: Patients meeting the requirements to undergo major gastroenterological surgery were enrolled and randomized into four arms, stratified according to the Infection score Risk Scores for major infection after Coronary Artery bypass graft (CABG): Low-risk group (150 patients): Adhesive dressing with bacterial binding texture coating. Low-risk control group (150 patients): standard dressing. High-risk group (100 patients): topical negative pressure. High-risk control group (100 patients): standard dressing. Results / Discussion: 398 patients were enrolled in the present study. 250 low-risk patients: 125 were treated with the standard plaster: 30 of them developed a surgical site infection. Of the other 125 low-risk patients who received the experimental treatment, only 4 developed an infection. 148 patients were classified in the high-risk group: 74 were treated with the standard patch, 29 developed an infection; 74 high-risk patients treated by topical negative pressure developed a surgical site infection 4 patients. Conclusion: An actual reduction in the incidence of surgical site infection was observed in both high-risk and low-risk patients approached with the investigational treatment |
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