The Effect of Closed Incision Negative Pressure Therapy on Groin Wounds after Vascular Surgery: A Prospective Randomized Trial

Liesa Fuhrmann1, Ahmed Koshty1, Mouiad AlTattan1, Alexander Kunold1, Meshal Elzien1, Andreas Böning2 and Sebastian Paul Pleger1*

1Department of Vascular Surgery, Jung-Stilling Hospital, Siegen, Germany
2Department of Cardiovascular and Vascular Surgery, University Hospital, Giessen, Germany

^*Correspondance to: Sebastian Paul Pleger 

 PDF  Full Text DOI: 10.25107/2474-1647.3321

Abstract

Postoperative Wound Healing Complications (WHCs) are often responsible for prolonged hospital stay, patient dissatisfaction, and high treatment costs. Many clinical studies and case reports have reported a reduction of surgical site infections for various wound types after using closed incision Negative Pressure Therapy (ciNPT). Apart from a randomized study published in 2020, data regarding the effect of ciNPT (PICO™ system) on groin incision wounds are scarce. The aim of this prospective, randomized, single-institution study was to investigate the effectiveness of ciNPT (using the PICO™ system) on groin incisions after vascular surgery and compare it with that of conventional therapy. A total of 100 patients with 120 groin incisions were analyzed. Patients were randomized and treated with either PICO™ (n=62 groins) or a conventional wound dressing (n=58 groins). PICO™ was applied intraoperatively and removed on day 5 to 7 postoperatively. Wounds were evaluated 5 to 7 days and 30 days postoperatively. Compared with the control group, the PICO™ group showed a significant reduction in WHCs (p<0.0005). There was no significant effect of PICO™ in preventing revision surgeries (p=0.087) was not confirmed. Subgroup analysis revealed a significant effect of PICO™ for almost all wound healing risk factors. In comparison to the conventional adhesive dressing, ciNPT (PICO™ system) significantly reduced the incidence of WHCs in the groin after vascular surgery up until 30 days postoperatively.

Keywords

Closed incision negative pressure therapy; Postoperative wound complications; Wound healing; Surgical site infections

Cite the article

Fuhrmann L, Koshty A, AlTattan M, Kunold A, Elzien M, Böning A, et al. The Effect of Closed Incision Negative Pressure Therapy on Groin Wounds after Vascular Surgery: A Prospective Randomized Trial. Clin Surg. 2021; 6: 3321..