التفاصيل البيبلوغرافية
| العنوان: |
Prophylactic incisional negative pressure wound therapy for gynaecologic malignancies |
| المؤلفون: |
Climent Martí, Maria Teresa, Fernandez Gonzalez, Sergi, Martí, Maria Dolores, Pla, Maria Jesus, Barahona, Marc, Ponce i Sebastià, Jordi |
| المصدر: |
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
| بيانات النشر: |
Wiley |
| سنة النشر: |
2021 |
| المجموعة: |
Dipòsit Digital de la Universitat de Barcelona |
| مصطلحات موضوعية: |
Càncer ginecològic, Complicacions quirúrgiques, Gynecologic cancer, Postoperative care |
| الوصف: |
Wound complications are an important cause of postoperative morbidity among patients with gynaecologic malignancies. We evaluated whether the placement of closed-incisional negative pressure therapy (ciNPT) at the time of laparotomy for gynaecologic cancer surgery reduced wound complication rates. A retrospective cohort study with primary wound closure performed by a gynaecologic oncologist was carried out. We evaluated two cohorts of patients who underwent surgery in 2017 with standard closure and patients who underwent surgery in 2019 with the placement of prophylactic ciNPT. Postoperative outcomes were examined. A total of 143 patients were included, 85 (59.4%) vs 58 (40.6%) with standard closure and ciNPT, respectively. The total complication rate in our sample was 38.71%. The rate of surgical complications in patients treated with ciNPT was 6.9% compared with 31.8% (P = .000) in patients treated with standard closure. In the analysis of complications, a significant reduction in infections (17.1%), seromas (15.4%), and wound dehiscence (17.1%) were observed when ciNPT was applied. The median hospital stay was 8 vs 6 days in the standard closure vs ciNPT groups (P = .048). The use of the prophylactic ciNPT following a laparotomy may decrease wound complications and hospital stays in oncological patients. ciNPT could be considered as part of clinical practice in patients at high risk of wound complications, such as patients with gynaecological malignancies. |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
6 p.; application/pdf |
| اللغة: |
English |
| تدمد: |
1742-481X |
| Relation: |
Reproducció del document publicat a: https://doi.org/10.1111/iwj.13628; International Wound Journal, 2021, vol. 18; https://doi.org/10.1111/iwj.13628; http://hdl.handle.net/2445/179743 |
| الاتاحة: |
http://hdl.handle.net/2445/179743 |
| Rights: |
cc by-nc-nd (c) Climent Martí, Maria Teresa et al, 2021 ; http://creativecommons.org/licenses/by-nc-nd/3.0/es/ ; info:eu-repo/semantics/openAccess |
| رقم الانضمام: |
edsbas.C951C566 |
| قاعدة البيانات: |
BASE |
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