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Negative pressure wound therapy compared with conventional wound dressings for closed incisions in orthopaedic trauma surgery: A meta‐analysis.

Authors :
Xie, Weiwei
Dai, Lingyan
Qi, Yameng
Jiang, Xixi
Source :
International Wound Journal; Oct2022, Vol. 19 Issue 6, p1319-1328, 10p
Publication Year :
2022

Abstract

We performed a meta‐analysis to evaluate the effect of negative pressure wound therapy compared with conventional wound dressings on closed incisions in orthopaedic trauma surgery. A systematic literature search up to October 2021 was done and 12 studies included 3555 subjects with closed incisions in orthopaedic trauma surgery at the start of the study: 1833 of them were provided with negative pressure wound therapy and 1722 were conventional wound dressings. They were reporting relationships about the effect of negative pressure wound therapy compared with conventional wound dressings on closed incisions in orthopaedic trauma surgery. We calculated the odds ratio (OR) and mean difference (MD) with 95% confidence intervals (CIs) to assess the effect of negative pressure wound therapy compared with conventional wound dressings on closed incisions in orthopaedic trauma surgery using the dichotomous and continuous methods with a random or fixed‐effect model. Negative pressure wound therapy had significantly lower deep surgical site infection (OR, 0.65; 95% CI, 0.48–0.88, P =.005), superficial surgical site infection (OR, 0.23; 95% CI, 0.11–0.49, P =.31), and wound dehiscence (OR, 0.41; 95% CI, 0.21–0.80, P =.009) compared with conventional wound dressings in subjects with closed incisions in orthopaedic trauma surgery. However, negative pressure wound therapy had no significant effect on the length of hospital stay (MD, 0.29; 95% CI, −2.00‐ 2.58, P =.80) compared with conventional wound dressings in subjects with closed incisions in orthopaedic trauma surgery. Negative pressure wound therapy had significantly lower deep surgical site infection, superficial surgical site infection, and wound dehiscence; however, negative pressure wound therapy had no beneficial effect on the length of hospital stay compared with conventional wound dressings in subjects with closed incisions in orthopaedic trauma surgery. Further studies are required to validate these findings. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
17424801
Volume :
19
Issue :
6
Database :
Complementary Index
Journal :
International Wound Journal
Publication Type :
Academic Journal
Accession number :
159271228
Full Text :
https://doi.org/10.1111/iwj.13726