Back to Search Start Over

Comparison of negative pressure wound therapy against normal dressing after vascular surgeries for inguinal wounds: A systematic review and meta-analysis

Comparison of negative pressure wound therapy against normal dressing after vascular surgeries for inguinal wounds: A systematic review and meta-analysis

Authors :
Oshan Shrestha
Sunil Basukala
Nabaraj Bhugai
Sujan Bohara
Niranjan Thapa
Sushanta Paudel
Suvam Lahera
Sumit Kumar Sah
Sujata Ghimire
Bishal Kunwor
Suchit Thapa Chhetri
Source :
Surgery Open Science, Vol 19, Iss , Pp 32-43 (2024)
Publication Year :
2024
Publisher :
Elsevier, 2024.

Abstract

Background: Negative Pressure Wound Therapy (NPWT) is a therapeutic technique of applying sub-atmospheric pressure to a wound to reduce inflammation, manage exudate, and promote the formation of granulation tissue. It aims to optimise the natural physiological processes of wound healing for more effective recovery, and NPWT has emerged as a promising alternative to traditional dressings. Methods: The protocol followed in the study was prospectively registered. Appropriate search terms and Boolean operators were used to search electronic databases for relevant articles. Screening of articles was performed, and data extraction was done. The effect measure was chosen according to the nature of the variable, and the effect model was chosen as per heterogeneity. Forest plot was used to give visual feedback. Results: This study included 11 randomized controlled trials (13 publications) with a total of 1310 patients (1497 inguinal wounds). The NPWT group had lesser odds of developing surgical site infection (OR: 0.40; 95 % CI: 0.29–0.54; n = 1491; I2 = 20 %; p-value ≤0.00001) and lesser odds of needing surgical wound revision (OR: 0.48; 95 % CI: 0.26–0.91; n = 856; I2 = 0 %; p-value = 0.02) as compared to the normal dressing group. No significant difference was observed in duration of hospital stay, cost of care, wound healing time, or other complications. Conclusion: NPWT application in inguinal wounds significantly reduces the surgical site infection and the need for wound revision in patients who have undergone vascular surgery.

Details

Language :
English
ISSN :
25898450
Volume :
19
Issue :
32-43
Database :
Directory of Open Access Journals
Journal :
Surgery Open Science
Publication Type :
Academic Journal
Accession number :
edsdoj.fbcb6e028c94458ea1a0458f509b6889
Document Type :
article
Full Text :
https://doi.org/10.1016/j.sopen.2024.03.018