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Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
Published on: May 10, 2024
Negative-Pressure Therapy to Reduce the Risk of Wound Infection Following Diverting Loop Ileostomy Reversal: An
Ramon Cantero1, Ines Rubio-Perez, Miguel Leon
1Ramon Cantero, MD, PhD, is a Surgeon; Ines Rubio-Perez, MD, PhD, is a Surgeon; Miguel Leon, MD, is a Surgeon; Mario Alvarez, MD, is a Surgeon; Beatriz Diaz, MD, is a Surgeon; Ana Herrera, MD, is a Surgeon; Joaquin Diaz-Dominguez, MD, PhD, is a Surgeon; and Jose Antonio Rodriguez-Montes, MD, PhD, is a Surgeon and Professor of Surgery; all in the General and Digestive Surgery Department, La Paz University Hospital, Madrid, Spain.
Negative-pressure therapy with the Prevena System significantly reduced surgical site infections (SSIs) in ileostomy closure wounds. This innovative approach proved safe and effective, offering a promising alternative to conventional dressings for preventing complications.
Area of Science:
- Surgical Innovation and Wound Management
- Infectious Disease Prevention in Surgery
Background:
- Ileostomy closure procedures carry a risk of surgical site infections (SSIs).
- Conventional wound dressings may not optimally protect against infection in these cases.
Purpose of the Study:
- To assess the efficacy of the Prevena Incision Management System (negative-pressure therapy) in reducing SSIs after ileostomy closure.
- To compare the incidence of SSIs between wounds treated with negative-pressure therapy and those with conventional dressings.
Main Methods:
- A prospective interventional pilot study was conducted at a tertiary care academic hospital.
- 17 patients undergoing ileostomy reversal received the Prevena device post-surgery for 5-7 days.
- A control group of 43 patients received conventional wound closure and dressing.
Main Results:
- The intervention group using the Prevena System experienced 0% SSIs, compared to 21% in the control group (P < .038).
- No complications were reported with the application of the Prevena device.
- Overall complications unrelated to the device occurred in 30% of patients.
Conclusions:
- The Prevena negative-pressure therapy system is safe and user-friendly for ileostomy closure wounds.
- This system demonstrates potential in preventing surgical site infections in high-risk wounds.
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