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Updated: Mar 21, 2026

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
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Closed incision negative pressure therapy: international multidisciplinary consensus recommendations.

Christian Willy1, Animesh Agarwal2, Charles A Andersen3

  • 1Department of Traumatology and Orthopaedic, Septic and Reconstructive Surgery, Research and Treatment Center for Complex Combat Injuries, Wound Centre Berlin, Bundeswehr Hospital Berlin, Berlin, Germany.

International Wound Journal
|May 13, 2016
PubMed
Summary

Closed incision negative pressure therapy (ciNPT) can help prevent surgical site infections (SSIs). Experts recommend considering ciNPT for high-risk patients and procedures to reduce surgical site occurrences (SSOs).

Keywords:
Consensus recommendationNegative pressure therapySurgical incision managementSurgical site infection

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Area of Science:

  • Surgical Innovation
  • Wound Management
  • Infection Prevention

Background:

  • Surgical site occurrences (SSOs), particularly surgical site infections (SSIs), impact over 25% of patients post-operation.
  • Closed incision negative pressure therapy (ciNPT) is an emerging option for managing clean, closed surgical incisions.
  • Identifying effective strategies to mitigate SSIs is crucial for improving patient outcomes.

Purpose of the Study:

  • To develop consensus recommendations for the appropriate use of commercially available closed incision negative pressure therapy (ciNPT).
  • To synthesize existing literature and expert experience regarding ciNPT for surgical incision management.
  • To guide surgeons on patient selection for ciNPT to prevent surgical site occurrences (SSOs).

Main Methods:

  • Conducted a comprehensive literature search (MEDLINE, EMBASE, Cochrane) from 2000-2015 using keywords related to incisional negative pressure therapy and SSIs.
  • Convened a multidisciplinary panel of 12 experts to review literature, share clinical experience, and identify SSO risk factors.
  • Developed consensus-based recommendations for ciNPT application in surgical practice.

Main Results:

  • A total of 100 publications met the search criteria, with most supporting the use of ciNPT.
  • Common risk factors for SSIs include obesity (BMI ≥30 kg/m²), diabetes mellitus, tobacco use, and prolonged surgical duration.
  • The literature and expert consensus indicate that ciNPT is a viable option for managing surgical incisions.

Conclusions:

  • Surgeons should assess individual patient and procedural risks for SSOs.
  • Consider ciNPT for patients at high risk of developing SSOs.
  • Utilize ciNPT for high-risk procedures or those with severe consequences if an SSI develops.