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Cesarean Delivery with External Negative Pressure Dressing System: A Retrospective Cohort Study
Teresa A Orth1, Mary M Gerkovich2, Erica Heitmann1
1Division of Maternal Fetal Medicine, Obstetrix Medical Group of Arizona, Tucson, Arizona.
Surgery Journal (New York, N.Y.)
|August 22, 2017
Summary
External negative pressure dressing systems (ENPDS) show similar wound complication rates to traditional dressings after cesarean delivery. However, ENPDS may increase the risk of wound separation, especially in high-risk patients.
Area of Science:
- Obstetrics and Gynecology
- Surgical Wound Management
- Medical Device Technology
Background:
- Cesarean delivery (CD) is a common surgical procedure.
- Wound complications after CD can lead to increased morbidity.
- Novel dressing systems are being explored to improve wound healing.
Purpose of the Study:
- To compare the incidence of wound complications after cesarean delivery using external negative pressure dressing systems (ENPDS) versus traditional dressings.
- To evaluate the safety and efficacy of ENPDS in reducing post-cesarean wound complications.
Main Methods:
- Retrospective review of 970 patients undergoing cesarean delivery.
- Comparison of wound complication rates between ENPDS and traditional dressing groups.
- Logistic regression analysis controlling for BMI and pregestational diabetes.
Main Results:
- Overall wound complication rate was 5.2%.
- Initially, ENPDS showed higher complication rates (OR 3.37), particularly in patients with BMI > 30 and diabetes.
- After adjustment, ENPDS was equivalent to traditional dressings, but a trend towards more wound separations was observed with ENPDS.
Conclusions:
- ENPDS is equivalent to traditional dressings for preventing wound complications in cesarean delivery patients when adjusted for risk factors.
- Wound separation may be a potential hazard associated with ENPDS use and warrants further investigation.
