Evaluation of negative pressure wound therapy to closed laparotomy incisions in acute care surgery
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Updated: Feb 23, 2026
Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
Published on: May 10, 2024
Elleson Schurtz1, Jerome Differding2, Eric Jacobson2
1University of North Dakota, School of Medicine & Health Sciences, Grand Forks, ND, USA.
Background:
Surgical site complications in the form of wound infections are a major burden to the healthcare system. Negative pressure wound therapy (NPWT) as delivered by a surgical incision management system (SIMS) is a novel approach to improve wound healing when applied to closed incisions. However, data is limited in its application to laparotomy incisions in the acute care surgery setting.
Methods:
A retrospective case-control study was performed to evaluate the outcomes of SIMS with regard to surgical site infections in a series of 48 consecutive patients in which SIMS was applied to closed laparotomy incisions in the acute care surgery setting.
Results:
48 cases were matched with equivalent controls without significant differences between groups. Patients who received the SIMS had significantly lower rates of surgical site infection and readmission rates.
Conclusions:
Negative pressure surgical incision management systems may be a novel approach to reduce surgical site infections in acute care surgery.
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