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Negative pressure therapy for stoma closure sites-a nonrandomised case control study
N Obeid1, E Sharma2, M Dunstan2
1Department of Colorectal Surgery, Ashford and St Peter's NHS Trust, Surrey, UK. noor.obeid@nhs.net.
Negative pressure wound therapy (NPWT) dressings, like the PICO system, significantly reduced community nurse visits and accelerated return to work for stoma closure wounds in this pilot study.
Area of Science:
- Wound healing and management
- Surgical site infection prevention
- Medical device efficacy
Background:
- Negative pressure wound therapy (NPWT) systems, such as the PICO dressing, are designed for closed wounds up to 7 days.
- Their application in stoma closure wounds requires further investigation.
Purpose of the Study:
- To evaluate the effectiveness of the PICO dressing for stoma closure wounds.
- To compare outcomes with traditional wound packing methods.
Main Methods:
- Retrospective analysis of stoma reversal wounds (April 2018-June 2019).
- Partial wound closure with absorbable sutures, followed by PICO dressing application.
- Comparison with a control group using wound packing.
Main Results:
- PICO group: averaged 1.9 community nurse visits; 1-2 weeks to return to daily activities.
- Control group: averaged 11.9 community nurse visits; 33% not returned to work/activities in 1-2 weeks.
Conclusions:
- PICO dressings led to fewer community nurse visits for stoma closure wounds.
- The PICO system facilitated a quicker return to work and usual activities, suggesting its potential utility in stoma site wound management.
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