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Application of Closed Incision Negative Pressure Wound Therapy in Ventral Hernia Repair Surgery Using a Polypropylene
Petr Jelinek1,2, Jan Hrubovcak1,2, Radovan Hajovsky3
1Department of Surgery, University Hospital Ostrava, 17. listopadu 1790/5, 708 00 Ostrava-Poruba, Czech Republic.
Medicina (Kaunas, Lithuania)
|September 28, 2024
Summary
Closed incision negative pressure wound therapy (ciNPWT) may reduce surgical site infections (SSIs) after ventral hernia repair. While not statistically significant in this study, ciNPWT showed a lower SSI incidence compared to standard care.
Area of Science:
- Surgical Innovation
- Wound Management
- Infection Control
Background:
- Surgical site infections (SSIs) are a major complication of ventral hernia repair.
- These infections can lead to extended hospital stays and increased patient morbidity.
- Effective prevention strategies are crucial for improving outcomes.
Purpose of the Study:
- To assess if closed incision negative pressure wound therapy (ciNPWT) decreases SSI rates.
- Comparison between ciNPWT and standard wound care after ventral hernia repair with polypropylene mesh.
- Investigate the impact of patient factors on SSI occurrence.
Main Methods:
- A randomized controlled trial involving 100 patients undergoing ventral hernia repair.
- Intervention group received ciNPWT for 5 days post-surgery.
- Control group received standard sterile gauze dressing and disinfectant.
Main Results:
- The ciNPWT group had a lower SSI incidence (4%) than the standard care group (12%), but this was not statistically significant.
- No significant association found between sex or smoking status and SSI.
- Larger hernias were linked to higher SSI rates in the control group.
Conclusions:
- ciNPWT shows potential for reducing SSIs after ventral hernia repair.
- The study was limited by a small sample size.
- Larger trials are necessary to validate these preliminary findings.
