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Negative Pressure Therapy Postabdominal Body Contouring in Bariatric Surgery Patients.
Wayne Bauerle1, Joseph Evans1, Ryan Lee2
1Department of Surgery, St Luke's University Health Network.
Incisional Negative Pressure Wound Therapy (iNPWT) significantly reduced major wound complications like dehiscence and infection in abdominal contouring patients post-bariatric surgery. This therapy offers a valuable tool for plastic surgeons to improve patient outcomes.
Area of Science:
- Plastic Surgery
- Wound Management
- Bariatric Surgery Outcomes
Background:
- Massive weight loss often necessitates abdominal body contouring.
- Surgical site complications are a concern in these procedures.
- Incisional Negative Pressure Wound Therapy (iNPWT) is a potential intervention.
Purpose of the Study:
- To evaluate the impact of iNPWT on surgical site complication rates.
- Focus on abdominal body contouring after bariatric surgery.
- Compare iNPWT use versus standard care.
Main Methods:
- Retrospective case-control study across 15 hospitals.
- Inclusion criteria: massive weight loss, abdominal contouring surgery.
- Statistical analysis included chi-square, Fisher exact, t tests, and Mann-Whitney tests.
Main Results:
- No significant difference in minor wound complications.
- Significantly lower rates of wound dehiscence (P=0.003) with iNPWT.
- Significantly lower rates of wound infection (P=0.040) with iNPWT.
Conclusions:
- iNPWT is effective in reducing major wound complications.
- It can decrease wound dehiscence and infection rates.
- iNPWT serves as a valuable adjunct for plastic surgeons in post-bariatric contouring.
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