Closed incision negative pressure therapy: International multidisciplinary consensus recommendations

Christian Willy, Animesh Agarwal, Charles A. Andersen, Giorgio De Santis, Allen Gabriel, Onnen Grauhan, Omar M. Guerra, Benjamin A. Lipsky, Mahmoud B. Malas, Lars L. Mathiesen, Devinder P. Singh, V. Sreenath Reddy

Research output: Contribution to journalArticle

Abstract

Surgical site occurrences (SSOs) affect up to or over 25% of patients undergoing operative procedures, with the subset of surgical site infections (SSIs) being the most common. Commercially available closed incision negative pressure therapy (ciNPT) may offer surgeons an additional option to manage clean, closed surgical incisions. We conducted an extensive literature search for studies describing ciNPT use and assembled a diverse panel of experts to create consensus recommendations for when using ciNPT may be appropriate. A literature search of MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials using key words 'prevention', 'negative pressure wound therapy (NPWT)', 'active incisional management', 'incisional vacuum therapy', 'incisional NPWT', 'incisional wound VAC', 'closed incisional NPWT', 'wound infection', and 'SSIs' identified peer-reviewed studies published from 2000 to 2015. During a multidisciplinary consensus meeting, the 12 experts reviewed the literature, presented their own ciNPT experiences, identified risk factors for SSOs and developed comprehensive consensus recommendations. A total of 100 publications satisfied the search requirements for ciNPT use. A majority presented data supporting ciNPT use. Numerous publications reported SSI risk factors, with the most common including obesity (body mass index ≥30kg/m2); diabetes mellitus; tobacco use; or prolonged surgical time. We recommend that the surgeon assess the individual patient's risk factors and surgical risks. Surgeons should consider using ciNPT for patients at high risk for developing SSOs or who are undergoing a high-risk procedure or a procedure that would have highly morbid consequences if an SSI occurred.

Original languageEnglish (US)
JournalInternational Wound Journal
DOIs
StateAccepted/In press - 2016

Fingerprint

Consensus
Surgical Wound Infection
Pressure
Negative-Pressure Wound Therapy
Therapeutics
Publications
Operative Surgical Procedures
Tobacco Use
Wound Infection
Operative Time
Vacuum
MEDLINE
Diabetes Mellitus
Body Mass Index
Obesity
Wounds and Injuries
Surgeons

Keywords

  • Consensus recommendation
  • Negative pressure therapy
  • Surgical incision management
  • Surgical site infection

ASJC Scopus subject areas

  • Surgery
  • Dermatology

Cite this

Willy, C., Agarwal, A., Andersen, C. A., Santis, G. D., Gabriel, A., Grauhan, O., ... Reddy, V. S. (Accepted/In press). Closed incision negative pressure therapy: International multidisciplinary consensus recommendations. International Wound Journal. https://doi.org/10.1111/iwj.12612

Closed incision negative pressure therapy : International multidisciplinary consensus recommendations. / Willy, Christian; Agarwal, Animesh; Andersen, Charles A.; Santis, Giorgio De; Gabriel, Allen; Grauhan, Onnen; Guerra, Omar M.; Lipsky, Benjamin A.; Malas, Mahmoud B.; Mathiesen, Lars L.; Singh, Devinder P.; Reddy, V. Sreenath.

In: International Wound Journal, 2016.

Research output: Contribution to journalArticle

Willy, C, Agarwal, A, Andersen, CA, Santis, GD, Gabriel, A, Grauhan, O, Guerra, OM, Lipsky, BA, Malas, MB, Mathiesen, LL, Singh, DP & Reddy, VS 2016, 'Closed incision negative pressure therapy: International multidisciplinary consensus recommendations', International Wound Journal. https://doi.org/10.1111/iwj.12612
Willy, Christian ; Agarwal, Animesh ; Andersen, Charles A. ; Santis, Giorgio De ; Gabriel, Allen ; Grauhan, Onnen ; Guerra, Omar M. ; Lipsky, Benjamin A. ; Malas, Mahmoud B. ; Mathiesen, Lars L. ; Singh, Devinder P. ; Reddy, V. Sreenath. / Closed incision negative pressure therapy : International multidisciplinary consensus recommendations. In: International Wound Journal. 2016.
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