Management of Closed Incisions Using Negative-Pressure Wound Therapy in Orthopedic Surgery

被引:13
作者
Agarwal, Animesh [1 ]
机构
[1] Univ Texas Hlth Sci Ctr San Antonio, Div Orthopaed Trauma, Dept Orthopaed, 7703 Floyd Curl Dr,MC7774, San Antonio, TX 78229 USA
关键词
SURGICAL SITE INFECTIONS; INCREASES EARLY COMPLICATIONS; CARE-ASSOCIATED INFECTIONS; VACUUM-ASSISTED CLOSURE; BODY-MASS INDEX; OPERATIVE TREATMENT; KNEE ARTHROPLASTY; PRIMARY HIP; RISK; IMPACT;
D O I
10.1097/PRS.0000000000005308
中图分类号
R61 [外科手术学];
学科分类号
摘要
Negative-pressure wound therapy (NPWT) has been a major advance in the management of open wounds, especially in orthopedic trauma surgery. Due to the success of NPWT, surgeons began using NPWT on closed incisions as a way to help prevent surgical wound dehiscence, especially in at-risk patients for wound problems. It has been well established that obesity, diabetes mellitus, and smoking in addition to other comorbidities increase the risk of wound dehiscence and surgical site infections in orthopedic patients. This article reviews the current literature and provides an overview on the use of NPWT on closed incisions in orthopedic trauma procedures and joint arthroplasty.
引用
收藏
页码:21S / 26S
页数:6
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