Department of Cardiovascular and Thoracic Surgery, Rouen University Hospital, Rouen, France.
Department of Cardiovascular and Thoracic Surgery, Rouen University Hospital, Rouen, France.
Ann Thorac Surg. 2020 Dec;110(6):2034-2040. doi: 10.1016/j.athoracsur.2020.03.087. Epub 2020 May 1.
Surgical site complications represent major concerns in many surgical specialties and lead to an increased length of hospital stay and the need for additional treatments and care. This investigation aimed to report survey data from the introduction of the PICO negative pressure wound therapy system (Smith & Nephew, Hull, United Kingdom) in a single hospital in France regarding cardiac surgical procedures through standard median sternotomy.
The patients in this study were at high risk of developing surgical site infections. PICO was used immediately postoperatively on the closed incision sites in all patients undergoing cardiac surgical procedures. Data were compared with a retrospective cohort of patients in whom PICO had not been used postoperatively. In total, 233 anonymized patient records were reviewed, 142 of which used the PICO device and 91 of which did not.
PICO was shown to provide both clinical and economic benefits over standard care across a range of different cardiac surgical patients. The rates of complications, including deep surgical wound infections and mediastinitis, were reduced.
As noted, PICO had advantages over standard care in these patients, and complication rates decreased. This study demonstrated cost savings and an increase in available surgical and hospital capacity related to PICO use.
手术部位并发症是许多外科专业的主要关注点，会导致住院时间延长，并需要额外的治疗和护理。本研究旨在报告在法国的一家医院，通过标准的正中胸骨切开术，对心脏外科手术中引入 PICO 负压伤口治疗系统（Smith & Nephew，英国赫尔）的调查数据。
本研究中的患者存在发生手术部位感染的高风险。在所有接受心脏外科手术的患者中，PICO 在术后立即用于闭合切口部位。将数据与未在术后使用 PICO 的回顾性队列患者进行比较。共回顾了 233 份匿名患者记录，其中 142 份使用了 PICO 装置，91 份未使用。
与标准护理相比，PICO 在各种不同的心脏外科患者中均显示出临床和经济效益。包括深部手术伤口感染和纵隔炎在内的并发症发生率降低。
正如所指出的，PICO 在这些患者中优于标准护理，并发症发生率降低。本研究表明，与 PICO 的使用相关，可节省成本，并增加了可用的手术和医院容量。
