Department of General Surgery, Fiona Stanley Hospital, 11 Robin Warren Drive, Murdoch 6150 WA, Australia.
School of Surgery, The University of Western Australia (M704), 35 Stirling Highway, 6009 Perth, Australia.
J Wound Care. 2021 Mar 2;30(3):192-196. doi: 10.12968/jowc.2021.30.3.192.
A major challenge of large abdominal incisional hernia repair is the high rates of wound complications. Closed incision negative pressure therapy (CINPT) can offer many treatment advantages in the management of these wounds and has been shown to reduce complications for other postoperative incisions. This study assesses the wound outcomes for hernia repair patients receiving CINPT.
A six-year retrospective case series of patients who had undergone large abdominal incisional hernia repair wounds treated with CINPT was conducted. Outcomes for patients treated with CINPT were compared with patients who had not received CINPT acting as a control.
A total of 23 patients were treated with CINPT after hernia repair and compared with 12 patients in the control group. A statistically significant decreased rate of return to theatre (odds ratio: 0.12) was found in this study. Non-significant reductions in wound infection, seroma and wound dehiscence were also seen. No adverse events with CINPT therapy were reported.
CINPT, when used after large abdominal incisional hernia repair, may help in the prevention of wound complications.
大型腹壁切口疝修补术的主要挑战是伤口并发症发生率高。封闭切口负压治疗（CINPT）在这些伤口的管理中具有许多治疗优势，并且已被证明可以减少其他术后切口的并发症。本研究评估了接受 CINPT 治疗的疝修补患者的伤口结局。
对接受 CINPT 治疗的大型腹壁切口疝修补术后患者进行了六年回顾性病例系列研究。将接受 CINPT 治疗的患者的结果与未接受 CINPT 治疗的对照组患者进行比较。
本研究共对 23 例疝修补术后接受 CINPT 治疗的患者进行了治疗，并与对照组的 12 例患者进行了比较。研究发现，手术返修率有统计学显著降低（优势比：0.12）。伤口感染、血清肿和伤口裂开的发生率也有显著降低。未报告 CINPT 治疗的不良事件。
在大型腹壁切口疝修补术后使用 CINPT 可能有助于预防伤口并发症。
