Ligema Kaia
Community Tissue Viability/Infection Prevention Nurse, Manchester University NHS Foundation Trust, and third-year student MSc Wound Healing and Tissue Repair, Cardiff University.
Br J Nurs. 2023 Feb 23;32(4):S22-S28. doi: 10.12968/bjon.2023.32.4.S22.
Rates of obesity in pregnant women are increasing. Obesity is linked to increased patient risk of developing postoperative wound complications such as surgical site infection, wound dehiscence and haematoma formation. Closed incision negative pressure wound therapy (ciNPWT) has been introduced as a prophylactic intervention to reduce caesarian section (C-section) wound complications. Evidence from randomised controlled trials and retrospective studies has shown variable rates of success in reducing risk of SSI. The studies reviewed in this article found that ciNPWT had no statistically significant impact in reducing rates of wound dehiscence and haematoma formation or increasing long-term satisfaction with the appearance of scar tissue following C-section. Further research into the use of cINPWT to prevent surgical site infection is needed to determine the effectiveness of this therapy in reducing this wound complication.
孕妇肥胖率正在上升。肥胖与患者术后发生伤口并发症（如手术部位感染、伤口裂开和血肿形成）的风险增加有关。封闭式切口负压伤口治疗（ciNPWT）已作为一种预防性干预措施引入，以减少剖宫产（C -section）伤口并发症。随机对照试验和回顾性研究的证据表明，在降低手术部位感染风险方面成功率各不相同。本文综述的研究发现，ciNPWT 在降低伤口裂开和血肿形成率或提高剖宫产术后瘢痕组织外观的长期满意度方面没有统计学上的显著影响。需要进一步研究使用 cINPWT 预防手术部位感染，以确定这种治疗方法在减少这种伤口并发症方面的有效性。
