@article{MAKHILLRJMS202519431761,
    title = {Comparison of Negative‐Pressure wound Therapy and Conventional Dressing for Subcutaneous Abdominal wound Healing Impairment Following Abdominal Procedures},
    journal = {Research Journal of Medical Sciences},
    volume = {19},
    number = {4},
    pages = {56-60},
    year = {2025},
    issn = {1815-9346},
    doi = {makrjms.2025.4.56.60},
    url = {https://makhillpublications.co/view-article.php?issn=1815-9346&doi=makrjms.2025.4.56.60},
    author = {Richard and},
    keywords = {Abdomen, complications, negative pressure, wound care},
    abstract = {Improvements in surgical techniques and technologies have allowed
surgeons to attain primary closure in a significant proportion of surgical
procedures. Nonetheless, patient comorbidities, together with surgical
variables, frequently complicate the primary closure of surgical wounds
due to an elevated risk of complications. Negative pressure wound
therapy (NPWT) is an established treatment option, however there is less
evidence of effectiveness for subcutaneous abdominal wound healing
impairment (SAWHI). To compare effectiveness and safety of negative
pressure wound therapy and conventional wound treatment (CWT) in
SAWHI. The present study was a prospective study conducted for a period
of 10 months from January 2024 to October 2024 in Department of
General Surgery, Sree Mookambika Institute of Medical Sciences,
Kulasekharam. There were 34 patients (age >18 years) who had been
evaluated for participation in the study by the local clinical investigators.
These patients had open postsurgical abdominal wounds that did not heal
by primary intention, as well as patients who had spontaneous wound
dehiscence following abdominal surgery. Upon granting written informed
consent, patients were assigned at random to one of two groups (NPWT
group and CWT group). Patient demographic data, body mass index (BMI)
and additional comorbidities were recorded. Postoperative sequelae,
including infection, seroma, haematoma, skin and fat necrosis and skin
dehiscence, were documented and analysed. In this study, 34 patients
were recruited, with 17 (50%) receiving incisional NPWT (NPWT group)
and 17 (50%) receiving conventional dressings (CWT group). The NPWT
group exhibited a considerably faster and more frequent closure of
wounds (34.07±4.53 days) compared to the CWT group (40.65±5.17
days). The overall wound complication rates were 3 (17.64%) and 10
(58.82%), respectively (p=0.031). The incidence of cutaneous dehiscence
was 2 (11.76%) and 8 (47.06%), respectively (p=0.011). Both results
attained statistical significance. NPWT served as an efficacious alternative
to traditional wound management. NPWT markedly enhances the
incidence of wound complications and skin dehiscence relative to
traditional dressings.}
    }