Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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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.
How to cite this article:
Richard Samuel and Vinu Gopinath. Comparison of Negative‐Pressure wound Therapy and Conventional Dressing for Subcutaneous Abdominal wound Healing Impairment Following Abdominal Procedures.
DOI: https://doi.org/10.36478/makrjms.2025.4.56.60
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2025.4.56.60