Prophylactic negative pressure wound therapy in obese women undergoing caesarean section: a commentary on new evidence that fuels the debate

N Hyldig¹, J S Joergensen², R F Lamont^{2

3}, S Möller¹, C A Vinter²

Affiliations

¹ Open Patient data Explorative Network, Odense University Hospital, University of Southern Denmark, Odense, Denmark.
² Department of Obstetrics and Gynaecology, Odense University Hospital, University of Southern Denmark, Odense, Denmark.
³ Division of Surgery, University College London, London, UK.

N Hyldig et al. BJOG. 2021 Dec.

. 2021 Dec;128(13):2127-2130.

doi: 10.1111/1471-0528.16750. Epub 2021 May 31.

N Hyldig¹, J S Joergensen², R F Lamont^{2

3}, S Möller¹, C A Vinter²

¹ Open Patient data Explorative Network, Odense University Hospital, University of Southern Denmark, Odense, Denmark.
² Department of Obstetrics and Gynaecology, Odense University Hospital, University of Southern Denmark, Odense, Denmark.
³ Division of Surgery, University College London, London, UK.

No abstract available

Comment in

New trial of negative pressure wound therapy for obese parturients after caesarean raises more questions.
Brandt JS, Ananth CV. Brandt JS, et al. BJOG. 2021 Dec;128(13):2131. doi: 10.1111/1471-0528.16883. Epub 2021 Sep 15. BJOG. 2021. PMID: 34455660 No abstract available.
Proof of ineffective and unnecessary prophylactic negative-pressure wound dressing (NPWD) after caesarean: extended debate to include surgical considerations.
Sholapurkar SL. Sholapurkar SL. BJOG. 2022 Feb;129(3):509-510. doi: 10.1111/1471-0528.16911. Epub 2021 Oct 6. BJOG. 2022. PMID: 34612576 No abstract available.

1. Tuuli MG, Liu J, Tita ATN, Longo S, Trudell A, Carter EB, et al. Effect of prophylactic negative pressure wound therapy vs standard wound dressing on surgical-site infection in obese women after cesarean delivery: a randomized clinical trial. JAMA 2020;324:1180-9.
1. Hyldig N, Birke-Sorensen H, Kruse M, Vinter C, Joergensen JS, Sorensen JA, et al. Meta-analysis of negative-pressure wound therapy for closed surgical incisions. Br J Surg 2016;103:477-86.
1. Hyldig N, Vinter CA, Kruse M, Mogensen O, Bille C, Sorensen JA, et al. Prophylactic incisional negative pressure wound therapy reduces the risk of surgical site infection after caesarean section in obese women: a pragmatic randomised clinical trial. BJOG 2019;126:628-35.
1. Hyldig N, Joergensen JS, Wu C, Bille C, Vinter CA, Sorensen JA, et al. Cost-effectiveness of incisional negative pressure wound therapy compared with standard care after caesarean section in obese women: a trial-based economic evaluation. BJOG 2019;126:619-27.
1. Altman DG, Bland JM. Absence of evidence is not evidence of absence. BMJ 1995;311:485.