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. 2021 Dec;16(4):686-696.
doi: 10.5114/wiitm.2021.106426. Epub 2021 May 25.

Effect of closed incision negative pressure wound therapy on incidence rate of surgical site infection after stoma reversal: a pilot study

Maciej Borejsza-Wysocki  1 , Adam Bobkiewicz  1 , Wojciech Francuzik  2 , Lukasz Krokowicz  1 , Dominik Walczak  3 , Jacek Szmeja  1 , Tomasz Banasiewicz  1
Affiliations

Effect of closed incision negative pressure wound therapy on incidence rate of surgical site infection after stoma reversal: a pilot study

Maciej Borejsza-Wysocki et al. Wideochir Inne Tech Maloinwazyjne. 2021 Dec.

Abstract

Introduction: The stoma reversal (SR) procedure is associated with a relatively high risk of perioperative complications with surgical site infection (SSI) as the most common. Recently closed incision negative pressure wound therapy (ciNPWT) was applied widely to prevent SSI.

Aim: To investigate the efficiency of ciNPWT in terms of the incidence rate of SSI after SR surgery.

Material and methods: As an exploratory observational cohort study patients were treated either with ciNPWT (n = 15) or standard sterile dressing (SSD) (n = 15). CiNPWT was applied every 3 days whereas SSD was changed every day. Clinical evaluation for SSI signs, C-reactive protein level and pain assessment using the visual analogue scale (VAS) were analyzed.

Results: The incidence rate of SSI was in 13% (2/15) in the ciNPWT group and 26% (4/15) in the SSD group (p = 0.651, OR = 0.44, 95% CI: 0.03-3.73). All patients in the SSD group who developed SSI presented both local and generalized signs of infection. Pain-VAS levels assessed on the 1st (MdnciNPWT = 4, MdnSSD = 5, p = 0.027, W = 51.5) and 3rd postoperative day (MdnciNPWT = 2, MdnSSD = 4, p = 0.014, W = 45.5) were significantly lower in the ciNPWT group than in the SSD group.

Conclusions: CiNPWT seems not to have a benefit to reduce SSI after the SR procedure. Further investigation is needed to establish firmly the benefit of using ciNPWT in this group of patients.

Keywords: closed incision negative pressure wound therapy; stoma reversal; surgical site infection.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Photo 1
Photo 1
Application of wound dressing in ciNPWT group (A) and standard sterile dressing (SSD) (B)
Photo 2
Photo 2
Wound healing on day 0, 3 and 6 after stoma reversal procedure in ciNPWT group (left column) and SSD group (right column). Note the higher wound edema and worse cosmetic effect in the SSD group compared to the ciNPWT group
See this image and copyright information in PMC

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