Abstract

Surgical site infection and other common surgical site complications (dehiscence, hematoma, and seroma formation) can lead to serious and often life-threatening complications. Gauze, adhesive dressings, and skin adhesives have traditionally been utilized for incision management. However, the application of negative pressure wound therapy over clean, closed surgical incisions (closed incision negative pressure therapy, ciNPT), has become a recent option for incision management. A brief review of ciNPT clinical evidence and health economic evidence are presented. A brief literature review was performed using available publication databases (PubMed, Ovid®, Embase®, and QUOSA™) for articles in English reporting on the use of ciNPT between October 1, 2016, to March 31, 2019. The successful application of ciNPT over clean, closed wounds has been reported in a broad spectrum of patients and operative interventions, resulting in favorable clinical results. Four of the five studies that examined health economics following the use of ciNPT reported a potential reduction in the cost of care. The authors’ own experience and published results suggest that patients at high risk for developing a surgical site complication may benefit from the use of ciNPT during the immediate postoperative period. Additional studies are needed across various surgical disciplines to further assess the safety, and cost-effectiveness of ciNPT use in patient populations.

Highlights

  • BackgroundSurgical site infections (SSIs) and other common surgical site complications can lead to serious and often life-threatening complications

  • Adhesive dressings, and skin adhesives have traditionally been utilized for incision management

  • Additional studies are needed across various surgical disciplines to further assess the safety, and cost-effectiveness of ciNPT use in patient populations

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Summary

Introduction

Surgical site infections (SSIs) and other common surgical site complications (dehiscence, hematoma, and seroma formation) can lead to serious and often life-threatening complications. Recent reports suggest that there are 8.2 million people at risk for SSIs annually in the United States [1,2,3]. SSIs frequently occur and are the most common and costly of all healthcare-acquired infections, with a reported incidence ranging from 15-37% [4,5,6,7]; and accounts for 33.7% of the $9.8 billion costs to the US healthcare system per year [1]. A more recent option for surgical incision management, especially in patients at high risk of developing surgical site complications, is the use of closed incision negative pressure (ciNPT).

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