In patients undergoing emergency laparotomy, incisional negative pressure wound therapy (INPWT) significantly decreases the risk of surgical site infections (SSI) compared to standard dressings. INPWT is linked to lower odds of overall SSI (OR 0.36), superficial and deep infections, and seroma formation. Hospital length of stay was reduced by about 1.5 days with INPWT (MD […]
Category: Wounds
NPWT after Stoma Reversal: Less Healing Time, No SSI Benefit
Negative pressure wound therapy (NPWT) doesn’t cut surgical site infections but speeds up healing after stoma reversal. No significant difference in surgical site infection rates (odds ratio: 1.02). Complete wound healing time reduced by about 2.72 days with NPWT. Consider NPWT for high-risk patients, as it can enhance recovery time without increasing infection risk. No […]
Wound complications common in Morel-Lavallee injuries
One in five patients undergoing surgery for Morel-Lavallee lesions face wound complications. 20.1% of patients developed complications post-op, including skin necrosis (7.5%) and deep infections (6.7%). The primary risk factor was being struck by a vehicle, with a 3.44 odds ratio for complications. Understand these risks to better counsel patients on their potential outcomes. Bicycle […]
Delayed Closure in Colorectal Surgery May Not Cut Infections
Delayed primary closure with intrawound irrigation doesn’t reduce surgical site infections after colorectal perforation. Superficial and deep SSI rates: 25% for delayed closure vs. 50% for primary closure. ICU and hospital stays were longer for delayed primary closure. Surgeons should weigh the benefits of reduced infection risk against potential longer recovery times. Findings need confirmation […]
Prognostic Model Predicts Wound Complications After Internal Hemipelvectomy
Surgeons can now preoperatively assess wound complication risk using a newly validated scoring model for internal hemipelvectomy. Wound complications requiring surgery occurred in 34% of patients overall, with rates of 7.4%, 40%, and 67% in low-, intermediate-, and high-risk groups in the training cohort. Similar results were observed in the validation cohort: 7.1%, 32%, and […]
Antimicrobial Dressings Cut Surgical Site Infection Rates
Using silver and DACC dressings significantly lowers surgical site infections (SSIs), which can improve recovery times and reduce costs. Silver dressings reduce SSI risk by 22% (RR 0.78; moderate certainty). DACC dressings halve the risk of SSI (RR 0.49; moderate certainty). Mupirocin dressings show no significant impact on SSIs. Consider adopting silver or DACC dressings […]
New Wound Protector Cuts SSI Risk in Abdominal Surgery
A novel wound protector, Viclean®, helps reduce surgical site infections by preventing contamination during open abdominal procedures. In emergency cesarean sections, Viclean® rapidly diverted amniotic fluid, safeguarding the incision. During elective left hemicolectomy, enteric effluent was effectively managed, keeping wound edges clean and dry. This innovative device is positively reviewed by surgical teams and is […]
Low Surgical Site Infection Rates in Emergency Abdominal Surgery
Emergency abdominal surgeries with primary wound closure show promising results in infection control. Surgical site infection rate was 12.6% among 772 patients. Emergency laparoscopic surgeries had a significantly lower infection rate (3.0%) compared to open surgery (15.9%). Key risk factors included BMI ≥30, peritonitis, stoma formation, and laparotomy. Surgeons should consider minimally invasive techniques and […]
Diminished Infection Rates with Biodegradable Temporizing Matrix
Using a biodegradable temporizing matrix (BTM) can lead to low infection rates in complex wounds, changing how surgeons approach non-graftable cases. Only 14% of patients in a diverse cohort of 22 experienced clinical infection after BTM application. Microbial growth was found in 76% of pre-BTM swabs, but this did not correlate with infection rates post-application. […]
Nicotine’s Toxic Impact on Chronic Wounds
Nicotine hinders healing for chronic wounds, complicating patient recovery. Identified 160 targets linking nicotine to chronic wound failure. Core inflammatory factors like TNF and IL-6 disrupted healing pathways. Surgeons should consider nicotine’s role when assessing wound recovery potential in smokers. Strong binding affinity of nicotine to key targets TNF (-5.6 kcal/mol) and IL-6 (-5.0 kcal/mol) […]