Negative Pressure Wound Therapy in Spinal Surgery
Negative pressure wound therapy (NPWT) has demonstrated promise in the management of surgical site infections as well as assisting in surgical wound healing. In this manuscript, we describe the mechanisms and applications of NPWT for surgical wounds and existing evidence for NPWT in cardiac, plastic...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-10-01
|
| Series: | Bioengineering |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2306-5354/9/11/614 |
| _version_ | 1827647211975999488 |
|---|---|
| author | Alexandra Jeanne White Ronit Gilad Soriaya Motivala Brian Fiani Jonathan Rasouli |
| author_facet | Alexandra Jeanne White Ronit Gilad Soriaya Motivala Brian Fiani Jonathan Rasouli |
| author_sort | Alexandra Jeanne White |
| collection | DOAJ |
| description | Negative pressure wound therapy (NPWT) has demonstrated promise in the management of surgical site infections as well as assisting in surgical wound healing. In this manuscript, we describe the mechanisms and applications of NPWT for surgical wounds and existing evidence for NPWT in cardiac, plastic, and general surgery, followed by a discussion of the emerging evidence base for NPWT in spinal surgery. We also discuss the different applications of NPWT for open wounds and closed incisions, and the promise of newer closed-incision NPWT (ciNPWT) devices. There is nominal but promising prospective evidence on NPWT’s efficacy in select at-risk populations for post-operative wound complications after spinal surgery. As there is currently a paucity of robust clinical evidence on its efficacy, rigorous randomized prospective clinical trials are needed. |
| first_indexed | 2024-03-09T19:16:03Z |
| format | Article |
| id | doaj.art-50f861f8a32e4e65943296f3199b40d8 |
| institution | Directory Open Access Journal |
| issn | 2306-5354 |
| language | English |
| last_indexed | 2024-03-09T19:16:03Z |
| publishDate | 2022-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Bioengineering |
| spelling | doaj.art-50f861f8a32e4e65943296f3199b40d82023-11-24T03:46:05ZengMDPI AGBioengineering2306-53542022-10-0191161410.3390/bioengineering9110614Negative Pressure Wound Therapy in Spinal SurgeryAlexandra Jeanne White0Ronit Gilad1Soriaya Motivala2Brian Fiani3Jonathan Rasouli4Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH 44195, USANorthwell Health—Staten Island University Hospital, Staten Island, NY 10301, USANorthwell Health—Staten Island University Hospital, Staten Island, NY 10301, USADepartment of Neurosurgery, Weill Cornell Medical Center/New York Presbyterian Hospital, New York, NY 10065, USANorthwell Health—Staten Island University Hospital, Staten Island, NY 10301, USANegative pressure wound therapy (NPWT) has demonstrated promise in the management of surgical site infections as well as assisting in surgical wound healing. In this manuscript, we describe the mechanisms and applications of NPWT for surgical wounds and existing evidence for NPWT in cardiac, plastic, and general surgery, followed by a discussion of the emerging evidence base for NPWT in spinal surgery. We also discuss the different applications of NPWT for open wounds and closed incisions, and the promise of newer closed-incision NPWT (ciNPWT) devices. There is nominal but promising prospective evidence on NPWT’s efficacy in select at-risk populations for post-operative wound complications after spinal surgery. As there is currently a paucity of robust clinical evidence on its efficacy, rigorous randomized prospective clinical trials are needed.https://www.mdpi.com/2306-5354/9/11/614spine surgerysurgical site infectionwound managementwound dressinginfection preventionwound healing |
| spellingShingle | Alexandra Jeanne White Ronit Gilad Soriaya Motivala Brian Fiani Jonathan Rasouli Negative Pressure Wound Therapy in Spinal Surgery Bioengineering spine surgery surgical site infection wound management wound dressing infection prevention wound healing |
| title | Negative Pressure Wound Therapy in Spinal Surgery |
| title_full | Negative Pressure Wound Therapy in Spinal Surgery |
| title_fullStr | Negative Pressure Wound Therapy in Spinal Surgery |
| title_full_unstemmed | Negative Pressure Wound Therapy in Spinal Surgery |
| title_short | Negative Pressure Wound Therapy in Spinal Surgery |
| title_sort | negative pressure wound therapy in spinal surgery |
| topic | spine surgery surgical site infection wound management wound dressing infection prevention wound healing |
| url | https://www.mdpi.com/2306-5354/9/11/614 |
| work_keys_str_mv | AT alexandrajeannewhite negativepressurewoundtherapyinspinalsurgery AT ronitgilad negativepressurewoundtherapyinspinalsurgery AT soriayamotivala negativepressurewoundtherapyinspinalsurgery AT brianfiani negativepressurewoundtherapyinspinalsurgery AT jonathanrasouli negativepressurewoundtherapyinspinalsurgery |