Negative pressure wound therapy for closed incisions in orthopedic trauma surgery: a meta-analysis
Abstract Background This meta-analysis was performed to determine the efficacy of negative pressure wound therapy (NPWT) versus conventional wound dressings for closed incisions in orthopedic trauma surgery. Methods A systematic search was performed in PubMed, Embase, and the Cochrane Library databa...
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| Format: | Article |
| Language: | English |
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BMC
2019-12-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-019-1488-z |
| _version_ | 1828138352923115520 |
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| author | Cong Wang Yiwen Zhang Hao Qu |
| author_facet | Cong Wang Yiwen Zhang Hao Qu |
| author_sort | Cong Wang |
| collection | DOAJ |
| description | Abstract Background This meta-analysis was performed to determine the efficacy of negative pressure wound therapy (NPWT) versus conventional wound dressings for closed incisions in orthopedic trauma surgery. Methods A systematic search was performed in PubMed, Embase, and the Cochrane Library databases. The outcome measures included deep surgical site infection (SSI), superficial SSI; wound dehiscence and length of hospital stay. Cochrane collaboration’s tool and the Newcastle–Ottawa Scale (NOS) were used to evaluate literature qualities. Meta-analysis was performed using RevMan 5.3 software. Results A total of 6 studies including 2 randomized controlled trials (RCTs) and 4 cohort studies met our inclusion criteria. NPWT resulted in a significantly lower incidence of deep SSI, superficial SSI, and wound dehiscence than conventional wound dressings. However, no statistically significant difference was found in the length of hospital stay. Conclusions NPWT appeared to be an efficient alternative to help prevent SSIs and wound dehiscence on closed incisions in orthopedic trauma surgery. Rational use of NWPT should be based on the presence of patient’s condition and risk factors. |
| first_indexed | 2024-04-11T18:34:24Z |
| format | Article |
| id | doaj.art-8c229e9b1fc946f496e0d4de6b68ba64 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T18:34:24Z |
| publishDate | 2019-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-8c229e9b1fc946f496e0d4de6b68ba642022-12-22T04:09:19ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2019-12-011411710.1186/s13018-019-1488-zNegative pressure wound therapy for closed incisions in orthopedic trauma surgery: a meta-analysisCong Wang0Yiwen Zhang1Hao Qu2Department of Orthopaedic Surgery, The Second Affiliated Hospital, Zhejiang University School of MedicineOperating Room, The Second Affiliated Hospital, Zhejiang University School of MedicineDepartment of Orthopaedic Surgery, The Second Affiliated Hospital, Zhejiang University School of MedicineAbstract Background This meta-analysis was performed to determine the efficacy of negative pressure wound therapy (NPWT) versus conventional wound dressings for closed incisions in orthopedic trauma surgery. Methods A systematic search was performed in PubMed, Embase, and the Cochrane Library databases. The outcome measures included deep surgical site infection (SSI), superficial SSI; wound dehiscence and length of hospital stay. Cochrane collaboration’s tool and the Newcastle–Ottawa Scale (NOS) were used to evaluate literature qualities. Meta-analysis was performed using RevMan 5.3 software. Results A total of 6 studies including 2 randomized controlled trials (RCTs) and 4 cohort studies met our inclusion criteria. NPWT resulted in a significantly lower incidence of deep SSI, superficial SSI, and wound dehiscence than conventional wound dressings. However, no statistically significant difference was found in the length of hospital stay. Conclusions NPWT appeared to be an efficient alternative to help prevent SSIs and wound dehiscence on closed incisions in orthopedic trauma surgery. Rational use of NWPT should be based on the presence of patient’s condition and risk factors.https://doi.org/10.1186/s13018-019-1488-zNegative pressure wound therapyConventional wound dressingsSurgical site infectionClosed incisionsOrthopaedic traumaMeta-analysis |
| spellingShingle | Cong Wang Yiwen Zhang Hao Qu Negative pressure wound therapy for closed incisions in orthopedic trauma surgery: a meta-analysis Journal of Orthopaedic Surgery and Research Negative pressure wound therapy Conventional wound dressings Surgical site infection Closed incisions Orthopaedic trauma Meta-analysis |
| title | Negative pressure wound therapy for closed incisions in orthopedic trauma surgery: a meta-analysis |
| title_full | Negative pressure wound therapy for closed incisions in orthopedic trauma surgery: a meta-analysis |
| title_fullStr | Negative pressure wound therapy for closed incisions in orthopedic trauma surgery: a meta-analysis |
| title_full_unstemmed | Negative pressure wound therapy for closed incisions in orthopedic trauma surgery: a meta-analysis |
| title_short | Negative pressure wound therapy for closed incisions in orthopedic trauma surgery: a meta-analysis |
| title_sort | negative pressure wound therapy for closed incisions in orthopedic trauma surgery a meta analysis |
| topic | Negative pressure wound therapy Conventional wound dressings Surgical site infection Closed incisions Orthopaedic trauma Meta-analysis |
| url | https://doi.org/10.1186/s13018-019-1488-z |
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