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Negative pressure wound therapy for seroma prevention and surgical incision treatment in spinal fracture care.
Nordmeyer, Matthias; Pauser, Johannes; Biber, Roland; Jantsch, Jonathan; Lehrl, Siegfried; Kopschina, Carsten; Rapke, Christian; Bail, Hermann J; Forst, Raimund; Brem, Matthias H.
Afiliación
  • Nordmeyer M; Department of Trauma and Orthopaedic Surgery, Klinikum Nuremberg, Nuremberg, Germany.
  • Pauser J; Department of Trauma and Orthopaedic Surgery, Klinikum Nuremberg, Nuremberg, Germany.
  • Biber R; Division of Orthopedic Rheumatology, University of Erlangen-Nuremberg, Erlangen, Germany.
  • Jantsch J; Department of Trauma and Orthopaedic Surgery, Klinikum Nuremberg, Nuremberg, Germany.
  • Lehrl S; Institute for Medical Microbiology and Hygiene, University Regensburg, Regensburg, Germany.
  • Kopschina C; Department of Psychiatry and Psychotherapy, Friedrich-Alexander Universität Erlangen-Nürnberg, Erlangen, Germany.
  • Rapke C; Department of Trauma and Orthopaedic Surgery, Klinikum Nuremberg, Nuremberg, Germany.
  • Bail HJ; Department of Trauma and Orthopaedic Surgery, Klinikum Nuremberg, Nuremberg, Germany.
  • Forst R; Department of Trauma and Orthopaedic Surgery, Klinikum Nuremberg, Nuremberg, Germany.
  • Brem MH; Department of Orthopaedic Surgery, University Hospital Erlangen, Erlangen, Germany.
Int Wound J ; 13(6): 1176-1179, 2016 Dec.
Article en En | MEDLINE | ID: mdl-25932993
To evaluate the clinical use and economic aspects of negative pressure wound therapy (NPWT) after dorsal stabilisation of spinal fractures. This study is a prospective randomised evaluation of NPWT in patients with large surgical wounds after surgical stabilisation of spinal fractures by internal fixation. Patients were randomised to either standard wound dressing treatment (group A) or NPWT (group B). The wound area was examined by ultrasound to measure seroma volumes in both groups on the 5th and 10th day after surgery. Furthermore, data on economic aspects such as nursing time for wound care and material used for wound dressing were evaluated. A total of 20 patients (10 in each group) were enrolled. Throughout the whole study, mean seroma volume was significantly higher in group A than that in group B (day 5: 1·9 ml versus 0 ml; P = 0·0007; day 10: 1·6 ml versus 0·5 ml; P <0·024). Furthermore, patients of group A required more wound care time (group A: 31 ± 10 minutes; group B 13·8 ± 6 minutes; P = 0·0005) and more number of compresses (total number; group A 35 ± 15; group B 11 ± 3; P = 0·0376). NPWT reduced the development of postoperative seroma, reduced nursing time and reduced material required for wound care.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia de Presión Negativa para Heridas Tipo de estudio: Clinical_trials / Observational_studies Límite: Humans Idioma: En Revista: Int Wound J Año: 2016 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia de Presión Negativa para Heridas Tipo de estudio: Clinical_trials / Observational_studies Límite: Humans Idioma: En Revista: Int Wound J Año: 2016 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido