Nordmeyer, Matthias and Pauser, Johannes and Biber, Roland and Jantsch, Jonathan and Lehrl, Siegfried and Kopschina, Carsten and Rapke, Christian and Bail, Hermann J. and Forst, Raimund and Brem, Matthias H. (2016) Negative pressure wound therapy for seroma prevention and surgical incision treatment in spinal fracture care. INTERNATIONAL WOUND JOURNAL, 13 (6). pp. 1176-1179. ISSN 1742-4801, 1742-481X
Full text not available from this repository. (Request a copy)Abstract
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<bold></bold>9 ml versus 0 ml; P = 0<bold></bold>0007; day 10: 1<bold></bold>6 ml versus 0<bold></bold>5 ml; P <0<bold></bold>024). Furthermore, patients of group A required more wound care time (group A: 31 +/- 10 minutes; group B 13<bold></bold>8 +/- 6 minutes; P = 0<bold></bold>0005) and more number of compresses (total number; group A 35 +/- 15; group B 11 +/- 3; P = 0<bold></bold>0376). NPWT reduced the development of postoperative seroma, reduced nursing time and reduced material required for wound care.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | VACUUM-ASSISTED CLOSURE; MANAGEMENT; TRAUMA; DEFECT; BONE; NPWT; Spinal fracture; Wound complication; Wound healing |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Medizinische Mikrobiologie und Hygiene |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 10 Apr 2019 13:32 |
| Last Modified: | 10 Apr 2019 13:32 |
| URI: | https://pred.uni-regensburg.de/id/eprint/3908 |
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