Assessment of the Effect of Incisional Negative Pressure Wound Therapy for Prevention of Median Sternotomy Wound Infection | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 60, Volume 96, Issue 1, July 2024, Page 2736-2740 PDF (239.42 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2024.372542 | ||||
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| Abstract | ||||
| Background: Sternal wound infection is a catastrophic complication after open heart surgery, so many studies have evaluated the effect of negative pressure wound therapy (NPWT) to prevent it. Objective: This study aimed to evaluate the impact of incisional negative pressure wound therapy on the wound healing process after midline sternotomy in open heart surgery. Patients and methods: 100 patients who underwent open heart surgery with midline sternotomy were included. They were divided equally into two groups: Group A included 50 patients who had negative pressure wound therapy and group B that contained 50 patients who had conventional wound dressing. Results: Patients who underwent negative pressure wound therapy had significantly lower incidences of TLC rising (P=0.043), and CRP rising (P=0.017), significantly lower incidences of overall post-operative wound infection (P=0.025), significantly lower post-operative progression to deep wound infection (P=0.024), significantly lower need for post-operative deep wound intervention (P=0.012), significantly shorter ICU stay (P=0.001), as well as shorter hospital stay (P=0.018) when compared to patients who had conventional wound dressing. Also, no mortality was detected among our studied patients. Conclusion: Negative pressure wound therapy was superior to conventional wound dressing as it was associated with significantly lower incidences of TLC and CRP rising, significantly lower incidences of overall post-operative wound infection and post-operative deep wound infection, significantly lower need for post-operative deep wound intervention, as well as significantly shorter ICU stay (due to readmission) and hospital stay, when compared to conventional wound dressing. | ||||
| Keywords | ||||
| Median sternotomy wound infection; Open heart surgery; Incisional negative pressure wound therapy | ||||
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