Negative Pressure Wound Therapy in the Management of Postoperative Abdominal Wound Dehiscence

The Journal of Sylhet Women’s Medical College Pub Date : 2022-07-01 DOI:10.47648/jswmc2022v1202-01

Rashid MSU, Chhanda CS, Das S, Hossain KI, Nayamoth TH, Rahman MH, Rahman T

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Abstract

Background: Abdominal wound dehiscence(AWD) is one of the dreadful complications of abdominal surgery. Conventionally it is treated with regular dressing. Negative pressure wound therapy (NPWT) is newest concept for management of AWD. Objective: To find out the effectiveness of NPWT in management of AWD. Material & methods: This prospective study was conducted in the Department of Plastic and Reconstructive Surgery, Sir Salimullah Medical College (SSMC) and Mitford Hospital, Dhaka, Bangladesh from July2018 to June2020. Total 30 patients were fulfilled the enrollment criteria. Result: Age range of our patient was 15-60 and mean (SD) was 36.5 (± 12.204) years. Male to female ratio was 1.5:1. AWD commonly (60.66%) occurred after emergency procedure. The mean (SD) wound size waschanged from 60.21(±31.418) cm3 to 12.19(±7.453) cm3 at the end of treatment that was statistically significant. The average duration of NPWT was 8.26 days. Conclusion: The wound healing process is aided by NPWT, which makes the wound bed more favorable to early covering and reduces the mental stress and financial burden of the patient.

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负压伤口治疗在术后腹部伤口裂开中的应用

背景:腹部伤口裂开(AWD)是腹部外科手术最可怕的并发症之一。传统上，它是用常规敷料治疗的。负压伤口治疗(NPWT)是治疗AWD的最新概念。目的:探讨NPWT治疗AWD的有效性。材料与方法:本前瞻性研究于2018年7月至2020年6月在孟加拉国达卡的Salimullah爵士医学院(SSMC)和Mitford医院整形重建外科进行。30例患者符合入组标准。结果:患者年龄15 ~ 60岁，平均(SD) 36.5(±12.204)岁。男女比例为1.5:1。AWD多发生在急诊后(60.66%)。治疗结束时，平均(SD)伤口大小从60.21(±31.418)cm3变为12.19(±7.453)cm3，差异有统计学意义。NPWT的平均持续时间为8.26 d。结论:NPWT有助于伤口愈合过程，使伤口床更有利于早期覆盖，减轻了患者的精神压力和经济负担。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The Journal of Sylhet Women’s Medical College

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