New trial of negative pressure wound therapy for obese parturients after caesarean raises more questions

Abstract

The obese parturient is at increased risk for numerous postoperative complications, including surgical site infections (SSI). Several promising strategies have emerged to reduce the risk of wound complications, including appropriately dosed antibiotics, antiseptic vaginal preparations, and prophylactic incisional negative pressure wound therapy (iNPWT). The latter approach is an innovation that applies negative pressure to a closed caesarean incision, redistributes lateral tension, reduces edema, and protects the surgical site from external infectious sources.