{"title":"腹腔镜手术后封闭负压伤口治疗胃肠道穿孔的效果：一项单中心观察研究","authors":"Takahiro Oishi, Fumiko Nakamura, Nao Okuno, Keisuke Tamagaki, Yoshihiro Nakamura, Kazuhito Sakuramoto, Yasuyuki Kuwagata","doi":"10.1002/ams2.70069","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aim</h3>\n \n <p>Laparotomy for gastrointestinal perforation is associated with a high risk of surgical site infection (SSI). The present study aimed to evaluate the effect of closed negative pressure wound therapy (NPWT) against SSI in patients undergoing laparotomy for gastrointestinal perforation.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>This single-center, retrospective, observational study was carried out in a tertiary emergency medical center. We performed closed NPWT following emergency laparotomy for gastrointestinal perforation between May 2019 and May 2024, and compared it to standard dressings used between January 2016 and April 2019. Cases of open abdominal management were excluded. The primary outcome was the incidence of superficial and deep SSI between the two groups.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The closed NPWT group comprised 65 patients, and the standard dressing group comprised 62 patients. There were no significant differences in patient characteristics, comorbidities, operative indications, and wound classification between the two groups. The rate of superficial and deep SSI was significantly lower with closed NPWT (26.2% with closed NPWT vs. 45.2% with standard dressing, <i>p</i> = 0.028).</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The application of closed NPWT in patients undergoing laparotomy for gastrointestinal perforation was associated with a lower incidence of SSI compared with that of a standard surgical dressing.</p>\n </section>\n </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"12 1","pages":""},"PeriodicalIF":1.5000,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.70069","citationCount":"0","resultStr":"{\"title\":\"Effect of closed negative pressure wound therapy after laparotomy for gastrointestinal perforation: A single-center observational study\",\"authors\":\"Takahiro Oishi, Fumiko Nakamura, Nao Okuno, Keisuke Tamagaki, Yoshihiro Nakamura, Kazuhito Sakuramoto, Yasuyuki Kuwagata\",\"doi\":\"10.1002/ams2.70069\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Aim</h3>\\n \\n <p>Laparotomy for gastrointestinal perforation is associated with a high risk of surgical site infection (SSI). The present study aimed to evaluate the effect of closed negative pressure wound therapy (NPWT) against SSI in patients undergoing laparotomy for gastrointestinal perforation.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>This single-center, retrospective, observational study was carried out in a tertiary emergency medical center. We performed closed NPWT following emergency laparotomy for gastrointestinal perforation between May 2019 and May 2024, and compared it to standard dressings used between January 2016 and April 2019. Cases of open abdominal management were excluded. The primary outcome was the incidence of superficial and deep SSI between the two groups.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>The closed NPWT group comprised 65 patients, and the standard dressing group comprised 62 patients. There were no significant differences in patient characteristics, comorbidities, operative indications, and wound classification between the two groups. The rate of superficial and deep SSI was significantly lower with closed NPWT (26.2% with closed NPWT vs. 45.2% with standard dressing, <i>p</i> = 0.028).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>The application of closed NPWT in patients undergoing laparotomy for gastrointestinal perforation was associated with a lower incidence of SSI compared with that of a standard surgical dressing.</p>\\n </section>\\n </div>\",\"PeriodicalId\":7196,\"journal\":{\"name\":\"Acute Medicine & Surgery\",\"volume\":\"12 1\",\"pages\":\"\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-06-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.70069\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acute Medicine & Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/ams2.70069\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acute Medicine & Surgery","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/ams2.70069","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
摘要
目的剖腹手术治疗胃肠道穿孔的手术部位感染（SSI）风险高。本研究旨在评估闭式负压伤口治疗（NPWT）对剖腹手术消化道穿孔患者SSI的影响。方法在某三级急诊医疗中心进行单中心、回顾性、观察性研究。2019年5月至2024年5月期间，我们在紧急剖腹手术后对胃肠道穿孔进行了闭合性NPWT，并将其与2016年1月至2019年4月期间使用的标准敷料进行了比较。排除腹部开腹治疗的病例。主要结果是两组间浅表和深部SSI的发生率。结果闭合NPWT组65例，标准敷料组62例。两组在患者特征、合并症、手术指征、伤口分型等方面无显著差异。闭合NPWT组浅表和深部SSI发生率显著低于标准敷料组（26.2% vs. 45.2%, p = 0.028）。结论闭合性NPWT在开腹治疗胃肠道穿孔患者中的应用与标准手术敷料相比，SSI发生率较低。
Effect of closed negative pressure wound therapy after laparotomy for gastrointestinal perforation: A single-center observational study
Aim
Laparotomy for gastrointestinal perforation is associated with a high risk of surgical site infection (SSI). The present study aimed to evaluate the effect of closed negative pressure wound therapy (NPWT) against SSI in patients undergoing laparotomy for gastrointestinal perforation.
Methods
This single-center, retrospective, observational study was carried out in a tertiary emergency medical center. We performed closed NPWT following emergency laparotomy for gastrointestinal perforation between May 2019 and May 2024, and compared it to standard dressings used between January 2016 and April 2019. Cases of open abdominal management were excluded. The primary outcome was the incidence of superficial and deep SSI between the two groups.
Results
The closed NPWT group comprised 65 patients, and the standard dressing group comprised 62 patients. There were no significant differences in patient characteristics, comorbidities, operative indications, and wound classification between the two groups. The rate of superficial and deep SSI was significantly lower with closed NPWT (26.2% with closed NPWT vs. 45.2% with standard dressing, p = 0.028).
Conclusion
The application of closed NPWT in patients undergoing laparotomy for gastrointestinal perforation was associated with a lower incidence of SSI compared with that of a standard surgical dressing.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
