Affordable Access

Publisher Website

Novel wound management system reduces surgical site morbidity after ventral hernia repairs: a critical analysis

Authors
Journal
The American Journal of Surgery
0002-9610
Publisher
Elsevier
Identifiers
DOI: 10.1016/j.amjsurg.2014.06.022
Keywords
  • Ventral Hernia
  • Incisional Hernia
  • Surgical Site Infection
  • Surgical Site Occurrence
  • Negative-Pressure Wound Therapy
  • Vacuum-Assisted Closure
Disciplines
  • Economics
  • Medicine

Abstract

Abstract Background Prophylactic incisional negative-pressure wound therapy use after ventral hernia repairs (VHRs) remains controversial. We assessed the impact of a modified negative-pressure wound therapy system (hybrid-VAC or HVAC) on outcomes of open VHR. Methods A 5-year retrospective analysis of all VHRs performed by a single surgeon at a single institution compared outcomes after HVAC versus standard wound dressings. Multivariable logistic regression compared surgical site infections, surgical site occurrences, morbidity, and reoperation rates. Results We evaluated 199 patients (115 HVAC vs 84 standard wound dressing patients). Mean follow-up was 9 months. The HVAC cohort had lower surgical site infections (9% vs 32%, P < .001) and surgical site occurrences (17% vs 42%, P = .001) rates. Rates of major morbidity (19% vs 31%, P = .04) and 90-day reoperation (5% vs 14%, P = .02) were lower in the HVAC cohort. Conclusions The HVAC system is associated with optimized outcomes following open VHR. Prospective studies should validate these findings and define the economic implications of this intervention.

There are no comments yet on this publication. Be the first to share your thoughts.