A randomized clinical trial evaluating negative pressure therapy to decrease vascular groin incision complications
Journal of Vascular Surgery Aug 23, 2018
Kwon J, et al. - Researchers prospectively evaluated negative pressure therapy as a means to decrease wound complications and associated health care costs via performing a randomized, prospective, single-institution study of 119 femoral incisions closed primarily after elective vascular surgery including both inflow (eg, aortofemoral) and outflow (eg, femoral-popliteal bypass) procedures. Incisions characterized as high risk for wound complications were randomized 1:1 to standard gauze dressing vs negative pressure therapy. Outcomes suggested a significant reduction in major wound complication, reoperation, and readmission rates for patients at high risk for groin wound complications in association with negative pressure therapy. In addition, a reduction in hospital costs can be achieved with this therapy. Hence they recommend negative pressure therapy for all groin incisions considered at high risk for wound complications.
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