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Abstract：
As the use of closed incision negative pressure therapy (ciNPT) becomes more widespread, dressing designs have evolved to address implementation challenges and meet surgeon demand. While traditional application of ciNPT was limited to the immediate suture line, a novel dressing that covers the incision and additional surrounding tissues has become available. To expand upon previous ciNPT recommendations and provide guidance on this new dressing, an expert panel of plastic surgeons convened to review the current literature, identify challenges to the implementation and sustainability of ciNPT, and use a modified Delphi technique to form a consensus on the appropriate use of ciNPT with full-coverage dressings. After three rounds of collecting expert opinion via the Delphi method, consensus was reached if 80% of the panel agreed upon a statement. This manuscript establishes 10 consensus statements regarding when ciNPT with full-coverage foam dressings should be considered or recommended in the presence of patient or incision risk factors, effective therapeutic settings and duration, precautions for use, and tools and techniques to support application. The panel also discussed areas of interest for future study of ciNPT with full-coverage dressings. High-quality, controlled studies are needed to expand the understanding of the benefits of ciNPT over the incision and surrounding tissues.
摘要：
随着闭合切口负压治疗（ciNPT）的使用越来越广泛，敷料设计已经发展到解决实施挑战并满足外科医生的需求。虽然ciNPT的传统应用仅限于直接缝合线，一种覆盖切口和其他周围组织的新型敷料已经可用。为了扩展以前的ciNPT建议，并为这种新敷料提供指导，一个整形外科医生专家小组召集来审查当前的文献，确定CINPT的实施和可持续性面临的挑战，并使用改良的Delphi技术就适当使用ciNPT与全覆盖敷料形成共识。在通过德尔菲法收集三轮专家意见之后，如果80%的小组成员同意一项声明，就达成了共识。本手稿建立了10个共识声明，关于在存在患者或切口风险因素的情况下，何时应考虑或推荐具有全覆盖泡沫敷料的ciNPT，有效的治疗设置和持续时间，使用注意事项,以及支持应用的工具和技术。小组还讨论了未来研究全覆盖敷料ciNPT的兴趣领域。高品质，需要进行对照研究，以扩大对ciNPT对切口和周围组织的益处的理解。
