背景技术闭合切口负压伤口治疗(ciNPWT)是预防手术切口并发症的有希望的方法之一。CINPWT的机制以前已经被阐明,在这个系列中,我们展示了各种各样的,到目前为止,被低估的技术用途。我们的目标是在具有新颖适应症的各种解剖部位分享我们与ciNPWT的经验。材料与方法ciNPWT应用于24例患者。平均年龄为49.6岁。所有的切口都缝合了,干净,和非感染。病人性,年龄,合并症,伤口的解剖位置,并记录cINPWT的适应症。结果每位患者的平均应用次数为3次。在接受脑膜脊髓膨出手术的婴儿的皮瓣供体部位,遇到了一次ciNPWT后的一次缝合线开裂。两名患者出现晚期血清肿和血肿形成。无手术部位感染,伤口裂开,ciNPWT相关并发症见于其他患者。大多数应用程序都在后备箱上,下肢,骨盆,上肢,和头皮分别。使用cINPWT的迹象是防止开裂,血清肿,大多数患者都有血肿形成。结论ciNPWT对预防术后切口裂开和手术部位感染是可靠和有效的。它可以安全地用于不同的位置和不同的适应症,以预防并发症,如在翻修手术中防止裂开,在头皮形成脑脊液(CSF)瘘,长期使用皮质类固醇的伤口破裂。
Background Closed incisional negative pressure wound treatment (ciNPWT) is one of the promising methods for the prevention of complications in surgical incisions. The mechanisms of ciNPWT have previously been elucidated and in this series, we demonstrate various, as of yet, underreported uses for the technology. Our aim is to share our experience with ciNPWT on various anatomic sites with novel indications. Materials and methods ciNPWT was used in 24 patients. The mean age was 49.6. All the incisions were sutured, clean, and non-infected. Patients\' sex, age, comorbidities, anatomic location of the wound, and the indications for ciNPWT were recorded. Results The mean number of applications was three per patient. One suture dehiscence after one session of ciNPWT was encountered in a flap donor site of an infant operated for meningomyelocele. Late-term seroma and hematoma formation were encountered in two patients. No surgical site infection, wound dehiscence, and ciNPWT related complications were seen in other patients. The majority of the applications were on the trunk, lower extremity, pelvis, upper extremity, and scalp respectively. Indications for ciNPWT utilization were preventing dehiscence, seroma, and hematoma formation in the majority of the patients. Conclusion ciNPWT is reliable and effective in the prevention of post-operative wound dehiscence and surgical site infections. It can be used safely in various locations and different indications for preventingcomplications such as preventing dehiscence in revision surgeries, cerebrospinal fluid (CSF) fistula formation in the scalp, and wound breakdown in chronic corticosteroid use.