CLOSED INCISION MANAGEMENT

The incidence of surgical site infections and incisional dehiscence prompted the development of closed incision management system based on negative pressure therapy i.e. ciNPT: Closed Incision Negative Pressure Therapy. Negative pressure therapy is used as an adjunct treatment that accelerates the body’s healing mechanism by,

  • Removing exudate and reducing bacterial colonization
  • Preventing seroma and hematoma formation
  • Reducing lateral tension and drawing wound edges together
  • Increasing perfusion
  • Accelerating granulation tissue formation

 

The efficacy of this therapy for managing closed incisions has been reported extensively in literature. Its use has been reported to great effect in general surgery, abdominal surgery, cardiothoracic surgery and orthopedic surgery. ciNPT use is highly recommended for high risk patients and high risk surgical procedures.

 

Scientific Evidence:

Paper Title
Closed Incision Negative-Pressure Therapy Is Associated with Decreased Surgical-Site Infections: A Meta-Analysis.

Abstract
Semsarzadeh et al., 2015
Negative pressure wound therapy for surgical site infections: a systematic review and meta-analysis of randomized controlled trials.

Abstract
Li et al., 2019
Closed-Incision Negative-Pressure Therapy Versus Antimicrobial Dressings After Revision Hip and Knee Surgery: A Comparative Study.

Abstract
Cooper and Bas, 2016
Closed incision negative pressure therapy: international multidisciplinary consensus recommendations.

Abstract
Willy et al., 2017