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.
|Closed Incision Negative-Pressure Therapy Is Associated with Decreased Surgical-Site Infections: A Meta-Analysis.
||Semsarzadeh et al., 2015|
|Negative pressure wound therapy for surgical site infections: a systematic review and meta-analysis of randomized controlled trials.
||Li et al., 2019|
|Closed-Incision Negative-Pressure Therapy Versus Antimicrobial Dressings After Revision Hip and Knee Surgery: A Comparative Study.
||Cooper and Bas, 2016|
|Closed incision negative pressure therapy: international multidisciplinary consensus recommendations.
||Willy et al., 2017|