Mechanically powered negative pressure dressing reduces surgical site infection after stoma reversal
Background: The use of closed-incision negative pressure wound therapy (ci-NPWT) has been shown to reduce postoperative wound complications and surgical site infections (SSI) after stoma closures. However, use of this approach has not been widely adopted due to high cost of the devices. We present a...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Surgery Open Science |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589845025000028 |
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| author | Brian Williams, MD Aubrey Swinford, MD Jordan Martucci, MD Johnny Wang, MD Jordan R. Wlodarczyk, MD Abhinav Gupta, MD Kyle G. Cologne, MD Sarah E. Koller, MD Christine Hsieh, MD Marjun P. Duldulao, MD Joongho Shin, MD |
| author_facet | Brian Williams, MD Aubrey Swinford, MD Jordan Martucci, MD Johnny Wang, MD Jordan R. Wlodarczyk, MD Abhinav Gupta, MD Kyle G. Cologne, MD Sarah E. Koller, MD Christine Hsieh, MD Marjun P. Duldulao, MD Joongho Shin, MD |
| author_sort | Brian Williams, MD |
| collection | DOAJ |
| description | Background: The use of closed-incision negative pressure wound therapy (ci-NPWT) has been shown to reduce postoperative wound complications and surgical site infections (SSI) after stoma closures. However, use of this approach has not been widely adopted due to high cost of the devices. We present a novel approach to stoma closure in which a self-contained mechanically powered negative pressure dressing (MP-NPD) is applied to primarily closed stoma reversal wounds. We hypothesized that SSI and wound complication rates would be improved compared to traditional stoma closure methods. Methods: This was a prospective investigator-initiated study, in which consecutive patients that underwent stoma reversal with primary stoma wound closure dressed with MP-NPD from May 2021–March 2022. 30-day outcomes from the study group, including surgical site infection, other wound complications, hospital length of stay (LOS), and readmission rates, were then reported. Results: Forty-six patients undergoing local ileostomy or colostomy closure were identified for the study group. Patient demographics and surgical variables were reported. One (2.2 %) patient in the study cohort developed superficial SSI within 30 days of their surgery. Post-op LOS in the study group versus was 4.1 days. Conclusion: Intestinal stoma reversal wounds closed primarily and dressed with the MP-NPD dressings had very low stoma site SSI rates. These results are promising as they pertain to the use of MP-NPD in stoma reversal procedures, however further large prospective RCTs with a matched control group could help better corroborate these findings. |
| format | Article |
| id | doaj-art-5a4b6d83c0dd42d28b17d3ace2e282b5 |
| institution | Kabale University |
| issn | 2589-8450 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Surgery Open Science |
| spelling | doaj-art-5a4b6d83c0dd42d28b17d3ace2e282b52025-01-31T05:12:17ZengElsevierSurgery Open Science2589-84502025-01-01236974Mechanically powered negative pressure dressing reduces surgical site infection after stoma reversalBrian Williams, MD0Aubrey Swinford, MD1Jordan Martucci, MD2Johnny Wang, MD3Jordan R. Wlodarczyk, MD4Abhinav Gupta, MD5Kyle G. Cologne, MD6Sarah E. Koller, MD7Christine Hsieh, MD8Marjun P. Duldulao, MD9Joongho Shin, MD10Keck Medicine of USC, Division of Colorectal Surgery, Los Angeles, CA, USAKeck Medicine of USC, Division of Colorectal Surgery, Los Angeles, CA, USA; Corresponding author at: Department of Surgery, Division of Colorectal Surgery, Keck Medicine of USC, 1441 Eastlake Avenue Suite 7418, Los Angeles, CA 90033, USA.Keck Medicine of USC, Division of Colorectal Surgery, Los Angeles, CA, USAKeck School of Medicine of USC, Los Angeles, CA, USAKeck Medicine of USC, Division of Colorectal Surgery, Los Angeles, CA, USAKeck Medicine of USC, Division of Colorectal Surgery, Los Angeles, CA, USAKeck Medicine of USC, Division of Colorectal Surgery, Los Angeles, CA, USALos Angeles General Medical Center, Division of Colorectal Surgery, Los Angeles, CA, USAKeck Medicine of USC, Division of Colorectal Surgery, Los Angeles, CA, USAKeck Medicine of USC, Division of Colorectal Surgery, Los Angeles, CA, USAKeck Medicine of USC, Division of Colorectal Surgery, Los Angeles, CA, USABackground: The use of closed-incision negative pressure wound therapy (ci-NPWT) has been shown to reduce postoperative wound complications and surgical site infections (SSI) after stoma closures. However, use of this approach has not been widely adopted due to high cost of the devices. We present a novel approach to stoma closure in which a self-contained mechanically powered negative pressure dressing (MP-NPD) is applied to primarily closed stoma reversal wounds. We hypothesized that SSI and wound complication rates would be improved compared to traditional stoma closure methods. Methods: This was a prospective investigator-initiated study, in which consecutive patients that underwent stoma reversal with primary stoma wound closure dressed with MP-NPD from May 2021–March 2022. 30-day outcomes from the study group, including surgical site infection, other wound complications, hospital length of stay (LOS), and readmission rates, were then reported. Results: Forty-six patients undergoing local ileostomy or colostomy closure were identified for the study group. Patient demographics and surgical variables were reported. One (2.2 %) patient in the study cohort developed superficial SSI within 30 days of their surgery. Post-op LOS in the study group versus was 4.1 days. Conclusion: Intestinal stoma reversal wounds closed primarily and dressed with the MP-NPD dressings had very low stoma site SSI rates. These results are promising as they pertain to the use of MP-NPD in stoma reversal procedures, however further large prospective RCTs with a matched control group could help better corroborate these findings.http://www.sciencedirect.com/science/article/pii/S2589845025000028Negative pressure dressingClosed-incision negative pressure wound therapySurgical site infectionWound healingColorectalIleostomy closure |
| spellingShingle | Brian Williams, MD Aubrey Swinford, MD Jordan Martucci, MD Johnny Wang, MD Jordan R. Wlodarczyk, MD Abhinav Gupta, MD Kyle G. Cologne, MD Sarah E. Koller, MD Christine Hsieh, MD Marjun P. Duldulao, MD Joongho Shin, MD Mechanically powered negative pressure dressing reduces surgical site infection after stoma reversal Surgery Open Science Negative pressure dressing Closed-incision negative pressure wound therapy Surgical site infection Wound healing Colorectal Ileostomy closure |
| title | Mechanically powered negative pressure dressing reduces surgical site infection after stoma reversal |
| title_full | Mechanically powered negative pressure dressing reduces surgical site infection after stoma reversal |
| title_fullStr | Mechanically powered negative pressure dressing reduces surgical site infection after stoma reversal |
| title_full_unstemmed | Mechanically powered negative pressure dressing reduces surgical site infection after stoma reversal |
| title_short | Mechanically powered negative pressure dressing reduces surgical site infection after stoma reversal |
| title_sort | mechanically powered negative pressure dressing reduces surgical site infection after stoma reversal |
| topic | Negative pressure dressing Closed-incision negative pressure wound therapy Surgical site infection Wound healing Colorectal Ileostomy closure |
| url | http://www.sciencedirect.com/science/article/pii/S2589845025000028 |
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