Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Year : 2020  |  Volume : 8  |  Issue : 3  |  Page : 138-144

Low-cost prophylactic negative pressure wound therapy using central suction device in preventing surgical site infections in patients undergoing emergency laparotomy

Department of General Surgery, Pt. B D Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India

Correspondence Address:
Dr. Sanjay Marwah
Senior Professor, Department of General Surgery, Pt. B. D. Sharma PGIMS, Rohtak - 124 001, Haryana
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ssj.ssj_72_21

Rights and Permissions

Background: The surgical site infections (SSIs) are the most common cause of nosocomial infection in surgical patients and are associated with high morbidity, considerable mortality, longer hospital stay, and increased health-care costs. Evidence suggests that incisional negative pressure wound therapy (INPWT) can decrease wound complications, but there is scanty literature regarding INPWT for high-risk laparotomy incisions. Materials and Methods: A prospective interventional randomized study was conducted over a period of 2 years from May 1, 2018, to April 30, 2020. The enrolled patients were randomized to the study group where INPWT was applied and the control group where patients were subjected to conventional wound dressings. Results: Out of 85 patients undergoing emergency laparotomy, 36 patients were allocated to the study group and 38 patients to the control group after meeting the exclusion criteria. Baseline demographic characteristics were similar in both the groups. The relative risk (95% confidence interval) of SSI, burst abdomen, and rehospitalization was significantly more in the control group (study versus control group): 0.65 versus 1.4, 0.67 versus 1.33, and 0 versus 2.03, respectively. Conclusions: Prophylactic use of NPWT is a safe and effective method for preventing SSI and other wound complications in emergency laparotomy for peritonitis, which is a major deciding factor in final wound outcome in such cases.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded82    
    Comments [Add]    

Recommend this journal