Negative pressure wound therapy versus conventional debridement in subcutaneous abdominal wound healing in obese patients following obstetric/gynaecologic surgery
Journal of Wound Care, cilt.35, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 35
- Basım Tarihi: 2026
- Doi Numarası: 10.12968/jowc.2025.0021
- Dergi Adı: Journal of Wound Care
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE, Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest)
- Anahtar Kelimeler: abdominal wound dehiscence, gynaecology, negative pressure wound therapy, obstetrics, subcutaneous abdominal wound healing impairment, surgical site infection, vacuum-assisted closure, wound care, wound dressing, wound healing
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: This study evaluates the clinical outcomes of negative pressure wound therapy plus debridement (NPWT+D) compared to conventional debridement (CD) in cases of subcutaneous abdominal wound healing impairment (SAWHI) following obstetric and gynaecological surgery. Method: This retrospective cohort study examined data from patients with obesity (body mass index ≥30kg/m²) who experienced SAWHI after surgical site infections following obstetric and gynaecological procedures. Patients were divided into two groups according to treatment methods: the control group received standard care with debridement alone (CD group), while the remainder received NPWT+D (NPWT+D group). Data were collected from patient medical records, focusing on: demographic factors; comorbidities; wound characteristics; perioperative data; wound healing; hospital stay; intravenous treatment; infection rates; and dressing counts. Results: The data of 103 patients were reviewed. The NPWT+D group (n=50) demonstrated shorter wound healing times than the CD group (n=53) (11.3±4.2 days versus 14.9±6.4 days, respectively; p=0.004) and markedly fewer debridement sessions (3.7±1.5 versus 14.5±5.9, respectively; p<0.001). Additionally, reinfection rates were significantly lower in the NPWT+D group compared with the CD group (4.0% versus 24.5%, respectively; p=0.003). Conclusion: The findings of this retrospective study showed that NPWT, when integrated with surgical debridement, demonstrated significant efficacy in managing SAWHI following obstetric and gynaecological procedures. Compared to CD, NPWT+D was associated with accelerated wound healing and decreased frequency of dressing changes, thereby minimising patient discomfort and healthcare resource use.