New advances in negative pressure wound therapy (NPWT) for surgical wounds of patients affected with Crohn's disease.

作者: Silvestro Canonico , Ferdinando Campitiello , Giuseppe Candilio , Gianluca Pellino , Guido Sciaudone

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摘要: Abstract Surgical site complications (SSC) negatively affect costs of care and prolong length stay. Crohn's disease (CD) is a risk factor for SSC. CD patients often need surgery, sometimes requiring stoma. Our primary aim was to compare the effects on SSC portable device NPWT (PICO, Smith & Nephew, London, UK) with gauze dressings after elective surgery CD. Secondary aims were manageability safety PICO its feasibility as home therapy. Between 2010 2012, 50 assigned treatment either (n = 25) or conventional 25). Each patient completed 12-month follow-up. Parameters interests SSC, surgical complications, readmission rates. Data difficulties in managing device-related also collected. Patients receiving had less resulting shorter hospital At last follow-up, rates lower PICO. No differences observed between groups. reported device. Among discharged PICO, none needed come back malfunctioning inability manage it. reduces stay selected compared dressings. The safe user friendly.

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