Negative Pressure Wound Therapy Prevents Hernia Recurrence in Simultaneous Ventral Hernia Repair and Panniculectomy

Overview

Journal Plast Reconstr Surg Glob Open

Specialty General Surgery

Date 2022 Mar 10

PMID 35265446

Authors

Romina Deldar

Areeg A Abu El Hawa

John D Bovill

Dionisio Hipolito

Eshetu Tefera

Parag Bhanot

Kenneth L Fan

Karen K Evans

Affiliations

Soon will be listed here.

Abstract

Methods: A retrospective review of patients who underwent VHR-PAN between 2009 and 2021 was conducted. Patients were divided into two groups: (1) those who received standard sterile dressings (SSD), or (2) ciNPWT. Primary outcomes were postoperative complications, including surgical site occurrences (SSO) and hernia recurrence.

Results: A total of 114 patients were identified: 57 patients each in the SSD group and ciNPWT group. The groups were similar in demographics and comorbidities. There were more smokers in the SSD group (22.8% versus 5.3%, = 0.013). Hernia defect size was significantly larger in patients who received ciNPWT (202.0 versus 143.4 cm, = 0.010). Overall SSO was similar between the two groups (23.2% versus 26.3%, = 0.663). At a mean follow-up of 6.6 months, hernia recurrence rate was significantly higher in the SSD group compared with that in the ciNPWT group. (10.5% versus 0%, = 0.027). Smoking, diabetes, component separation, mesh type, and location were not significantly associated with hernia recurrence.

Conclusions: Application of incisional NPWT is beneficial in decreasing hernia recurrence in VHR-PAN, compared with standard dressings. Larger prospective studies are warranted to further elucidate the utility of ciNPWT in abdominal wall reconstruction.

Citing Articles

Efficacy of prophylactic negative pressure wound therapy after open ventral hernia repair: a systematic review meta-analysis.

Xu Y, Shao S, Gong Z, Ri H, Xu Z, Kang H BMC Surg. 2023; 23(1):374.

PMID: 38082353 PMC: 10712064. DOI: 10.1186/s12893-023-02280-4.

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