Complications after pressure ulcer reconstruction are common. A complication rate of 21% to 58% and a 27% wound recurrence has been reported. The aim of this study was to decrease postoperative wound‐healing complications with incisional negative pressure wound therapy (iNPWT) postoperatively. This was a prospective non‐randomised trial with a historic control. Surgically treated pressure ulcer patients receiving iNPWT were included in the prospective part of the study (Treatment group) and compared with the historic patient cohort of all consecutive surgically treated pressure ulcer patients during a 2‐year period preceding the initiation of iNPWT (Control). There were 24 patients in the Control and 37 in the Treatment groups. The demographics between groups were similar. There was a 74% reduction in in‐hospital complications in the Treatment group (10.8% vs 41.7%, P = 0.0051), 27% reduction in the length of stay (24.8 vs 33.8 days, P = 0.0103), and a 78% reduction in the number of open wounds at 3 months (5.4 vs 25%, P = −0.0481). Recurrent wounds and history of previous surgery were risk factors for complications. Incisional negative pressure wound therapy shortens hospital stay, number of postoperative complications, and the number of recurrent open wounds at 3 months after reconstructive pressure ulcer surgery, resulting in significant cost savings.
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机译：压力溃疡重建后的并发症是常见的。报告了同样的21％至58％和27％的伤口复发率。本研究的目的是减少术后突起的伤口愈合并发症与入口负压伤口治疗（INPWT）术后。这是一个历史控制的前瞻性非随机试验。接受INPWT的手术治疗的压力溃疡患者被列入研究（治疗组）的前瞻性部分，并与历史悠久的患者队列相比，在INPWT（对照）之前的2年期间，在2年期间的所有连续手术治疗的压力溃疡患者。对照中有24名患者，治疗组中有37名患者。组之间的人口统计学是相似的。治疗组内院内并发症减少了74％（10.8％vs 41.7％，P = 0.0051），逗留时间减少27％（24.8 Vs 33.8天，P = 0.0103），78％在3个月内减少开放伤口的数量（5.4 vs 25％，p = -0.0481）。先前手术的经常性伤口和历史是并发症的危险因素。切口负压伤口治疗缩短了医院住宿，术后并发症的数量，并在重建压力溃疡手术后3个月内复发开放伤口的数量，从而节省了显着成本。
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