Use of Negative-Pressure Wound Dressings to Prevent Surgical Site Complications After Primary Hip Arthroplasty: A Pilot RCT

Surgical Innovation
Brigid M GillespieWendy Chaboyer

Abstract

Negative-pressure wound therapy (NPWT) is increasingly used for primary surgical incisions despite the paucity of evidence. Study objectives were to assess the use of NPWT on surgical sites to prevent infections and other wound complications after elective primary hip arthroplasty and to consider feasibility of a larger trial. A nonmasked, randomized controlled pilot trial. Patients were recruited preoperatively from the preadmission clinic of an Australian hospital during 2013-2014. Computer-generated randomization was performed with allocation concealed until completion of surgery. The intervention group received NPWT (PICO) while the control group received the standard care hydrocolloid, reinforced with 2 absorbent dressings. Patients were followed for 6 weeks for postoperative complications (infection, length of stay, readmission) and skin complications (bruising, seroma, hematoma, dehiscence). Feasibility end points included numbers recruited, randomized, and followed up; fidelity; and costs. Of 77 people approached, 76 were recruited, and 70 were randomized. Of 35 in the negative-pressure group, 2 received the standard dressing. Attrition at 6 weeks exceeded 10% in both groups. Dressing costs were lower in the control gro...Continue Reading

References

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Citations

May 14, 2016·International Wound Journal·Christian WillyV Sreenath Reddy
Feb 3, 2016·BMJ Open·Brigid M GillespieWendy Chaboyer
Sep 18, 2016·The Orthopedic Clinics of North America·Megan WaltersKhaled J Saleh
Aug 23, 2016·International Wound Journal·Christian WillyOnnen Grauhan
Nov 7, 2016·The Lancet Infectious Diseases·Benedetta AllegranziUNKNOWN WHO Guidelines Development Group
Mar 30, 2017·Neurosurgery·Paul A AndersonMohammed F Shamji
Apr 6, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Denis NamCraig J Della Valle
Mar 27, 2019·The Cochrane Database of Systematic Reviews·Joan WebsterWendy P Chaboyer
Aug 10, 2019·Journal of Comparative Effectiveness Research·Lei WangJun Liu
Oct 19, 2019·Plastic and Reconstructive Surgery. Global Open·Devinder P SinghRalph B D'Agostino
Feb 19, 2020·Journal of Wound Care·Jan StryjaDeborah Xuereb
May 2, 2020·The Cochrane Database of Systematic Reviews·Gill NormanAdam Reid
Mar 28, 2017·Journal of Wound Care·Jan ApelqvistPeter Vowden
Aug 25, 2016·Plastic and Reconstructive Surgery·Ersilia L Anghel, Paul J Kim
Jun 25, 2018·Current Reviews in Musculoskeletal Medicine·Linda I SuleimanDenis Nam
Jun 24, 2017·Acta ortopedica brasileira·Camilo Partezani HelitoMarco Kawamura Demange
Jun 17, 2020·The Cochrane Database of Systematic Reviews·Gill NormanAdam Reid
Nov 23, 2018·Acta ortopedica brasileira·Helder de Souza MiyaharaCamilo Partezani Helito
Mar 24, 2021·Surgical Technology International·Livia GabrieleLorenzo Andrean
Oct 9, 2021·BJOG : an International Journal of Obstetrics and Gynaecology·B M GillespieW Chaboyer

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Methods Mentioned

BETA
primary hip arthroplasty

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