S116: Impact of incisional negative pressure wound therapy on surgical site infection after complex incisional hernia repair: a retrospective matched ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2020-08-06

AUTHORS

Brent Hopkins, Jules Eustache, Olivia Ganescu, Josie Cipolla, Pepa Kaneva, Gerald M. Fried, Kosar Khwaja, Melina Vassiliou, Paola Fata, Lawrence Lee, Liane S. Feldman

ABSTRACT

IntroductionIncisional negative pressure wound therapy (iNPWT) may reduce surgical site infections (SSI), which can have devastating consequences after incisional hernia repair. Few comparative studies investigate the effectiveness of this wound management strategy in this population. The objective of this study is to determine the effect of iNPWT on the incidence of SSI after complex incisional hernia repair.MethodsAll adult patients undergoing open incisional hernia repair at a single center from 2016 to 2019 were reviewed. A commercial iNPWT dressing was used at the discretion of the surgeon. Patients were grouped by type of dressing; iNPWT and standard sterile dressings (SSD). Coarsened exact matching was used to create balanced cohorts for comparison using age, sex, American Society of Anesthesiologists classification, wound classification, and surgical urgency. The primary outcome was the composite incidence of superficial and deep SSI within 30 days. Secondary outcomes included non-infectious surgical site occurrences (SSO), overall complications, length of stay (LOS), emergency department visits, and readmission at 30 days.Results134 patients underwent complex hernia repair, with 114 patients included after matching (34 iNPWT, 51 SSD). Composite incidence of superficial and deep SSI was 19.3% (11.8% vs. 27.5%, p = 0.107), with significantly lower rates of deep SSI in patients receiving iNPWT (2.9% vs. 17.6%, p = 0.045). After accounting for residual differences between groups, iNPWT was associated with decreased incidence of composite SSI (RR 0.36, 95% CI [0.16, 0.87]). Median LOS was longer in patients with iNPWT (7 vs. 5 days, p = 0.001). There were no differences in SSO, overall complications, readmission, or emergency department visits.ConclusionIn patients undergoing incisional hernia repair, the use of iNPWT was associated with a lower incidence of SSI at 30 days. Future studies should focus on cost effectiveness of iNPWT, its impact on long-term hernia recurrences, and the identification of patient selection criteria in this population. More... »

PAGES

3949-3960

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00464-020-07857-1

DOI

http://dx.doi.org/10.1007/s00464-020-07857-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1129936674

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/32761478


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Adult", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Cohort Studies", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Incisional Hernia", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Negative-Pressure Wound Therapy", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Neoplasm Recurrence, Local", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Retrospective Studies", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Surgical Wound Infection", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Department of Surgery, McGill University Health Centre, Montreal, QC, Canada", 
          "id": "http://www.grid.ac/institutes/grid.63984.30", 
          "name": [
            "Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, 1650 Cedar Ave., L9.309, H3G 1A4, Montreal, QC, Canada", 
            "Department of Surgery, McGill University Health Centre, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Hopkins", 
        "givenName": "Brent", 
        "id": "sg:person.014104667557.27", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.014104667557.27"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Department of Surgery, McGill University Health Centre, Montreal, QC, Canada", 
          "id": "http://www.grid.ac/institutes/grid.63984.30", 
          "name": [
            "Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, 1650 Cedar Ave., L9.309, H3G 1A4, Montreal, QC, Canada", 
            "Department of Surgery, McGill University Health Centre, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Eustache", 
        "givenName": "Jules", 
        "id": "sg:person.010356527753.05", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010356527753.05"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Faculty of Medicine, McGill University, Montreal, QC, Canada", 
          "id": "http://www.grid.ac/institutes/grid.14709.3b", 
          "name": [
            "Faculty of Medicine, McGill University, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Ganescu", 
        "givenName": "Olivia", 
        "id": "sg:person.07572137757.66", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.07572137757.66"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Faculty of Medicine, McGill University, Montreal, QC, Canada", 
          "id": "http://www.grid.ac/institutes/grid.14709.3b", 
          "name": [
            "Faculty of Medicine, McGill University, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Cipolla", 
        "givenName": "Josie", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, 1650 Cedar Ave., L9.309, H3G 1A4, Montreal, QC, Canada", 
          "id": "http://www.grid.ac/institutes/grid.63984.30", 
          "name": [
            "Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, 1650 Cedar Ave., L9.309, H3G 1A4, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Kaneva", 
        "givenName": "Pepa", 
        "id": "sg:person.0616246656.01", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0616246656.01"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Department of Surgery, McGill University Health Centre, Montreal, QC, Canada", 
          "id": "http://www.grid.ac/institutes/grid.63984.30", 
          "name": [
            "Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, 1650 Cedar Ave., L9.309, H3G 1A4, Montreal, QC, Canada", 
            "Department of Surgery, McGill University Health Centre, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Fried", 
        "givenName": "Gerald M.", 
        "id": "sg:person.01355616217.11", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01355616217.11"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Department of Surgery, McGill University Health Centre, Montreal, QC, Canada", 
          "id": "http://www.grid.ac/institutes/grid.63984.30", 
          "name": [
            "Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, 1650 Cedar Ave., L9.309, H3G 1A4, Montreal, QC, Canada", 
            "Department of Surgery, McGill University Health Centre, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Khwaja", 
        "givenName": "Kosar", 
        "id": "sg:person.01051400466.56", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01051400466.56"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Department of Surgery, McGill University Health Centre, Montreal, QC, Canada", 
          "id": "http://www.grid.ac/institutes/grid.63984.30", 
          "name": [
            "Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, 1650 Cedar Ave., L9.309, H3G 1A4, Montreal, QC, Canada", 
            "Department of Surgery, McGill University Health Centre, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Vassiliou", 
        "givenName": "Melina", 
        "id": "sg:person.01031211650.34", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01031211650.34"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Department of Surgery, McGill University Health Centre, Montreal, QC, Canada", 
          "id": "http://www.grid.ac/institutes/grid.63984.30", 
          "name": [
            "Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, 1650 Cedar Ave., L9.309, H3G 1A4, Montreal, QC, Canada", 
            "Department of Surgery, McGill University Health Centre, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Fata", 
        "givenName": "Paola", 
        "id": "sg:person.01324046740.52", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01324046740.52"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Department of Surgery, McGill University Health Centre, Montreal, QC, Canada", 
          "id": "http://www.grid.ac/institutes/grid.63984.30", 
          "name": [
            "Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, 1650 Cedar Ave., L9.309, H3G 1A4, Montreal, QC, Canada", 
            "Department of Surgery, McGill University Health Centre, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Lee", 
        "givenName": "Lawrence", 
        "id": "sg:person.01001041614.18", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01001041614.18"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Department of Surgery, McGill University Health Centre, Montreal, QC, Canada", 
          "id": "http://www.grid.ac/institutes/grid.63984.30", 
          "name": [
            "Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, 1650 Cedar Ave., L9.309, H3G 1A4, Montreal, QC, Canada", 
            "Department of Surgery, McGill University Health Centre, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Feldman", 
        "givenName": "Liane S.", 
        "id": "sg:person.01005046155.51", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01005046155.51"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "sg:pub.10.1007/s00464-016-4977-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1015356126", 
          "https://doi.org/10.1007/s00464-016-4977-8"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/1478-7954-8-6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1003755296", 
          "https://doi.org/10.1186/1478-7954-8-6"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s10029-014-1312-y", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1004804534", 
          "https://doi.org/10.1007/s10029-014-1312-y"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00268-007-9260-7", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1037236541", 
          "https://doi.org/10.1007/s00268-007-9260-7"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s10029-013-1168-6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1039245242", 
          "https://doi.org/10.1007/s10029-013-1168-6"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11605-015-2894-0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047727702", 
          "https://doi.org/10.1007/s11605-015-2894-0"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s10029-017-1620-0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1085574374", 
          "https://doi.org/10.1007/s10029-017-1620-0"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s10029-018-1865-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1110707908", 
          "https://doi.org/10.1007/s10029-018-1865-2"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2020-08-06", 
    "datePublishedReg": "2020-08-06", 
    "description": "IntroductionIncisional negative pressure wound therapy (iNPWT) may reduce surgical site infections (SSI), which can have devastating consequences after incisional hernia repair. Few comparative studies investigate the effectiveness of this wound management strategy in this population. The objective of this study is to determine the effect of iNPWT on the incidence of SSI after complex incisional hernia repair.MethodsAll adult patients undergoing open incisional hernia repair at a single center from 2016 to 2019 were reviewed. A commercial iNPWT dressing was used at the discretion of the surgeon. Patients were grouped by type of dressing; iNPWT and standard sterile dressings (SSD). Coarsened exact matching was used to create balanced cohorts for comparison using age, sex, American Society of\u00a0Anesthesiologists classification, wound classification, and surgical urgency. The primary outcome was the composite incidence of superficial and deep SSI within 30\u00a0days. Secondary outcomes included non-infectious surgical site occurrences (SSO), overall complications, length of stay (LOS), emergency department visits, and readmission at 30\u00a0days.Results134 patients underwent complex hernia repair, with 114 patients included after matching (34 iNPWT, 51 SSD). Composite incidence of superficial and deep SSI was 19.3% (11.8% vs. 27.5%, p\u2009=\u20090.107), with significantly lower rates of deep SSI in patients receiving iNPWT (2.9% vs. 17.6%, p\u2009=\u20090.045). After accounting for residual differences between groups, iNPWT was associated with decreased incidence of composite SSI (RR 0.36, 95% CI [0.16, 0.87]). Median LOS was longer in patients with iNPWT (7 vs. 5\u00a0days, p\u2009=\u20090.001). There were no differences in SSO, overall complications, readmission, or emergency department visits.ConclusionIn patients undergoing incisional hernia repair, the use of iNPWT was associated with a lower incidence of SSI at 30\u00a0days. Future studies should focus on cost effectiveness of iNPWT, its impact on long-term hernia recurrences, and the identification of patient selection criteria in this population.", 
    "genre": "article", 
    "id": "sg:pub.10.1007/s00464-020-07857-1", 
    "inLanguage": "en", 
    "isAccessibleForFree": false, 
    "isPartOf": [
      {
        "id": "sg:journal.1098220", 
        "issn": [
          "0930-2794", 
          "1432-2218"
        ], 
        "name": "Surgical Endoscopy", 
        "publisher": "Springer Nature", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "7", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "35"
      }
    ], 
    "keywords": [
      "deep surgical site infection", 
      "surgical site infection", 
      "incisional hernia repair", 
      "length of stay", 
      "surgical site occurrence", 
      "complex incisional hernia repair", 
      "standard sterile dressing", 
      "emergency department visits", 
      "hernia repair", 
      "composite incidence", 
      "overall complications", 
      "site infection", 
      "department visits", 
      "incidence of SSI", 
      "median LOS", 
      "open incisional hernia repair", 
      "negative pressure wound therapy", 
      "MethodsAll adult patients", 
      "incisional negative pressure", 
      "patient selection criteria", 
      "pressure wound therapy", 
      "wound management strategies", 
      "complex hernia repair", 
      "types of dressings", 
      "Anesthesiologists classification", 
      "ConclusionIn patients", 
      "adult patients", 
      "Secondary outcomes", 
      "cohort study", 
      "primary outcome", 
      "single center", 
      "surgical urgency", 
      "decreased incidence", 
      "balanced cohort", 
      "sterile dressing", 
      "lower incidence", 
      "wound therapy", 
      "patients", 
      "site occurrence", 
      "incidence", 
      "readmission", 
      "devastating consequences", 
      "complications", 
      "American Society", 
      "therapy", 
      "lower rates", 
      "infection", 
      "repair", 
      "visits", 
      "future studies", 
      "outcomes", 
      "days", 
      "negative pressure", 
      "cost effectiveness", 
      "dressing", 
      "selection criteria", 
      "hernia", 
      "stay", 
      "population", 
      "cohort", 
      "study", 
      "surgeons", 
      "age", 
      "sex", 
      "exact matching", 
      "differences", 
      "management strategies", 
      "comparative study", 
      "group", 
      "urgency", 
      "criteria", 
      "center", 
      "effectiveness", 
      "classification", 
      "occurrence", 
      "residual differences", 
      "rate", 
      "impact", 
      "effect", 
      "objective", 
      "pressure", 
      "use", 
      "identification", 
      "consequences", 
      "strategies", 
      "types", 
      "discretion", 
      "comparison", 
      "length", 
      "society", 
      "commercial", 
      "matching"
    ], 
    "name": "S116: Impact of incisional negative pressure wound therapy on surgical site infection after complex incisional hernia repair: a retrospective matched cohort study", 
    "pagination": "3949-3960", 
    "productId": [
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1129936674"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s00464-020-07857-1"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "32761478"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s00464-020-07857-1", 
      "https://app.dimensions.ai/details/publication/pub.1129936674"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2022-06-01T22:20", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-springernature-scigraph/baseset/20220601/entities/gbq_results/article/article_843.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://doi.org/10.1007/s00464-020-07857-1"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s00464-020-07857-1'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s00464-020-07857-1'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s00464-020-07857-1'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00464-020-07857-1'


 

This table displays all metadata directly associated to this object as RDF triples.

292 TRIPLES      22 PREDICATES      134 URIs      118 LITERALS      15 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s00464-020-07857-1 schema:about N009dcf70498e42f4abec39c71bbd37a1
2 N24d767fe9a0b41ab923d05bdfd8a15c7
3 N7164ed3c3a2a40da9272035f695f2208
4 N88f196f19db94b8bb1b1906044fc2ed3
5 Nb0b0253192ac4a7b82fee5034d95086a
6 Nb236471e6485493db90aef57788bb7a7
7 Nf31e5bb973054762adf5f8e923772d1f
8 Nfce7e2341e214f9880ade2282f0d6733
9 anzsrc-for:11
10 anzsrc-for:1103
11 schema:author Na740958f548542a2b8dac2aa75b969d7
12 schema:citation sg:pub.10.1007/s00268-007-9260-7
13 sg:pub.10.1007/s00464-016-4977-8
14 sg:pub.10.1007/s10029-013-1168-6
15 sg:pub.10.1007/s10029-014-1312-y
16 sg:pub.10.1007/s10029-017-1620-0
17 sg:pub.10.1007/s10029-018-1865-2
18 sg:pub.10.1007/s11605-015-2894-0
19 sg:pub.10.1186/1478-7954-8-6
20 schema:datePublished 2020-08-06
21 schema:datePublishedReg 2020-08-06
22 schema:description IntroductionIncisional negative pressure wound therapy (iNPWT) may reduce surgical site infections (SSI), which can have devastating consequences after incisional hernia repair. Few comparative studies investigate the effectiveness of this wound management strategy in this population. The objective of this study is to determine the effect of iNPWT on the incidence of SSI after complex incisional hernia repair.MethodsAll adult patients undergoing open incisional hernia repair at a single center from 2016 to 2019 were reviewed. A commercial iNPWT dressing was used at the discretion of the surgeon. Patients were grouped by type of dressing; iNPWT and standard sterile dressings (SSD). Coarsened exact matching was used to create balanced cohorts for comparison using age, sex, American Society of Anesthesiologists classification, wound classification, and surgical urgency. The primary outcome was the composite incidence of superficial and deep SSI within 30 days. Secondary outcomes included non-infectious surgical site occurrences (SSO), overall complications, length of stay (LOS), emergency department visits, and readmission at 30 days.Results134 patients underwent complex hernia repair, with 114 patients included after matching (34 iNPWT, 51 SSD). Composite incidence of superficial and deep SSI was 19.3% (11.8% vs. 27.5%, p = 0.107), with significantly lower rates of deep SSI in patients receiving iNPWT (2.9% vs. 17.6%, p = 0.045). After accounting for residual differences between groups, iNPWT was associated with decreased incidence of composite SSI (RR 0.36, 95% CI [0.16, 0.87]). Median LOS was longer in patients with iNPWT (7 vs. 5 days, p = 0.001). There were no differences in SSO, overall complications, readmission, or emergency department visits.ConclusionIn patients undergoing incisional hernia repair, the use of iNPWT was associated with a lower incidence of SSI at 30 days. Future studies should focus on cost effectiveness of iNPWT, its impact on long-term hernia recurrences, and the identification of patient selection criteria in this population.
23 schema:genre article
24 schema:inLanguage en
25 schema:isAccessibleForFree false
26 schema:isPartOf N253bf9a9955e487393dcbac8ae1f8a7b
27 N4e673c02f2c84845b18fc54a243d7f4c
28 sg:journal.1098220
29 schema:keywords American Society
30 Anesthesiologists classification
31 ConclusionIn patients
32 MethodsAll adult patients
33 Secondary outcomes
34 adult patients
35 age
36 balanced cohort
37 center
38 classification
39 cohort
40 cohort study
41 commercial
42 comparative study
43 comparison
44 complex hernia repair
45 complex incisional hernia repair
46 complications
47 composite incidence
48 consequences
49 cost effectiveness
50 criteria
51 days
52 decreased incidence
53 deep surgical site infection
54 department visits
55 devastating consequences
56 differences
57 discretion
58 dressing
59 effect
60 effectiveness
61 emergency department visits
62 exact matching
63 future studies
64 group
65 hernia
66 hernia repair
67 identification
68 impact
69 incidence
70 incidence of SSI
71 incisional hernia repair
72 incisional negative pressure
73 infection
74 length
75 length of stay
76 lower incidence
77 lower rates
78 management strategies
79 matching
80 median LOS
81 negative pressure
82 negative pressure wound therapy
83 objective
84 occurrence
85 open incisional hernia repair
86 outcomes
87 overall complications
88 patient selection criteria
89 patients
90 population
91 pressure
92 pressure wound therapy
93 primary outcome
94 rate
95 readmission
96 repair
97 residual differences
98 selection criteria
99 sex
100 single center
101 site infection
102 site occurrence
103 society
104 standard sterile dressing
105 stay
106 sterile dressing
107 strategies
108 study
109 surgeons
110 surgical site infection
111 surgical site occurrence
112 surgical urgency
113 therapy
114 types
115 types of dressings
116 urgency
117 use
118 visits
119 wound management strategies
120 wound therapy
121 schema:name S116: Impact of incisional negative pressure wound therapy on surgical site infection after complex incisional hernia repair: a retrospective matched cohort study
122 schema:pagination 3949-3960
123 schema:productId N60cb7e5e33294538bafab287cdc40ff6
124 N8f654c4ab4004eb19deb5f79d2952ef1
125 Nd3e588079b6d46738ed27678bb56b095
126 schema:sameAs https://app.dimensions.ai/details/publication/pub.1129936674
127 https://doi.org/10.1007/s00464-020-07857-1
128 schema:sdDatePublished 2022-06-01T22:20
129 schema:sdLicense https://scigraph.springernature.com/explorer/license/
130 schema:sdPublisher N409a86fed0134c9884d8bb5f0d228632
131 schema:url https://doi.org/10.1007/s00464-020-07857-1
132 sgo:license sg:explorer/license/
133 sgo:sdDataset articles
134 rdf:type schema:ScholarlyArticle
135 N009dcf70498e42f4abec39c71bbd37a1 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
136 schema:name Humans
137 rdf:type schema:DefinedTerm
138 N12e8efd5410d459bb2cdbd708c68f619 rdf:first sg:person.0616246656.01
139 rdf:rest Nbff0c685a4774ec28ae3aa35ee2f2151
140 N160534e03ed049548ff3ba832cb07afe rdf:first Ne2b0dac0f0b9469ba6f8536e61c3250c
141 rdf:rest N12e8efd5410d459bb2cdbd708c68f619
142 N208419c693c64e4eaed3fa9e3d4f4fb7 rdf:first sg:person.01324046740.52
143 rdf:rest N832c90ebd44449569c8fd4de365f62cc
144 N24d767fe9a0b41ab923d05bdfd8a15c7 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
145 schema:name Neoplasm Recurrence, Local
146 rdf:type schema:DefinedTerm
147 N253bf9a9955e487393dcbac8ae1f8a7b schema:volumeNumber 35
148 rdf:type schema:PublicationVolume
149 N2dd00d7bdbce4aa0b063de596a622e4b rdf:first sg:person.07572137757.66
150 rdf:rest N160534e03ed049548ff3ba832cb07afe
151 N3b071862bb554f83b772276c8178a6c1 rdf:first sg:person.01031211650.34
152 rdf:rest N208419c693c64e4eaed3fa9e3d4f4fb7
153 N409a86fed0134c9884d8bb5f0d228632 schema:name Springer Nature - SN SciGraph project
154 rdf:type schema:Organization
155 N4e673c02f2c84845b18fc54a243d7f4c schema:issueNumber 7
156 rdf:type schema:PublicationIssue
157 N60cb7e5e33294538bafab287cdc40ff6 schema:name doi
158 schema:value 10.1007/s00464-020-07857-1
159 rdf:type schema:PropertyValue
160 N7164ed3c3a2a40da9272035f695f2208 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
161 schema:name Negative-Pressure Wound Therapy
162 rdf:type schema:DefinedTerm
163 N832c90ebd44449569c8fd4de365f62cc rdf:first sg:person.01001041614.18
164 rdf:rest N8d3bcf3b81b14940a39cf6dd7858dde7
165 N88f196f19db94b8bb1b1906044fc2ed3 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
166 schema:name Incisional Hernia
167 rdf:type schema:DefinedTerm
168 N8d3bcf3b81b14940a39cf6dd7858dde7 rdf:first sg:person.01005046155.51
169 rdf:rest rdf:nil
170 N8f654c4ab4004eb19deb5f79d2952ef1 schema:name dimensions_id
171 schema:value pub.1129936674
172 rdf:type schema:PropertyValue
173 N9139b4313702481e9527dd90f85afabf rdf:first sg:person.01051400466.56
174 rdf:rest N3b071862bb554f83b772276c8178a6c1
175 Na740958f548542a2b8dac2aa75b969d7 rdf:first sg:person.014104667557.27
176 rdf:rest Nd54f435569c84240941a473a3b008895
177 Nb0b0253192ac4a7b82fee5034d95086a schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
178 schema:name Cohort Studies
179 rdf:type schema:DefinedTerm
180 Nb236471e6485493db90aef57788bb7a7 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
181 schema:name Surgical Wound Infection
182 rdf:type schema:DefinedTerm
183 Nbff0c685a4774ec28ae3aa35ee2f2151 rdf:first sg:person.01355616217.11
184 rdf:rest N9139b4313702481e9527dd90f85afabf
185 Nd3e588079b6d46738ed27678bb56b095 schema:name pubmed_id
186 schema:value 32761478
187 rdf:type schema:PropertyValue
188 Nd54f435569c84240941a473a3b008895 rdf:first sg:person.010356527753.05
189 rdf:rest N2dd00d7bdbce4aa0b063de596a622e4b
190 Ne2b0dac0f0b9469ba6f8536e61c3250c schema:affiliation grid-institutes:grid.14709.3b
191 schema:familyName Cipolla
192 schema:givenName Josie
193 rdf:type schema:Person
194 Nf31e5bb973054762adf5f8e923772d1f schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
195 schema:name Adult
196 rdf:type schema:DefinedTerm
197 Nfce7e2341e214f9880ade2282f0d6733 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
198 schema:name Retrospective Studies
199 rdf:type schema:DefinedTerm
200 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
201 schema:name Medical and Health Sciences
202 rdf:type schema:DefinedTerm
203 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
204 schema:name Clinical Sciences
205 rdf:type schema:DefinedTerm
206 sg:journal.1098220 schema:issn 0930-2794
207 1432-2218
208 schema:name Surgical Endoscopy
209 schema:publisher Springer Nature
210 rdf:type schema:Periodical
211 sg:person.01001041614.18 schema:affiliation grid-institutes:grid.63984.30
212 schema:familyName Lee
213 schema:givenName Lawrence
214 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01001041614.18
215 rdf:type schema:Person
216 sg:person.01005046155.51 schema:affiliation grid-institutes:grid.63984.30
217 schema:familyName Feldman
218 schema:givenName Liane S.
219 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01005046155.51
220 rdf:type schema:Person
221 sg:person.01031211650.34 schema:affiliation grid-institutes:grid.63984.30
222 schema:familyName Vassiliou
223 schema:givenName Melina
224 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01031211650.34
225 rdf:type schema:Person
226 sg:person.010356527753.05 schema:affiliation grid-institutes:grid.63984.30
227 schema:familyName Eustache
228 schema:givenName Jules
229 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010356527753.05
230 rdf:type schema:Person
231 sg:person.01051400466.56 schema:affiliation grid-institutes:grid.63984.30
232 schema:familyName Khwaja
233 schema:givenName Kosar
234 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01051400466.56
235 rdf:type schema:Person
236 sg:person.01324046740.52 schema:affiliation grid-institutes:grid.63984.30
237 schema:familyName Fata
238 schema:givenName Paola
239 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01324046740.52
240 rdf:type schema:Person
241 sg:person.01355616217.11 schema:affiliation grid-institutes:grid.63984.30
242 schema:familyName Fried
243 schema:givenName Gerald M.
244 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01355616217.11
245 rdf:type schema:Person
246 sg:person.014104667557.27 schema:affiliation grid-institutes:grid.63984.30
247 schema:familyName Hopkins
248 schema:givenName Brent
249 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.014104667557.27
250 rdf:type schema:Person
251 sg:person.0616246656.01 schema:affiliation grid-institutes:grid.63984.30
252 schema:familyName Kaneva
253 schema:givenName Pepa
254 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0616246656.01
255 rdf:type schema:Person
256 sg:person.07572137757.66 schema:affiliation grid-institutes:grid.14709.3b
257 schema:familyName Ganescu
258 schema:givenName Olivia
259 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.07572137757.66
260 rdf:type schema:Person
261 sg:pub.10.1007/s00268-007-9260-7 schema:sameAs https://app.dimensions.ai/details/publication/pub.1037236541
262 https://doi.org/10.1007/s00268-007-9260-7
263 rdf:type schema:CreativeWork
264 sg:pub.10.1007/s00464-016-4977-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1015356126
265 https://doi.org/10.1007/s00464-016-4977-8
266 rdf:type schema:CreativeWork
267 sg:pub.10.1007/s10029-013-1168-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1039245242
268 https://doi.org/10.1007/s10029-013-1168-6
269 rdf:type schema:CreativeWork
270 sg:pub.10.1007/s10029-014-1312-y schema:sameAs https://app.dimensions.ai/details/publication/pub.1004804534
271 https://doi.org/10.1007/s10029-014-1312-y
272 rdf:type schema:CreativeWork
273 sg:pub.10.1007/s10029-017-1620-0 schema:sameAs https://app.dimensions.ai/details/publication/pub.1085574374
274 https://doi.org/10.1007/s10029-017-1620-0
275 rdf:type schema:CreativeWork
276 sg:pub.10.1007/s10029-018-1865-2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1110707908
277 https://doi.org/10.1007/s10029-018-1865-2
278 rdf:type schema:CreativeWork
279 sg:pub.10.1007/s11605-015-2894-0 schema:sameAs https://app.dimensions.ai/details/publication/pub.1047727702
280 https://doi.org/10.1007/s11605-015-2894-0
281 rdf:type schema:CreativeWork
282 sg:pub.10.1186/1478-7954-8-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1003755296
283 https://doi.org/10.1186/1478-7954-8-6
284 rdf:type schema:CreativeWork
285 grid-institutes:grid.14709.3b schema:alternateName Faculty of Medicine, McGill University, Montreal, QC, Canada
286 schema:name Faculty of Medicine, McGill University, Montreal, QC, Canada
287 rdf:type schema:Organization
288 grid-institutes:grid.63984.30 schema:alternateName Department of Surgery, McGill University Health Centre, Montreal, QC, Canada
289 Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, 1650 Cedar Ave., L9.309, H3G 1A4, Montreal, QC, Canada
290 schema:name Department of Surgery, McGill University Health Centre, Montreal, QC, Canada
291 Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, 1650 Cedar Ave., L9.309, H3G 1A4, Montreal, QC, Canada
292 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...