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ORIGINAL ARTICLE
Year : 2012  |  Volume : 26  |  Issue : 3  |  Page : 171-174

Negative pressure wound therapy for post-cesarean, post-hysterectomy dehisced abdominal wounds


1 Department of Obstetrics and Gynaecology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
2 Department of Plastic Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
3 Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India

Correspondence Address:
Pradeep Jain
G-11, Lal Bahadur Shastri Colony, Karaundi, Varanasi - 221 005, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-4958 .113241

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Objectives: Abdominal wound dehiscence occurs in 0.5-3% of the patients following laparotomies. As the vacuum assisted closure technique is now well established to manage chronic wounds, we hereby describe an innovative approach to apply negative pressure to acute wounds. Materials and Methods: The innovative negative pressure device was applied in 5 patients, three with wound dehiscence after cesarean section and two after hysterectomy. A commercially available closed suction apparatus 14 gauge in size and 5 cm thick sponge were used. The sponge was covered with an adhesive transparent sheet. The dressing was changed every 48-72 hours depending on the amount of secretion present in the chamber. The suction device was charged as and when it got deflated. Results: All the wounds had gradually decreasing area of undermining and the discharge from the second dressing change onwards. Whereas three of them underwent a two-layered closure, the other two healed with 100% take of the skin graft. Discussion: Healing by secondary intention is a time consuming process that leads to prolonged hospital stay. The negative pressure wound therapy (NPWT) has been used to treat chronic wounds and pressure ulcers, It evacuates the drainage from the wounds and thereby decreases edema of wound margins and the adjacent areas. It also improves the blood flow to the wounds and decreases bacterial burden. The innovative device used by us is easily available, affordable, and simple to use with good outcome. Conclusion: NPWT is a valuable alternative in selected cases when a surgical closure is not indicated or not desired by the patient. The innovative device was well accepted by our patients as it did not add to their postpartum or post-operative stress. It can be used in any set-up in any patient, meeting the criteria of NPWT.


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