Skip to main content
SpringerLink
Log in

Infection in Surgery: How to Manage the Surgical Wound

  • Chapter
  • First Online:
Infections in Surgery

Part of the book series: Hot Topics in Acute Care Surgery and Trauma ((HTACST))

  • 1704 Accesses

Abstract

A proper postoperative management of surgical wound can reduce surgical site infection rates. No significant differences between dressing removing within or beyond 48 h from the end of operation on surgical site infection rate are described, from clean or clean-contaminated surgical wounds; many different dressing types are available but it is still not clear whether one type of dressing is better than any other for preventing surgical wounds’ complications. There is a rapidly emerging literature on the effect of incisional Negative Pressure Wound Therapy (iNPWT), on closed clean and clean-contaminated surgical wounds, for preventing surgical site events (infection and dehiscence).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Delmore B, Cohen JM, Chu A, Pham V, Chiu E. Reducing postsurgical wound complication: a critical review. Advanced Skin & Wound Care. 2017;30(6):272–85.

    Article  Google Scholar 

  2. Global guidelines for the prevention of surgical site infection. WHO World Health Organization 2016.

    Google Scholar 

  3. Dumville JC, Gray TA, Walter CJ, Sharp CA, Page T, Macefield R, Blencowe N, Milne TKG, Reeves BC, Blazeby J. Dressing for the prevention of surgical site infection. Cochrane Database Syst Rev. 2016 Dec;12.

    Google Scholar 

  4. Toon CD, Lusuku C, Ramamoorthy R, Davidson BR, Gurusamy KS. Early versus delayed dressing removal after primary closure of clean and clean-contaminated surgical wounds. Cochrane Database Syst Rev. 2015 Sep 3;(9).

    Google Scholar 

  5. Milne J, Vowden P, Fumarola S, Leaper D. Postoperative incision management made easy. Wounds UK. 2012;(suppl. 8):4.

    Google Scholar 

  6. Surgical Site Infection: prevention and treatment. NICE (National Institute for Health and Care Excellence) guideline 2019.

    Google Scholar 

  7. Elliott D, The Bluebelle Study Group. Developing outcome measures assessing wound management and patient experience: a mixed methods study. BMJ Open. 2017;7.

    Google Scholar 

  8. Heal CF, Banks JL, Lepper DP et al. Topical antibiotics for preventing surgical site infection in wounds healing by primary intention. Cochrane Systematic Review. 2016.

    Google Scholar 

  9. Karlakki S, Brem M, Giannini S, et al. Negative pressure wound therapy for management of the surgical incision in orthopaedic surgery. Bone Join Res. 2013;2:276–84.

    Article  CAS  Google Scholar 

  10. Malmsjo M, Huddlestone E, Martin R. Biological effects of a disposable, canisterless negative pressure wound therapy system. Eplasty.com. 2014;2:113–27.

    Google Scholar 

  11. Stannard JP, Gabriel A, Lehner B. Use of negative pressure wound therapy over clean, closed surgical incisions. Wound J. 2012;9(Suppl 1):32–9.

    Article  Google Scholar 

  12. World Union of Wound Healing Societies. Consensus Document. Close surgical incision management: understanding the role of NPWT. 2016.

    Google Scholar 

  13. Hykdig N, Birke-Sorensen H, Kruse M, et al. Meta-analysis of negative-pressure wound therapy for closed surgical incisions. BJS. 2016;103:477–86.

    Article  Google Scholar 

  14. Strugala V, Martin R. Meta-analysis of comparative trials evaluating a prophylactic single-use negative pressure wound therapy for the prevention of surgical site complications. Surg Infect. 2017;18(7):810–9.

    Article  Google Scholar 

  15. Renno I, Boos AM, Horch RE, Ludolph I. Changes of perfusion patterns of surgical wounds under application of closed incision negative pressure wound therapy in postbariatric patients. Clin Hemorheol Microcirc. 2019;72(2):139–50.

    Article  Google Scholar 

  16. Hasselman J, Bjork J, Svensson-Bjork R, Acosta S. Inguinal vascular surgical wound protection by incisional negative pressure wound therapy: a randomized controlled trial-INVIPS trial. Ann Surg. 2019;271:48–53.

    Article  Google Scholar 

  17. Webster J, Liu Z, Norman G, Dumville JC, Chiverton L, Schuffham P, et al. Negative pressure wound therapy for surgical wounds healing by primary closure. Cochrane Database Syst Rev. 2019. Mar 26;3:CD009261.

    PubMed  Google Scholar 

  18. Ingargiola MJ, Daniali LN, Lee ES. Does the application of incisional negative pressure therapy to high-risk wounds prevent surgical site complication? A systematic review. Eplasty.com. 2013;20:413–24.

    Google Scholar 

  19. Webster J, Schuffham P, Stankiewicz M, Chaboyer WP. Negative pressure wound therapy for skin grafts and surgical wounds healing by primary intention. Cochrane Database Syst Rev. 2014 Oct 7.

    Google Scholar 

  20. Sandy-Hodgetts K, Watts R. Effectiveness of negative pressure wound therapy/closed incision management in the prevention of post-surgical wound complication: a systematic review and meta-analysis. JBI Database System Rv Implement Rep. 2015 Feb 23;13(1):253–303.

    Article  Google Scholar 

  21. Sahebally SM, McKevitt K, Stephens I, et al. Negative pressure wound therapy for closed laparotomy incision in general and colorectal surgery: a systematic review and meta-analysis. JAMA Surg. 2018 Nov 1;153(11):e183467.

    Article  Google Scholar 

  22. Pellino G, Sciaudone G, Selvaggi F, Canonico S. Prophylactic negative pressure wound therapy in colorectal surgery. Effects on surgical site events: current status and call to action. Updat Surg. 2015 Sep;67(3):235–45.

    Article  Google Scholar 

  23. Willy C, Agarwal A, Andresen CA, De Santis G et al. Closed incision negative pressure therapy: international multidisciplinary consensus recommendations. Int Wound J. 2016 published by Medicalhelplines.com.

  24. Culver DH, Horan TC, Gaynes RP, et al. Surgical wound infection rates by wound class, operative procedure and patient risk index. Am J Med. 1991;91:152–7.

    Article  Google Scholar 

  25. Foglia E, Ferrario L, Garagiola E, Signoriello G, Pellino G, Croce D, Canonico S. Economic and organizational sustainability of a negative-pressure portable device for the prevention of surgical-site complication. ClinicoEconomics and Outcomes Research. 2017(9):343–51.

    Google Scholar 

  26. Broadus ZA. Does negative pressure wound therapy have a role in preventing post-sternotomy wound complication? Surg Innov. June 2009;16(2):140–6.

    Article  Google Scholar 

  27. Pleger SP, Nink N, Elzien M, et al. Reduction of groin wound complications in vascular surgery patients using closed incision negative pressure therapy (ciNPT): a prospective, randomised, single-institution study. Int Wound J. 2018 Feb;15(1):75–83.

    Article  Google Scholar 

  28. Swanson EW, Cheng HT, Susarla SM, et al. Does negative pressure therapy applied to closing incisions following ventral hernia repair prevent wound complications and hernia recurrence? A systematic review and meta-analysis. Plast Surg. 2016;24:113–8.

    Article  Google Scholar 

  29. Zayan NE, West JM, Schulz SA, et al. Incisional negative pressure wound therapy: an effective tool for major limb amputation and amputation revision site closure. Adv Wound Care. 2019;8(8):368–73.

    Article  Google Scholar 

  30. Van der Valk M, De Graaf E, Doornebosch P, Vermaas M. Incisional negative-pressure wound therapy for perineal wounds after abdominoperineal resection for rectal cancer, a pilot study. Adv Wound Care. 2017;6(12):425–9.

    Article  Google Scholar 

  31. Poehnert D, Hadeler N, Schrem H, et al. Decreased superficial surgical site infection, shortened hospital stay, and improved quality of life due to incisional negative pressure wound therapy after reversal of double loop ileostomy. Wound Rep Reg. 2017;25:994–1001.

    Article  Google Scholar 

  32. Smith RL. Jamie K. Bohl, Shannon T, McElearney et al. wound infection after elective colorectal resection. Ann Surg. 2004;239:599–604.

    Article  Google Scholar 

  33. Monitoring surgical wounds for infection: information for patients. Public Health England. 2018.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. General Surgery Department, Azienda Ospedaliera Marche Nord, Pesaro, Italy

    Domitilla Foghetti

Authors
  1. Domitilla Foghetti
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Surgery, Macerata Hospital, Macerata, Italy

    Massimo Sartelli

  2. Comparative Effectiveness and Clinical Outcomes Research Center - CECORC, Riverside University Health System Medical Center, Moreno Valley, CA, USA

    Raul Coimbra

  3. Department of infectious diseases, Ospedale di Bolzano, Bolzano, Italy

    Leonardo Pagani

  4. Department of Surgery, Anadolu Medical Centre, Kocaeli, Turkey

    Kemal Rasa

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Foghetti, D. (2021). Infection in Surgery: How to Manage the Surgical Wound. In: Sartelli, M., Coimbra, R., Pagani, L., Rasa, K. (eds) Infections in Surgery. Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-030-62116-2_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-62116-2_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-62115-5

  • Online ISBN: 978-3-030-62116-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation