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Negative pressure wound therapy to prevent seromas and treat surgical incisions after total hip arthroplasty

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Abstract

Purpose

The purpose of this study was to evaluate the use of negative pressure wound therapy (NPWT) to improve wound healing after total hip arthroplasty (THA) and its influence on the development of postoperative seromas in the wound area.

Materials

The study is a prospective randomised evaluation of NPWT in patients with large surgical wounds after THA, randomising patients to either a standard dressing (group A) or a NPWT (group B) over the wound area. The wound area was examined with ultrasound to measure the postoperative seromas in both groups on the fifth and tenth postoperative days.

Results

There were 19 patients randomised in this study. Ten days after surgery, group A (ten patients, 70.5 ± 11.01 years of age) developed seromas with an average size of 5.08 ml and group B (nine patients, 66.22 ± 17.83 years of age) 1.97 ml. The difference was significant (p = 0.021).

Conclusion

NPWT has been used on many different types of traumatic and non traumatic wounds. This prospective, randomised study has demonstrated decreased development of postoperative seromas in the wound and improved wound healing.

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Acknowledgments

Matthias H. Brem gave scientific presentations for KCI. The PREVENATM wound treatment system was provided by KCI free of charge.

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Authors and Affiliations

  1. Department of Surgery, Division of Trauma Surgery and Orthopaedic Surgery, Friedrich-Alexander University Erlangen-Nuremberg, Krankenhausstr. 12, 91054, Erlangen, Germany

    Milena Pachowsky, Johannes Gusinde, Andrea Klein, Stefan Schulz-Drost, Kolja Gelse & Matthias H. Brem

  2. Department of Psychiatry and Psychotherapy, Friedrich-Alexander University Erlangen-Nuremberg, Schwabachanlage 6, 91054, Erlangen, Germany

    Siegfried Lehrl

  3. Department of Radiology, Friedrich-Alexander University Erlangen-Nuremberg, Maxplatz 1, 91054, Erlangen, Germany

    Philipp Schlechtweg

  4. Department of Orthopaedic Rhumatology, Friedrich-Alexander University Erlangen-Nuremberg, Rathsbergerstr. 57, 91054, Erlangen, Germany

    Johannes Pauser

Authors
  1. Milena Pachowsky
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  2. Johannes Gusinde
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  3. Andrea Klein
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  4. Siegfried Lehrl
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  5. Stefan Schulz-Drost
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  6. Philipp Schlechtweg
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  7. Johannes Pauser
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  8. Kolja Gelse
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  9. Matthias H. Brem
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Corresponding author

Correspondence to Matthias H. Brem.

Additional information

Milena Pachowsky and Johannes Gusinde both contributed equally to this manuscript.

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Pachowsky, M., Gusinde, J., Klein, A. et al. Negative pressure wound therapy to prevent seromas and treat surgical incisions after total hip arthroplasty. International Orthopaedics (SICOT) 36, 719–722 (2012). https://doi.org/10.1007/s00264-011-1321-8

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  • DOI: https://doi.org/10.1007/s00264-011-1321-8

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