Top

International Journal of Colorectal Disease

Published in:

01-02-2017 | Short Communication

Impact of incisional negative pressure wound therapy on perineal wound healing after abdominoperineal rectum extirpation

Authors: Armin Wiegering, Ulrich A. Dietz, Caroline Corteville, Lars Plaßmeier, Christian Jurowich, Christoph-Thomas Germer, Katica Krajinovic

Published in: International Journal of Colorectal Disease | Issue 2/2017

Abstract

Introduction

Perineal wound healing disorders are one of the major complications following abdominoperineal rectum extirpation.

Methods and results

We evaluated the impact of an “incisional negative pressure wound therapy” (iNPWT) system after abdominoperineal rectum extirpation in six patients. All patients had a neoadjuvant radiochemotherapy with 50.4 Gy and 5-FU. Five of the six patients (83%) experienced complication-free healing of the perineal wound after 5 to 12 days of iNPWT. One patient developed a wound healing disorder 8 days after abdominoperineal rectum extirpation during current iNPWT.

Discussion

Use of an iNPWT system can be of favor after abominoperineal rectum extirpation.

Musters GD, Buskens CJ, Bemelman WA, Tanis PJ (2014) Perineal wound healing after abdominoperineal resection for rectal cancer: a systematic review and meta-analysis. Dis Colon rectum 57:1129–1139CrossRefPubMed

Horch RE (2015) Incisional negative pressure wound therapy for high-risk wounds. J Wound Care 24:21–28CrossRefPubMed

Dohmen PM, Markou T, Ingemansson R, Rotering H, Hartman JM, van Valen R, Brunott M, Segers P (2014) Use of incisional negative pressure wound therapy on closed median sternal incisions after cardiothoracic surgery: clinical evidence and consensus recommendations. Med Sci Monit 20:1814–1825CrossRefPubMedPubMedCentral

Soares KC, Baltodano PA, Hicks CW, Cooney CM, Olorundare IO, Cornell P, Burce K, Eckhauser FE (2015) Novel wound management system reduction of surgical site morbidity after ventral hernia repairs: a 1itical analysis. Am J Surg 209:324–332CrossRefPubMed

Blackham AU, Farrah JP, McCoy TP, Schmidt BS, Shen P (2013) Prevention of surgical site infections in high-risk patients with laparotomy incisions using negative-pressure therapy. Am J Surg 205:647–654CrossRefPubMed

Grauhan O, Navasardyan A, Hofmann M, Müller P, Stein J, Hetzer R (2013) Prevention of poststernotomy wound infections in obese patients by negative pressure wound therapy. J Thorac Cardiovasc Surg 145:1387–1392CrossRefPubMed

Title: Impact of incisional negative pressure wound therapy on perineal wound healing after abdominoperineal rectum extirpation
Authors: Armin Wiegering
Ulrich A. Dietz
Caroline Corteville
Lars Plaßmeier
Christian Jurowich
Christoph-Thomas Germer
Katica Krajinovic
Publication date: 01-02-2017
Publisher: Springer Berlin Heidelberg
Published in: International Journal of Colorectal Disease / Issue 2/2017
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-016-2704-5

At a glance: The STEP trials

Springer Medicine

Impact of incisional negative pressure wound therapy on perineal wound healing after abdominoperineal rectum extirpation

Abstract

Introduction

Methods and results

Discussion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Methods and results

Discussion

Please log in to get access to this content

Other articles of this Issue 2/2017

Laparoscopic versus open distal pancreatectomy—a propensity score-matched analysis from the German StuDoQ|Pancreas registry

Pathologic response grade after long-course neoadjuvant chemoradiation does not influence morbidity in locally advanced mid-low rectal cancer resected by laparoscopy

Impact of perioperative hypoglycaemia in subjects with diabetes undergoing colorectal surgery

Insulated-tip knife endoscopic polypectomy for difficult pedunculated colorectal polyps: a prospective pilot study

Evaluation of lymph flow patterns in splenic flexural colon cancers using laparoscopic real-time indocyanine green fluorescence imaging

Combining aneuploidy and dysplasia for colitis’ cancer risk assessment outperforms current surveillance efficiency: a meta-analysis