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Published in:

01-04-2012 | Original Paper

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

Authors: Milena Pachowsky, Johannes Gusinde, Andrea Klein, Siegfried Lehrl, Stefan Schulz-Drost, Philipp Schlechtweg, Johannes Pauser, Kolja Gelse, Matthias H. Brem

Published in: International Orthopaedics | Issue 4/2012

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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Title: Negative pressure wound therapy to prevent seromas and treat surgical incisions after total hip arthroplasty
Authors: Milena Pachowsky
Johannes Gusinde
Andrea Klein
Siegfried Lehrl
Stefan Schulz-Drost
Philipp Schlechtweg
Johannes Pauser
Kolja Gelse
Matthias H. Brem
Publication date: 01-04-2012
Publisher: Springer-Verlag
Published in: International Orthopaedics / Issue 4/2012
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-011-1321-8

At a glance: The STEP trials

Springer Medicine

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

Abstract

Purpose

Materials

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Materials

Results

Conclusion

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