A single-center prospective study on the efficiency of negative pressure wound therapy versus conventional wound therapy in the postoperative management of devitalized and infected wounds
Mircea Mureșan 1Horațiu Suciu 2Dorin Marian 1Adrian Mureșan 3Rozalia Gabor 4Radu Neagoe 1Daniela Sala 1Marton Denes 1Simona Muresan 5Marina Melano 5Ioan Balmoș 6
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Article Info
1 University of Medicine, Pharmacy, Science and Technology of Tîrgu Mureș, Surgery Clinic No.2, Romania
2 University of Medicine, Pharmacy, Science and Technology of Tîrgu Mureș, Department of Surgery No.4, Romania
3 University of Medicine, Pharmacy, Science and Technology of Tîrgu Mureș, Vascular Surgery, Romania
4 University of Medicine, Pharmacy, Science and Technology of Tîrgu Mureș, Faculty of Economic, Law and Administrative Sciences, Management - Economy Department, Romania
5 University of Medicine, Pharmacy, Science and Technology of Tîrgu Mureș, Romania
6 University of Medicine, Pharmacy, Science and Technology of Tîrgu Mureș, Anatomy Department, Romania
INTRODUCTION: In this study, we aim to present the benefits of using negative pressure wound therapy, particularly with respect to the speed up of recovery time of devitalized and infected post-operative wounds, cost-effectiveness of local healing, pain relief during treatment, and returning to work and resuming normal daily activities at an earlier time. MATERIALS AND METHODS: This was a prospective study performed in General Surgery Clinic, between 2016–2018. The study comprised 67 patients divided into two groups: A (29 patients who underwent negative pressure wound therapy) and B (38 patients who underwent conventional wound therapy). RESULTS: The average age of patients included in group A was 64.2 ± 12.3 years and in group B, 63.2 ± 9.7 years (p=0.440). The wounds were located on the foot, thigh, abdomen, and other areas, and the average length of stay in hospital was 33 ± 18 days for group A versus 17 ± 14 days for group B (p=0.042) but with an average local healing time of 12 ± 5 days in group A versus 44 ± 17 days in group B (p<0.001). The average cost of hospitalization was higher in group A: 17,868 ± 9,560 RON (3,834 ± 2,051 euros) compared to group B: 6,025 ± 4,137 RON (1,292 ± 887 euros) (p=0.443) but the average cost of local healing was lower in group A: 5,437 ± 2,238 RON (1,166 ± 480 euro) compared to group B: 6,840 ± 3,520 RON (1,467 ± 755 euro) (p=0.005). CONCLUSIONS: The treatment of devitalized and infected post-operative wounds by using negative pressure wound therapy reduces local and complete healing time by approximately 30%, local healing costs by 26%, and allows better pain management during treatment with minimal complications.
Keywords
Negative pressure wound Therapy
Conventional wound therapy
Local healing
average cost
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