Clinical efficacy of local negative pressure method for treatment of infectious wound complications after non-stretching hernioplasty
Abstract
The frequency of infectious complications of non-stretching hernioplasty is increasing everywhere; loss of the implant significantly reduces the patient s quality of life. The authors analyze the comparative results of treatment of 70 patients using the local negative pressure method and without it with a follow-up period of 1 month to 7.5 years. Decrease in the proportion of completely removed implants and the frequency of recurrence of the infectious process, using the local negative pressure method, infectious complications of non-stretching hernioplasty.
About the Authors
V. N. Obolenskiy
City Hospital No. 13; City Hospital No. 13, Russian National Research Medical University n.a. N.I. Pirogov
Russian Federation
Russian Federation
V. Yu. Enokhov
City Hospital No. 13, Russian National Research Medical University n.a. N.I. Pirogov
Russian Federation
Russian Federation
S. V. Kharitonov
City Hospital No. 13, Russian National Research Medical University n.a. N.I. Pirogov
Russian Federation
Russian Federation
References
1. Lee L., Mata J., Landry T., et al. A systematic review of synthetic and biologic materials for abdominal wall reinforcement in contaminated fields. Surg Endosc. 2014; 28: 2531-46.
2. Nguyen M. T., Berger R. L., Hicks S. C., Davila J. A., Li L. T., Kao L. S., Liang M. K. Comparison of outcomes of synthetic mesh vs suture repair of elective primary ventral herniorrhaphy: a systematic review and meta-analysis. JAMA Surg. 2014 May; 149(5): 415-21.
3. Сонис А. Г., Грачев Б. Д., Столяров Е.А., Ишутов И. В. Профилактика и лечение инфекционных раневых осложнений при протезирующих грыжесечениях. Раны и раневая инфекция. 2014, Том 1, № 2: 16-23.
4. Fischer J. P., Wink J. D., Nelson J. A., Kovach S. J., /// Among 1,706 cases of abdominal wall reconstruction, what factors influence the occurrence of major operative complications? Surgery. 2014; 155: 311-9.
5. Levi B., Zhang P., Lisiecki J., et al. Use of morphometric assessment of body composition to quantify risk of surgical-site infection in patients undergoing component separation ventral hernia repair. Plast Reconstr Surg. 2014; 133: 559e-566e.
6. Lovecchio F., Farmer R., Souza J., Khavanin N., Dumanian G. A., Kim J. Y. Risk factors for 30-day readmission in patients undergoing ventral hernia repair. Surgery. 2014; 155: 702-10.
7. Deysine M. Pathophysiology, prevention, and management of prosthetic infections in hernia surgery. Surg Clin North Am. 1998 Dec; 78 (6): 1105-15.
8. Condé-Green A., Chung T. L., Holton L. H. 3rd, Hui-Chou H. G., Zhu Y., Wang H., Zahiri H., Singh D. P. Incisional negative-pressure wound therapy versus conventional dressings following abdominal wall reconstruction: a comparative study. Ann Plast Surg. 2013 Oct; 71 (4): 394-7. doi: 10.1097/SAP.0b013e31824c9073.
9. Berrevoet F., Vanlander A., Sainz-Barriga M., Rogiers X., Troisi R. Infected large pore meshes may be salvaged by topical negative pressure therapy. Hernia. 2013 Feb; 17 (1): 67-73. doi: 10.1007/s10029-012-0969-3. Epub 2012 Jul 27.
10. Stremitzer S., Bachleitner-Hofmann T., Gradl B., Gruenbeck M., Bachleitner-Hofmann B., Mittlboeck M., Bergmann M. Mesh graft infection following abdominal hernia repair: risk factor evaluation and strategies of mesh graft preservation. A retrospective analysis of 476 operations. World J Surg. 2010 Jul; 34 (7): 1702-9. doi: 10.1007/s00268-010-0543-z.
11. Pauli E. M., Krpata D. M., Novitsky Y. W., Rosen M. J. Negative pressure therapy for high-risk abdominal wall reconstruction incisions. Surg /nfect (Larchmt). 2013 Jun; 14 (3): 270-4. doi: 10.1089/sur.2012.059. Epub 2013 Apr 16.
12. Rosen M. J., Krpata D. M., Ermlich B., Blatnik J. A. A 5-year clinical experience with single-staged repairs of infected and contaminated abdominal wall defects utilizing biologic mesh. Ann Surg. 2013 Jun; 257 (6): 991-6. doi: 10.1097/SLA.0b013e3182849871.
13. Satterwhite T. S., Miri S., Chung C., Spain D., Lorenz H. P., Lee G. K. Outcomes of complex abdominal herniorrhaphy: experience with 106 cases. Ann Plast Surg. 2012 Apr; 68 (4): 382-8. doi: 10.1097/SAP.0b013e31823b68b1.
14. Zuvela M., Milicevic M., Galun D., Lekic N., Basaric D., Tomic D., Petrovic M., Palibrk I. [Infection in hernia surgery]. Acta Chir lugosl. 2005; 52(1): 9-26. [Article in Serbian].
15. Swanson E. W., Cheng H.-T., Susarla S. M., Lough D. M., Kumar A. R. Does negative pressure wound therapy applied to closed incisions following ventral hernia repair prevent wound complications and hernia recurrence? A systematic review and meta-analysis. Plast Surg (Oakv). 2016 Summer, 24 (2): 113-118.
16. Bueno Lledô J., Sosa Quesada Y., Gomez I Gavara I, Vaqué Urbaneja J., Carbonell Tatay F., Bonafé Diana S., Garcia Pastor P., Baquero Valdelomar R., Mir Pallardô J. Prosthetic infection after hernioplasty. Five years experience. Cir Esp. 2009 Mar; 85 (3): 158-64. doi: 10.1016/j.ciresp.2008.09.008. Epub 2009 Feb 6. [Article in Spanish].
17. Sanchez V. M., Abi-Haidar Y. E., Itani K. M. Mesh infection in ventral incisional hernia repair: incidence, contributing factors, and treatment. Surg Infect (Larchmt). 2011 Jun; 12 (3): 205-10. doi: 10.1089/sur.2011.033. Epub 2011 Jul 18.
18. Leber G. E., Garb J. L., Alexander A. I., Reed W. P. Long-term complications associated with prosthetic repair of incisional hernias. Arch Surg. 1998 Apr; 133 (4): 378-82.
19. Trunzo J. A., Ponsky J. L., Jin J., Williams C. P., Rosen M. J. A novel approach for salvaging infected prosthetic mesh after ventral hernia repair. Hernia. 2009 Oct; 13(5): 545-9. doi: 10.1007/s10029-009-0470-9. Epub 2009 Feb 12.
20. Steenvoorde P., de Roo R. A., Oskam J., Neijenhuis P. Negative pressure wound therapy to treat peri-prosthetic methicillin-resistant Staphylococcus aureus infection after incisional herniorrhaphy. A case study and literature review. Ostomy Wound Manage. 2006 Jan; 52 (1): 52-4.
21. Gillion J. F., Palot J. P. Abdominal wall incisional hernias: infected prosthesis: treatment and prevention. J Visc Surg. 2012 Oct; 149 (5 Suppl): 20-31. doi: 10.1016/j.jviscsurg.2012.04.003. Epub 2012 Nov 4.
22. Roberts D. J., Zygun D. A., Grendar J., Ball C. G., Robertson H. L., Ouellet J. F., Cheatham M. L., Kirkpatrick A.W. Negative-pressure wound therapy for critically ill adults with open abdominal wounds: a systematic review. J Trauma Acute Care Surg. 2012 Sep; 73 (3): 629-39.
23. Roberts D. J., Jenne C. N., Ball C. G., Tiruta C., Léger C., Xiao Z., Faris P. D., McBeth P. B., Doig C. J., Skinner C. R., Ruddell S. G., Kubes P., Kirkpatrick A. W. Efficacy and safety of active negative pressure peritoneal therapy for reducing the systemic inflammatory response after damage control laparotomy (the Intra-peritoneal Vacuum Trial): study protocol for a randomized controlled trial. Trials. 2013 May 16; 14: 141. doi: 10.1186/17456215-14-141.
24. Kirkpatrick A. W., Roberts D. J., Faris P. D., Ball C. G., Kubes P., Tiruta C., Xiao Z., Holodinsky J. K., McBeth P. B., Doig C. J., Jenne C. N. Active Negative Pressure Peritoneal Therapy After Abbreviated Laparotomy: The Intraperitoneal Vacuum Randomized Controlled Trial. Ann Surg. 2014 Dec 22 [Epub ahead of print].
25. Tadisina K. K., Chopra K., Sabino J., Maddox J. S., Samra S., Banda A., Singh D. P. Negative pressure wound therapy for abdominal wall reconstruction. Eplasty. 2013 Oct 31; 13: ic60. eCollection 2013.
26. Olona C., Duque E., Caro A., Jiménez A., Moreno F., Coronas J. M., Vicente V. Negative-pressure therapy in the postoperative treatment of incisional hernioplasty wounds: a pilot study. Adv Skin Wound Care. 2014 Feb; 27 (2): 77-80. doi: 10.1097/01.ASW.0000442873.48590.b5.
27. Dietz U. A., Spor L., Germer C.T. Management of mesh-related infections. Chirurg. 2011 Mar; 82 (3): 208-17. doi: 10.1007/s00104-010-2013-4. [Article in German].
28. Оболенский В. Н., Харитонов С. В., Энохов В. Ю., Ермолов А. А. Метод локального отрицательного давления в комплексном лечении инфекционных раневых осложнений ненатяжной герниопластики. Хирург, 2015, № 8, С. 25-32.
29. Yarets Y., Rubanov L., Novikova I., Shevchenko N. The Biofilm-forming capacity of staphylococcus aureus from chronic wounds can be useful for determining Wound-Bed Preparation methods. EWMA Journal, 2013, 13 (1): 7-13.
30. Давыдов Ю. А., Ларичев А. Б. Вакуум-терапия ран и раневой процесс. М.: Медицина. 1999; 160с. Ларичев А. Б. Низкодозированное отрицательное давление в лечении ран и раневой инфекции. Российский медицинский журнал. 2005; 4: 44-8.
31. Ларичев А. Б., Антонюк А. В., Кузьмин В. С. Вакуум-терапия в комплексном лечении гнойных ран. Хирургия 2008; 6: 22-6.
32. Erba P., Ogawa R., Ackermann M., Adini A., Miele L.F., Dastouri P., Helm D., Mentzer S. J., D’Amato R. J., Murphy G. F., Konerding M. A., Orgill D. P. Angiogenesis in wounds treated by microdeformational wound therapy. Ann Surg. 2011 February; 253 (2): 402-9. doi: 10.1097/SLA.0b013e31820563a8.
33. Larichev A. B. Vacuum-therapy of Wounds and Wound infections (negative Pressure Wound therapy). Carlsbad, CA (USA): Blue Sky Publishing. 2005, 248p.
34. Schintler M. V. Negative pressure therapy: theory and practice. Diabetes Metab Res Rev. 2012; 28 (Suppll 1): 72-7. doi: 10.1002/ dmrr.2243. The Theory and Practice of Vacuum Therapy. Edited by C. Willy. Germany. 2006: 405 p.
35. Gurtner G. C., Werner S., Barrandon Y., Longaker M. T. Wound repair and regeneration. Nature. 2008; 453: 314-21.
36. Давыдов Ю. А., Ларичев А. Б., Меньков К. Г. Бактериологическая и цитологическая оценка вакуум-терапии гнойных ран. Вестник хирургии. 1988, 10: 48-52.
37. Helgeson M. D., Potter B. K., Evans K. N., Shawen S. B. Bioartificial dermal substitute: a preliminary report on its use for the management of complex combat-related soft tissue wounds. J Orthop Trauma. 2007; 21: 394-9.
38. Leininger B. E., Rasmussen T. E., Smith D. L., Jenkins D. H., Coppola C. Experience with wound VAC and delayed primary closure of contaminated soft tissue injuries in Iraq. J Trauma. 2006; 61: 1207-11.
39. Patmo A. S., Krijnen P., Tuinebreijer W. E., Breederveld R. S. The Effect of Vacuum-Assisted Closure on the Bacterial Load and Type of Bacteria: A Systematic Review. Adv Wound Care (New Rochelle). 2014 May 1; 3 (5): 383-9.
40. Steingrimsson S., Gottfredsson M., Gudmundsdottir I., Sjögren J., Gudbjartsson T. Negative-pressure wound therapy for deep sternal wound infections reduces the rate of surgical interventions for early re-infections. Interact Cardiovasc Thorac Surg. 2012 Sep; 15 (3): 406-10.
41. Оболенский В. Н., Ермолов А. А., Аронов Л. С., Родоман Г. В., Серов Р. А. Применение метода локального отрицательного лечения в комплексном лечении острых гнойно-воспалительных заболеваний мягких тканей. Хирургия. 2012; 12: 50-5.
42. Mouës C. M., Vos M. C., van den Bemd G. J., Stijnen T., Hovius S. E. Bacterial load in relation to vacuum-assisted closure wound therapy: a prospective randomized trial. Wound Repair Regen. 2004; 12 (1): 11-7.
43. Yusuf E., Jordan X., Clauss M., Borens O., Mäder M., Trampuz A. High bacterial load in negative pressure wound therapy NPWT foams used in the treatment of chronic wounds. Wound Repair Regen. 2013; 21 (5): 677-81.
44. Al Fadhli A., Alexander G., Kanjoor J. R. Versatile use of vacuum-assisted healing in fifty patients. Indian J Plast Surg. 2009 Jul-Dec; 42(2): 161-8. doi: 10.4103/0970-0358.59273. Webb LX. New techniques in wound management: vacuum-assisted wound closure. J Am Acad Orthop Surg. 2002 Sep-Oct; 10 (5): 303-11.
45. Li X. Y., Li W. Z., Li Y. J., Lv X. X., Li J., Chen S. Z., Li J. Q. The influence of vacuum-assisted drainage on the growth of capillaries in the wound produced by explosion in pig. Zhonghua Shao Shang Za Zhi. 2007; 23 (4): 292-5.
46. Morykwas M., Argenta L. C., Shelton-Brown E. I., McGuirt W. Vacuum-assisted closure: A new method for wound control and treatment: Animal studies and basic foundation. Ann Plastic Surg. 1997; 38 (6): 553-62.
47. Morykwas M., Faller B., Pearce D., Argenta L. C. Effects of varuing levels of subatmospheric pressure on the rate of granulation tissue formation in experimental wounds in swine. Ann Plastic Surg. 2001; 47 (5): 547-51.
48. Norbury K., Kieswetter K. Vacuum-assisted closure therapy attenuates the inflammatory response in a porcine acute wound healing model. Wounds. 2007; 10: 97-106.
49. Saxena V., Hwang C. W., Huang S., Eichbaum Q., Ingber D., Orgill D. P. Vacuum-assisted closure: Microdeformations of wounds and cell proliferation. Plast Reconstr Surg. 2004; 114 (5): 1086-96.
50. Shirakawa M., Isseroff R. R. Topical negative pressure devices: Use for enhancement of healing chronic wounds. Arch Dermatol. 2005; 141: 1449-53.
51. Andros G., Armstrong D. G., Attinger C., Boulton A. J., Frykberg R. G., Joseph W. S., Lavery L. A., Morbach S., Niezgoda J. A., Toursarkissian B. Consensus statement on negative pressure wound therapy (V.A.C. therapy) for the management of diabetic foot wounds. Wounds. 2006; 18 (Suppl 6): 1-32.
52. Obolenskiy V. N., Ermolov A. A., Rodoman G. V. Negative pressure wound therapy in the treatment of acute pyo-in-flammatory disiases of soft tissues. EWMA Journal. 2016, 16 (2): 19-25.
53. Kirby F., Ward S., Sanchez O., Walker E., Mellett M. M., Maltz S. B., Lerner T. T. Novel uses of a negative-pressure wound care system. J Trauma. 2002; 53 (1): 117-21.
54. Orgill D. P., Manders E. K., Sumpio B. E., Lee R. C., Attinger C. E., Gunter G. C., Ehrlich H. P. The mechanisms of action of vacuum assisted closure: More to learn. Surgery. 2009; 146: 40-51. doi: 10.1016/j.surg.2009.02.002.
55. Baharestani M. M., Gabriel A. Use of negative pressure wound therapy in the management of infected abdominal wounds containing mesh: an analysis of outcomes. Int Wound J. 2011 Apr; 8 (2): 118-25. doi: 10.1111/j.1742-481X.2010.00756.x. Epub 2010 Dec 23.
56. Tamhankar A. P., Ravi K., Everitt N. J. Vacuum assisted closure therapy in the treatment of mesh infection after hernia repair. Surgeon. 2009 Oct; 7 (5): 316-8.
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For citations:
Obolenskiy V.N., Enokhov V.Yu., Kharitonov S.V. Clinical efficacy of local negative pressure method for treatment of infectious wound complications after non-stretching hernioplasty. Medical alphabet. 2018;1(9):45-49. (In Russ.)
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