Macroscopic changes during negative pressure wound therapy of the open abdomen using conventional negative pressure wound therapy and NPWT with a protective disc over the intestines
2011

Effects of Negative Pressure Wound Therapy on Intestinal Health

Sample size: 12 publication Evidence: moderate

Author Information

Author(s): Sandra Lindstedt, Malin Malmsjö, Johan Hansson, Joanna Hlebowicz, Richard Ingemansson

Primary Institution: Lund University and Skåne University Hospital

Hypothesis

Does the use of a protective disc during negative pressure wound therapy reduce intestinal damage compared to conventional methods?

Conclusion

Using a protective disc during negative pressure wound therapy significantly reduces the area of petechial bleeding in the intestines.

Supporting Evidence

  • Conventional NPWT resulted in larger areas of petechial bleeding compared to NPWT with a protective disc.
  • The protective disc significantly reduced the area of bleeding after 12, 24, and 48 hours.
  • The study used a pressure of -120 mmHg, which is commonly used in clinical settings.

Takeaway

This study found that putting a protective disc between the intestines and the vacuum helps keep the intestines safe and reduces bleeding.

Methodology

Twelve pigs were divided into two groups, one receiving conventional NPWT and the other NPWT with a protective disc, with assessments made after 12, 24, and 48 hours.

Limitations

The study was conducted on healthy pigs, which may not reflect the clinical situation in patients with infections or trauma.

Participant Demographics

Twelve domestic pigs of both sexes, median weight 60 kg.

Statistical Information

P-Value

p < 0.001

Statistical Significance

p < 0.001

Digital Object Identifier (DOI)

10.1186/1471-2482-11-10

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