title: [Use of negative pressure wound therapy on surgical incisions (prevena™) after surgery of pectus deformities reduces wound complications].
abstract: BACKGROUND
  Pectus surgery can lead to postoperative wound complications in some cases. The purpose of this study is to determine whether preventive negative pressure wound therapy (NPWT) could reduce wound complications after open pectus surgery.
  
  
  METHODS
  100 patients after open procedure for the treatment of pectus excavatum or pectus carinatum in the years 2010 to 2012 were retrospectively analysed. 50 patients treated with Prevena™ (KCI Medical Products GmbH, Wiesbaden, Germany) were compared with 50 patients whose wounds were covered with OPSITE® film (Smith & Nephew, Hamburg, Germany). Wound closure was performed following a standard procedure as well as the placement of subcutaneous drains. Therefore two comparable groups of patients were formed and analysed by standardised parameters. The wound dressing was placed epicutaneously immediately after wound closure in the operating room and removed after 5 days in each case. Follow-ups were performed immediately after removal of the wound dressing, at the time of discharge from hospital as well as 6 and 12 weeks after operation. The wounds were checked for tenderness, pain, secretion, redness and fistulas.
  
  
  RESULTS
  The Prevena group showed 10 % wound complications which needed operative treatment, whereas the OPSITE group showed complications in 24 %. Some patients who were treated with Prevena showed superficial skin lesions at the rim of the foam and the film. All of these lesions healed well.
  
  
  CONCLUSIONS
  Treating wounds postoperatively with preventive measures (NPWT) showed a remarkable reduction of wound complications following open pectus surgery whereas statistically the difference was not significant (p = 0.074).
authors.affiliation: Kinderchirurgische Abteilung, Universitätsklinikum Erlangen, Erlangen, Deutschland.
authors.forename: K
authors.initials: K
authors.lastname: Simon
authors.affiliation: Ärztliche DRG Koordination, Universitätsklinikum Erlangen, Erlangen, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Schulz-Drost
authors.affiliation: Kinderchirurgische Abteilung, Universitätsklinikum Erlangen, Erlangen, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Besendörfer
authors.affiliation: Kinderchirurgische Abteilung, Universitätsklinikum Erlangen, Erlangen, Deutschland.
authors.forename: R T
authors.initials: RT
authors.lastname: Carbon
authors.affiliation: Kinderchirurgische Abteilung, Universitätsklinikum Erlangen, Erlangen, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Schulz-Drost
mesh_terms: D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D005260:Female; D005660:Funnel Chest / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy / Q000379:methods*; D066166:Pectus Carinatum / Q000601:surgery*; D011140:Polyurethanes; D011183:Postoperative Complications / Q000517:prevention & control*; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000517:prevention & control*; D014945:Wound Healing / Q000502:physiology*; D055815:Young Adult
chemical_list: C027324:Opsiture; D011140:Polyurethanes