Presentation recorded at the 6th International NPWT Expert Meeting, Berlin 20-21 March 2015.
Orthopaedic surgery workstream
James Stannard presented an overview of the incidence and impact of incisional complications in trauma surgery. The aim of surgery is to get the soft tissue envelope to heal, particularly where fractures are in areas with minimal coverage over the bone and limited blood flow. Prof. Stannard presented his pioneering work undertaken in 249 patients to determine the effect of NPWT vs. standard care in high risk fracture repair sites1. He also discussed other studies that have used iNPWT in obese patients (excellent outcome), seroma/haematoma management (not conclusive), open fracture with immediate closure, fracture blisters (good healing) and soft tissue coverage. He concluded that prophylactic NPWT can be a useful adjunct in trauma surgery.