Presentation recorded at the 6th International NPWT Expert Meeting, Berlin 20-21 March 2015.
Michael Sugrue presented the state-of-the-art use of Negative Pressure Wound Therapy (NPWT) in open wounds, making an extensive review of the literature and sharing his clinical experience, particularly on the use of NPWT in the Open Abdomen. Prof. Sugrue reminded how, in the US, approximately 500,000 surgical site infections (SSI) occur per annum, 40-60% of which are considered preventable1. A SSI has been proven to affect long-term survival2, so the surgeons have to consider a multi-factorial strategy, including a precise timing of antibiotic administration, good bowel and skin preparation, double gloving, careful fascial closure technique, and the appropriate use of NPWT, in order to achieve better outcomes.
Evidence-based recommendations for the treatment variables of Negative Pressure Wound Therapy3, the use of NPWT in chronic wounds4, in traumatic wounds and reconstructive surgery5, and most recently in open abdominal wounds6 have been published, and are now available in the public domain, but the awareness of this therapeutic option is still relatively limited. In the management of the OA, one of the most important improvements, so far, is the combination of NPWT with a mesh-mediated traction, which has been proven to achieve a reduced lateralisation and an increased closure rate7.