ArticleHernia : the journal of hernias and abdominal wall surgery2013
Use of vacuum-assisted closure in open incisional hernia repair: a novel approach to prevent seroma formation.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Prophylactic negative pressure wound therapy for closed laparotomy wounds: a systematic review and meta-analysis of randomised controlled trials.Irish journal of medical science · 2021Pooled it
- Prophylactic negative pressure wound therapy (NPWT) in laparotomy wounds (PROPEL-2): protocol for a randomized clinical trial.BJS open · 2024Article
- Negative Pressure Wound Therapy Prevents Hernia Recurrence in Simultaneous Ventral Hernia Repair and Panniculectomy.Plastic and reconstructive surgery. Global open · 2022Article
- Postoperative Fluid Collections in Total Joint Arthroplasty: A Narrative Review.Orthopedic research and reviews · 2022Review
- Prophylactic negative wound therapy in laparotomy wounds (PROPEL trial): randomized controlled trial.International journal of colorectal disease · 2019Article
- Management of skin and subcutaneous tissue in complex open abdominal wall reconstruction.Hernia : the journal of hernias and abdominal wall surgery · 2018Review
- Closed incision negative pressure therapy: international multidisciplinary consensus recommendations.International wound journal · 2017Review
- Prevention of subcutaneous seroma formation in open ventral hernia repair using a new low-thrombin fibrin sealant.World journal of surgery · 2014Article
- Reconstruction option of abdominal wounds with large tissue defects.BMC surgery · 2014Article
- Early outcome of incisional hernia repair using polypropylene mesh: A preliminary report.Nigerian medical journal : journal of the Nigeria Medical Association · 2014Article
- Use of dynamic wound closure system in conjunction with vacuum-assisted closure therapy in delayed closure of open abdomen.Hernia : the journal of hernias and abdominal wall surgery · 2014Article
- Negative pressure wound therapy for managementof the surgical incision in orthopaedic surgery: A review of evidence and mechanisms for an emerging indication.Bone & joint research · 2013Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionFrequent complications in incisional hernia surgery are re-herniation, wound infection and seroma formation. The use of subatmospheric pressure dressings such as the vacuum-assisted closure (VAC) device has been shown to be an effective way to accelerate healing of various wounds. Here, we describe the application of the VAC device as a postoperative dressing to prevent seroma formation after open incisional hernia repair.
methodsThree consecutive patients (63, 65 and 60 years of age, respectively) underwent incisional hernia repair. Patient body mass index was 30.9, 26.6 and 29 kg/m(2), respectively. All hernias were complex with a defect size greater than 10 cm and were repaired using the onlay technique. After suture skin closure the incision was covered with a thin VAC sponge (KCI, San Antonio, TX) that was set at -125 mm Hg and left in place for 5 days before removal.
resultsAn abdominal CT scan performed before discharge from the hospital did not show seroma formation. Physical examination 3 months after surgery was normal with no evidence of seroma (abdominal bulge and/or fluid wave).
conclusionsThis successful preliminary experience in three patients encourages the use of the VAC system in incisional hernia repair, particularly in selected patients with risk factors for seroma formation (e.g., large defects, obesity, patient comorbidities, nutritional status, number of prior abdominal incisions, etc.). Therefore, prevention of seroma formation after incisional hernia repair may be added as a novel application of the VAC device.
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