Evidence map›Paper›PMID 34768697›Full record

ArticleJournal of clinical medicine2021

Use of Closed Incision Negative Pressure Therapy (ciNPT) in Breast Reconstruction Abdominal Free Flap Donor Sites.

Jennifer Wang, Zyg Chapman, Emma Cole, Satomi Koide, Eldon Mah, Simon Overstall, Dean Trotter

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 22 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Jennifer WangDepartment of Plastic and Reconstructive Surgery, Royal Melbourne Hospital, Melbourne, VIC 3050, Australia.ORCID 0000-0002-1241-1371
Zyg ChapmanFaculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, VIC 3053, Australia.
Emma ColeDepartment of Plastic and Reconstructive Surgery, Royal Melbourne Hospital, Melbourne, VIC 3050, Australia.
Satomi KoideDepartment of Plastic and Reconstructive Surgery, Royal Melbourne Hospital, Melbourne, VIC 3050, Australia.
Eldon MahDepartment of Plastic and Reconstructive Surgery, Royal Melbourne Hospital, Melbourne, VIC 3050, Australia.
Simon OverstallDepartment of Plastic and Reconstructive Surgery, Royal Melbourne Hospital, Melbourne, VIC 3050, Australia.
Dean TrotterDepartment of Plastic and Reconstructive Surgery, Royal Melbourne Hospital, Melbourne, VIC 3050, Australia.
The Royal Melbourne Hospital · AUThe University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClosed incision negative pressure therapy (ciNPT) may reduce the rate of wound complications and promote healing of the incisional site. We report our experience with this dressing in breast reconstruction patients with abdominal free flap donor sites.

methodsA retrospective cohort study was conducted of all patients who underwent breast reconstruction using abdominal free flaps (DIEP, MS-TRAM) at a single institution (Royal Melbourne Hospital, Victoria) between 2016 and 2021.

results126 female patients (mean age: 50 ± 10 years) were analysed, with 41 and 85 patients in the ciNPT (Prevena) and non-ciNPT (Comfeel) groups, respectively. There were reduced wound complications in almost all outcomes measured in the ciNPT group compared with the non-ciNPT group; however, none reached statistical significance. The ciNPT group demonstrated a lower prevalence of surgical site infections (9.8% vs. 11.8%), wound dehiscence (4.9% vs. 12.9%), wound necrosis (0% vs. 2.4%), and major complication requiring readmission (2.4% vs. 7.1%).

conclusionThe use of ciNPT for abdominal donor sites in breast reconstruction patients with risk factors for poor wound healing may reduce wound complications compared with standard adhesive dressings; however, large scale, randomised controlled trials are needed to confirm these observations. Investigation of the impact of ciNPT patients in comparison with conventional dressings, in cohorts with equivocal risk profiles, remains a focus for future research.

Indexed as

breast reconstructionDIEPnegative pressure dressingPrevenawound management

Identifiers

PMID34768697
PMCPMC8584502
OpenAlexW3214640437

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.