Vacuum-Assisted Incisional Closure Therapy After Groin Reconstruction With Muscle Flap
Author
Taylor, Maryclare ENgaage, Ledibabari M
Wasicek, Philip
Ha, Michael
Nagarsheth, Khanjan
Toursavadkohi, Shahab A
Karwowski, John
Rasko, Yvonne M
Date
2021-05-11Journal
CureusPublisher
Cureus, Inc.Type
Article
Metadata
Show full item recordAbstract
Background: Groin reconstruction with muscle flap coverage is associated with high wound complication rates. Incisional vacuum-assisted closure (iVAC) therapy may lower wound complications. We evaluated the impact of iVAC on postoperative outcomes in patients following groin reconstruction with muscle flap coverage. Methods: We conducted a retrospective review of patients who underwent groin reconstruction with muscle flap coverage in 2012-2018. Patients were divided into those who received iVAC therapy and those who received standard sterile dressings (SSD). Results: Of the 57 patients included, most received iVAC therapy (71%, n = 41) and the rest received SSD (28%, n = 16). The iVAC group had higher rates of diabetes, hypertension, coronary artery disease, and peripheral artery disease (p < 0.05). However, iVAC patients had comparable length of hospital stay (12 vs 8.5 days p = 0.0735), reoperations (34% vs 31%, p = 0.8415), and readmissions (32% vs 37%, p = 0.6801) with SSD patients. iVAC placement was less likely in prophylactic flaps (odds ratio 0.08, p = 0.0049). Conclusion: Patients with a prophylactic flap were less likely to receive vacuum therapy, which may highlight a selection bias where surgeons pre-emptively use iVAC therapy in surgical candidates identified as high risk. The pre-emptive use of iVAC may minimize adverse postoperative outcomes in high-risk patients.Rights/Terms
Copyright © 2021, Taylor et al.Keyword
groinnegative pressure wound therapy
reconstructive surgical procedures
surgical flaps
wound closure
wound repair
Identifier to cite or link to this item
http://hdl.handle.net/10713/16027ae974a485f413a2113503eed53cd6c53
10.7759/cureus.14954
Scopus Count
Collections
Related articles
- Prophylactic Muscle Flaps in Primary Vascular Procedures of the Groin.
- Authors: Wallace AB, Piper ML, Holland M, Lee S, Orringer M, Eichler C, Kim EA, Hansen SL
- Issue date: 2022 Jan
- Incisional wound VAC and risk-adjusted SSI rates in colorectal surgery: A tertiary centre experience.
- Authors: Webb MA, Bleszynski MS, Chen L, Chiu J, Meneghetti A, Panton ON
- Issue date: 2019 May
- Managing Groin Wounds after Infrainguinal Vascular Procedures: Examining the Reoperative Events and Complication Profile of Muscle Flap Reconstruction.
- Authors: Mirzabeigi MN, Fischer JP, Basta MN, Fracol M, Kovach SJ, Wu LC, Serletti JM, Low DW, Kanchwala S
- Issue date: 2017 Aug
- Outcome of rectus femoris muscle flaps performed by vascular surgeons for the management of complex groin wounds after femoral artery reconstructions.
- Authors: Ryer EJ, Garvin RP, Kapadia RN, Jorgensen BD, Green JO, Fluck M, Orlova K, Cindric MC, Elmore JR
- Issue date: 2020 Mar
- Outcomes of Gracilis Muscle Flaps in the Management of Groin Complications after Arterial Bypass with Prosthetic Graft.
- Authors: Dua A, Rothenberg KA, Lavingia K, Ho VT, Rao C, Desai SS
- Issue date: 2018 Aug