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    Vacuum-Assisted Incisional Closure Therapy After Groin Reconstruction With Muscle Flap

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    Author
    Taylor, Maryclare E
    Ngaage, Ledibabari M
    Wasicek, Philip
    Ha, Michael
    Nagarsheth, Khanjan
    Toursavadkohi, Shahab A
    Karwowski, John
    Rasko, Yvonne M
    Date
    2021-05-11
    Journal
    Cureus
    Publisher
    Cureus, Inc.
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.7759/cureus.14954
    Abstract
    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
    groin
    negative pressure wound therapy
    reconstructive surgical procedures
    surgical flaps
    wound closure
    wound repair
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/16027
    ae974a485f413a2113503eed53cd6c53
    10.7759/cureus.14954
    Scopus Count
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