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dc.contributor.authorTaylor, Maryclare E
dc.contributor.authorNgaage, Ledibabari M
dc.contributor.authorWasicek, Philip
dc.contributor.authorHa, Michael
dc.contributor.authorNagarsheth, Khanjan
dc.contributor.authorToursavadkohi, Shahab A
dc.contributor.authorKarwowski, John
dc.contributor.authorRasko, Yvonne M
dc.date.accessioned2021-06-16T14:36:26Z
dc.date.available2021-06-16T14:36:26Z
dc.date.issued2021-05-11
dc.identifier.urihttp://hdl.handle.net/10713/16027
dc.description.abstractBackground: 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.en_US
dc.description.urihttps://doi.org/10.7759/cureus.14954en_US
dc.language.isoenen_US
dc.publisherCureus, Inc.en_US
dc.relation.ispartofCureusen_US
dc.rightsCopyright © 2021, Taylor et al.en_US
dc.subjectgroinen_US
dc.subjectnegative pressure wound therapyen_US
dc.subjectreconstructive surgical proceduresen_US
dc.subjectsurgical flapsen_US
dc.subjectwound closureen_US
dc.subjectwound repairen_US
dc.titleVacuum-Assisted Incisional Closure Therapy After Groin Reconstruction With Muscle Flapen_US
dc.typeArticleen_US
dc.identifier.doi10.7759/cureus.14954
dc.identifier.pmid34123651
dc.source.volume13
dc.source.issue5
dc.source.beginpagee14954
dc.source.endpage
dc.source.countryUnited States


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