{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T17:16:05Z","timestamp":1788801365411,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,3,2]],"date-time":"2017-03-02T00:00:00Z","timestamp":1488412800000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Surgical site infection (SSI) and wound dehiscence are dreaded complications following laparotomy in general surgical patients, and can potentially occur more often in various comorbid states. Negative\u2010pressure wound therapy (NPWT) has a positive effect of on open and complicated wounds and so has been used for at\u2010risk surgical incisions with the aim of redistributing lateral tension and holding incision edges together. The aim of the present study was to compare the rate of wound complications following laparotomy in high\u2010risk general surgical patients with a clean incision treated with closed\u2010incision negative\u2010pressure therapy (ciNPT) with those receiving conventional care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A retrospective review was performed of the hospital medical records of patients who underwent laparotomy between 1 October 2010 and 31 March 2012. Records of 69 patients who received ciNPT and 112 who were managed by adherent gauze dressings were included in the final analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two (2.9%) patients in the ciNPT group and 23 (20.5%) in the non\u2010NPWT group developed a wound complication following laparotomy (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.0009). The relative risk (RR) was 0.14 (0.03\u20130.58), suggesting that infection is less likely to occur in ciNPT\u2010treated incisions, compared with gauze dressings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>ciNPT was associated with a positive clinical outcome and was a safe and effective method of postsurgical management in our general surgery patients considered to have risk of developing wound complications following laparotomy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.13458","type":"journal-article","created":{"date-parts":[[2016,7,15]],"date-time":"2016-07-15T09:41:13Z","timestamp":1468575673000},"page":"283-287","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":53,"title":["Closed\u2010incision negative\u2010pressure therapy in high\u2010risk general surgery patients following laparotomy: a retrospective study"],"prefix":"10.1111","volume":"19","author":[{"given":"A.","family":"Zaidi","sequence":"first","affiliation":[{"name":"Surgery North Tees and Hartlepool NHSFT Stockton on Tees UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"El\u2010Masry","sequence":"additional","affiliation":[{"name":"Surgery Our Lady Of Lourdes Drogheda Louth Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,3,2]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e31819a5e45"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2010.249"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000124292.21605.99"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0b013e31822ff8f0"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1754-9493-4-5"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199706000-00001"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.2165\/00128071-200506030-00005"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1553350611414920"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ta.0000195996.73186.2e"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1553350609334821"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e318216b1e5"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.328.7441.702"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200108000-00007"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0b013e3182a39959"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-015-0817-8"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.bot.0000211159.98239.d2"},{"key":"e_1_2_7_18_1","first-page":"1833","volume-title":"Microbial Pathogens and Strategies for Combating Them: science, Technology and Education","author":"Kubek EW","year":"2014"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-011-1321-8"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12294"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1586\/17434440.2014.911081"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1302\/2046-3758.212.2000190"},{"key":"e_1_2_7_23_1","first-page":"88","article-title":"The use of a topical negative pressure system in at risk vascular surgery wounds: A pilot study","volume":"83","author":"Weir G","year":"2011","journal-title":"Specialist Forum"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e31824c9073"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2014.01.014"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-015-0995-4"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcodi.13458","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcodi.13458","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.13458","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T11:21:43Z","timestamp":1696332103000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.13458"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3]]},"references-count":25,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2017,3]]}},"alternative-id":["10.1111\/codi.13458"],"URL":"https:\/\/doi.org\/10.1111\/codi.13458","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3]]},"assertion":[{"value":"2016-01-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-04-08","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-03-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}