{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T22:50:21Z","timestamp":1784069421978,"version":"3.55.0"},"reference-count":45,"publisher":"Mark Allen Group","issue":"Sup4a","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study evaluates the clinical outcomes of negative pressure wound therapy plus debridement (NPWT+D) compared to conventional debridement (CD) in cases of subcutaneous abdominal wound healing impairment (SAWHI) following obstetric and gynaecological surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>This retrospective cohort study examined data from patients with obesity (body mass index \u226530kg\/m\u00b2) who experienced SAWHI after surgical site infections following obstetric and gynaecological procedures. Patients were divided into two groups according to treatment methods: the control group received standard care with debridement alone (CD group), while the remainder received NPWT+D (NPWT+D group). Data were collected from patient medical records, focusing on: demographic factors; comorbidities; wound characteristics; perioperative data; wound healing; hospital stay; intravenous treatment; infection rates; and dressing counts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The data of 103 patients were reviewed. The NPWT+D group (n=50) demonstrated shorter wound healing times than the CD group (n=53) (11.3\u00b14.2 days versus 14.9\u00b16.4 days, respectively; p=0.004) and markedly fewer debridement sessions (3.7\u00b11.5 versus 14.5\u00b15.9, respectively; p&lt;0.001). Additionally, reinfection rates were significantly lower in the NPWT+D group compared with the CD group (4.0% versus 24.5%, respectively; p=0.003).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The findings of this retrospective study showed that NPWT, when integrated with surgical debridement, demonstrated significant efficacy in managing SAWHI following obstetric and gynaecological procedures. Compared to CD, NPWT+D was associated with accelerated wound healing and decreased frequency of dressing changes, thereby minimising patient discomfort and healthcare resource use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.12968\/jowc.2025.0021","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T18:06:32Z","timestamp":1775153192000},"source":"Crossref","is-referenced-by-count":2,"title":["Negative pressure wound therapy versus conventional debridement in subcutaneous abdominal wound healing in obese patients following obstetric\/gynaecologic surgery"],"prefix":"10.12968","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2215-1198","authenticated-orcid":false,"given":"Ozan","family":"Karadeniz","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osman Murat","family":"Guler","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bugra","family":"Tunc","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"Goksu","sequence":"additional","affiliation":[{"name":"University of Health Sciences, Kanuni Sultan Suleyman Training and Research Hospital, Department of Gynecology and Obstetrics, Istanbul, 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