{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T01:27:29Z","timestamp":1749778049171},"reference-count":20,"publisher":"S.C. JURNALUL PENTRU MEDICINA SI VIATA S.R.L","issue":"3","license":[{"start":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T00:00:00Z","timestamp":1561939200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMedLife"],"abstract":"<jats:p>Wound dehiscence is a significant problem faced by surgeons after major abdominal surgery. In this study, it was aimed to select the best incision management system to keep the incision edges together and prevent wound opening, and infection by protecting the incision. In this study, 60 patients who underwent abdominal surgery were evaluated regarding their risk of wound dehiscence. In our clinic, high-risk cases of abdominal surgery are performed, the risk factors being ischemia along the incision line, dirty and contaminated wound, obesity, tension on the suture line, traumatization of the wound site, age at onset (&gt; 65), body mass index (BMI) &gt; 30, diabetes mellitus, chronic obstructive pulmonary disease (COPD), immunosuppressive drug users. A prospective study protocol was planned after ASA (American Society of Anesthesiologists) physical status class assignment. Patients were divided into three groups: patients who underwent a postoperative negative-pressure therapy dressing, patients who underwent subcutaneous aspiration drainage, and patients who received standard dressing. The aim of this study was to evaluate the decompensation, surgical site infection, seroma, hospital stay and costs and to evaluate the results in the postoperative period. Sixty patients were randomized (n = 20, for each group). Thirty-one (51%) of the patients were male, and the mean age was 64.3 \u00b1 8.9 (46-85). The mean BMI was 30.45 \u00b1 7.2. There was no statistically significant difference (p\u22650.05) between groups in terms of sex, age, and BMI. The ASA score and surgical interventions were similar between the groups. Wound dehiscence rate was 25% (n = 8), 20% (n = 6) and 3% (n = 1) for the Standard Dressing (SD), Aspiration Drainage (AD) and Negative-Pressure (NP) groups, respectively (p &lt;0.017). Duration of hospitalization was 16.45 \u00b1 6.6, 14.3 \u00b1 7.4 and 8.95 \u00b1 2.8 days (p &lt;0.001) for SD, AD and NP groups, respectively. No statistically significant difference was found between the groups regarding other variables (p\u22650.05 for all variables). Negative-pressure wound treatment is an easy, fast and practical technique which reduces lateral tension and swelling. It provides perfusion support and helps to protect the surgical field against external sources of infection.<\/jats:p>","DOI":"10.25122\/jml-2019-0033","type":"journal-article","created":{"date-parts":[[2019,11,15]],"date-time":"2019-11-15T10:42:47Z","timestamp":1573814567000},"page":"276-283","source":"Crossref","is-referenced-by-count":7,"title":["Comparison of negative-pressure incision management system in wound dehiscence: A prospective, randomized, observational study"],"prefix":"10.25122","volume":"12","author":[{"given":"Mehmet","family":"Ali G\u00f6k","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Clinic of General Surgery, Health Sciences University, Derince Training and Research Hospital, Kocaeli, Turkey","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"Tolga Kafadar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Clinic of General Surgery, Health Sciences University, Mehmet Akif \u0130nan Training and Research Hospital, \u015eanl\u0131urfa, Turkey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Mehmet Tolga Kafadar MD. Clinic of General Surgery, Health Sciences University, Mehmet Akif \u0130nan Training and Research Hospital, Esentepe Mahallesi Ertu\u011frul Caddesi, 63300, \u015eanl\u0131urfa, Turkey, Tel: + 90 414 3186000, Fax: + 90 414 3186707, E-mail: drtolgakafadar@hotmail.com","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serkan","family":"Fatih Ye\u011fen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Clinic of General Surgery, Ali Osman S\u00f6nmez Oncology Hospital, Bursa, Turkey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10755","published-online":{"date-parts":[[2019,7]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Witte MB, Barbul A. General principles of wound healing. 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J Orthop Trauma. 2006;20:705\u2013709.","DOI":"10.1097\/01.bot.0000211159.98239.d2"}],"container-title":["Journal of Medicine and Life"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.medandlife.ro\/current-issue\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,4,29]],"date-time":"2020-04-29T12:11:04Z","timestamp":1588162264000},"score":1,"resource":{"primary":{"URL":"https:\/\/medandlife.org\/wp-content\/uploads\/JMedLife-12-276.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,7]]}},"alternative-id":["JMedLife-12-276"],"URL":"https:\/\/doi.org\/10.25122\/jml-2019-0033","relation":{},"ISSN":["1844-122X","1844-3117"],"issn-type":[{"type":"print","value":"1844-122X"},{"type":"electronic","value":"1844-3117"}],"subject":[],"published":{"date-parts":[[2019,7]]}}}