{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T23:36:58Z","timestamp":1723073818275},"reference-count":0,"publisher":"Surgical Technology Online","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surg Technol Int."],"abstract":"<jats:p>Background: The results of recent studies regarding the efficacy of  Negative Pressure Wound  Therapy (NPWT)  for the prevention of sternal wound infection (SWI) after adult cardiac surgery are not conclusive.   Methods: Data were collected from patients who were operated upon at the GVM Care &amp; Research group in Italy from 2013 to 2021; all patients who required treatment for sternotomy wound infection with Negative Pressure Wound Therapy (NPWT) through WaterLily\u2122 system (Eurosets, Medolla, MO, Italy) were selected. We compared the preoperative risk characteristics, and particularly those that were most strongly associated with possible dehiscence of the wound. A statistical analysis was performed for comparison of the groups.  Results: Out of the total 40,267 patients who underwent cardiac surgery with extracorporeal circulation within this time frame, 1,483 (3.68%) required NPWT, including 690 (46.52%) in the HOME group and 793 (53.47%) in the HOSPITAL group (p =0.76). Thirty-nine (5.65%) patients in the HOME group and 37 (4.66%) in the HOSPITAL group required re-treatment for re-dehiscence after secondary closure (p =0.79). Conclusions: The use of a  WaterLily\u2122 system (Eurosets, Medolla, MO, Italy) was safe and effective for the treatment of sternotomy wounds with superficial and deep infections and was associated with a low rate of dehiscence, even when used with discharged and managed outpatient patients.<\/jats:p>","DOI":"10.52198\/23.sti.42.cv1658","type":"journal-article","created":{"date-parts":[[2023,2,28]],"date-time":"2023-02-28T15:54:22Z","timestamp":1677599662000},"source":"Crossref","is-referenced-by-count":0,"title":["Negative Pressure Wound Therapy:  Comparison of Outpatient and  Inpatient Approaches"],"prefix":"10.52198","author":[{"name":"Department of Cardiac Surgery, Anthea Hospital, GVM Care & Research, Bari, Italy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Santarpino","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ignazio","family":"Condello","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"GVM Care & Research, Perfusion Service, Anthea Hospital, Bari, Italy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Nasso","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Cardiac Surgery, Anthea Hospital, GVM Care & Research, Bari, Italy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Speziale","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Cardiac Surgery, Anthea Hospital, GVM Care & Research, Bari, Italy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"18996","published-online":{"date-parts":[[2023,2,28]]},"container-title":["Surgical Technology Online"],"original-title":[],"deposited":{"date-parts":[[2023,2,28]],"date-time":"2023-02-28T15:54:23Z","timestamp":1677599663000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicaltechnology.com\/42-Cardiovascular-Surgery.htm#1658"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,28]]},"references-count":0,"URL":"https:\/\/doi.org\/10.52198\/23.sti.42.cv1658","relation":{},"ISSN":["1090-3941","1090-3941"],"issn-type":[{"type":"print","value":"1090-3941"},{"type":"electronic","value":"1090-3941"}],"subject":[],"published":{"date-parts":[[2023,2,28]]}}}