Examination of the usefulness of combined use of DPC and NPWT after emergency laparotomy for lower gastrointestinal perforation

• Published in: Japanese Journal of Acute Care Surgery Vol. 12; no. 1; pp. 71 - 75
• Main Authors: Taniguchi, Yoshiki, Yamaguchi, Eiji, Kato, Junichiro, Fukata, Tadafumi, Ito, Yusuke, Kittaka, Hirotada, Hayashi, Yasuyuki, Fukuzaki, Takayuki, Sawano, Hirotaka, Shingai, Tatsushi
• Format: Journal Article
• Language: Japanese
• Published: The Japanese Society for the Acute Care Surgery 2022; 一般社団法人 日本Acute Care Surgery 学会
• Subjects: delayed primary closure; Hinchey classification; Hinchey分類; lower gastrointestinal perforation; negative pressure wound therapy; surgical site infection; 下部消化管穿孔; 局所陰圧療法; 術後創部感染; 遷延一時縫合
• ISSN: 2436-102X
• DOI: 10.50840/jjacs.12-20

【Purpose】 We investigate the usefulness of combined use of Delayed Primary Closure （DPC） and Negative Pressure Wound Therapy （NPWT） after emergency laparotomy for lower gastrointestinal perforation. 【Subjects and Methods】We retrospectively investigated 37 cases of lower gastrointestinal perforation corresponding to Hinchey classification Stage Ⅲ or Ⅳ who underwent emergency laparotomy. We divided 37 patients into a primary closure group and a group in which DPC and NPWT were used in combination. 【Results】 The incidence of Surgical Site Infection （SSI） between the two groups was 31.6％ vs 27.8％ （P＝0.80）, showing no statistically significant difference. However, the incidence of deep incisional SSI between two groups was 21.1％ vs 0.00％ （P＜0.05）, showing a statistically significant difference. 【Conclusion】 In patients who underwent emergency laparotomy for lower gastrointestinal perforation, the combined use of DPC and NPWT may reduce the incidence of deep incisional SSI.