Document Detail

Negative pressure wound therapy to prevent seromas and treat surgical incisions after total hip arthroplasty.
MedLine Citation:
PMID:  21761149     Owner:  NLM     Status:  MEDLINE    
PURPOSE: The purpose of this study was to evaluate the use of negative pressure wound therapy (NPWT) to improve wound healing after total hip arthroplasty (THA) and its influence on the development of postoperative seromas in the wound area.
MATERIALS: The study is a prospective randomised evaluation of NPWT in patients with large surgical wounds after THA, randomising patients to either a standard dressing (group A) or a NPWT (group B) over the wound area. The wound area was examined with ultrasound to measure the postoperative seromas in both groups on the fifth and tenth postoperative days.
RESULTS: There were 19 patients randomised in this study. Ten days after surgery, group A (ten patients, 70.5 ± 11.01 years of age) developed seromas with an average size of 5.08 ml and group B (nine patients, 66.22 ± 17.83 years of age) 1.97 ml. The difference was significant (p = 0.021).
CONCLUSION: NPWT has been used on many different types of traumatic and non traumatic wounds. This prospective, randomised study has demonstrated decreased development of postoperative seromas in the wound and improved wound healing.
Milena Pachowsky; Johannes Gusinde; Andrea Klein; Siegfried Lehrl; Stefan Schulz-Drost; Philipp Schlechtweg; Johannes Pauser; Kolja Gelse; Matthias H Brem
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2011-07-15
Journal Detail:
Title:  International orthopaedics     Volume:  36     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-03-26     Completed Date:  2012-07-19     Revised Date:  2013-06-28    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  719-22     Citation Subset:  IM    
Department of Surgery, Division of Trauma Surgery and Orthopaedic Surgery, Friedrich-Alexander University Erlangen-Nuremberg, Krankenhausstr. 12, 91054 Erlangen, Germany.
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MeSH Terms
Arthroplasty, Replacement, Hip / adverse effects,  methods*
Hematologic Tests
Negative-Pressure Wound Therapy / methods*
Osteoarthritis, Hip / surgery*
Postoperative Complications / prevention & control
Prospective Studies
Seroma / etiology,  prevention & control*,  ultrasonography
Treatment Outcome
Wound Healing / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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