Closed-Incision Negative Pressure Therapy : Scoping Review and Multidisciplinary Consensus Recommendations of the Spanish Observatory of Infection in Surgery
Badia, Josep M. (Universitat Internacional de Catalunya)
Rubio-Pérez, Inés (Hospital Universitario La Paz (Madrid))
Morales-Pérez, Carlos (Hospital Universitario Central de Asturias)
Bueno-Lledó, José (Universitat de València)
Rodríguez-Lorenzo, Laura M. (Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT))
Sancho Insenser, Joan Josep (Hospital del Mar (Barcelona, Catalunya))
Marín-Peña, Oliver (Hospital Universitario Infanta Leonor)
López, Susana (Institut de Recerca Sant Pau)
Masià, Jaume (Institut de Recerca Sant Pau)
Balibrea Del Castillo, José María (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Universitat Autònoma de Barcelona. Departament de Medicina

Date:	2025
Abstract:	Surgical site infections (SSI) and surgical site complications (SSC) significantly impact surgery outcomes, increasing hospital stays and mortality rates, and negatively affecting patients' quality of life. Closed-incision negative pressure therapy (ciNPT) emerged as a prophylactic strategy to reduce these complications. However, its applicability across different surgical procedures remains unclear. A scoping review was conducted to synthesise the available evidence on the use of ciNPT in different surgical contexts. A multidisciplinary panel of experts from different surgical specialties was assembled to identify patient risk factors for SSCs specific to each modality. Surgical procedures were categorised based on anticipated SSC rates and the impact of SSI. A decision diagram was finally developed, providing tailored recommendations for ciNPT use according to individual surgical circumstances. The findings of the review indicate that ciNPT effectively reduces SSI and SSC in most surgical procedures. Key patient-related factors influencing outcomes, such as age, obesity, and malnutrition, were outlined. Additionally, a specialty-based list of surgical procedures was compiled, specifying whether ciNPT is recommended, not recommended, or conditionally recommended based on specific criteria. This study underscores the benefits of ciNPT and provides a comprehensive guide to its application across several surgical specialties, aiming to optimise patient management and inform clinical practise.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Consensus recommendation ; Negative-pressure wound therapy ; Seroma/prevention and control* ; Surgical wound infection/epidemiology ; Surgical wound*/complications ; Wound healing
Published in:	International Wound Journal, Vol. 22 (October 2025) , art. e70750, ISSN 1742-481X

DOI: 10.1111/iwj.70750
PMID: 41054272

15 p, 482.1 KB

The record appears in these collections:
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Parc Taulí Research and Innovation Institute (I3PT
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles