The safety and efficacy of subcutaneous negative pressure drainage to close midline epigastric incision: a retrospective case-control study

Author:

Yuan Xie1,xu rui2,Yang chao2,Xiao shuo-meng2

Affiliation:

1. Chengdu Medical College

2. Sichuan Cancer Hospital

Abstract

Abstract Background Incision complications were still a problem of open gastrectomy. Aim of this study was to assess the safety and efficacy of a method of closing incision, named subcutaneous negative pressure drainage. Methods A retrospective case-control study was designed to compare the safety and efficacy between subcutaneous suture and subcutaneous negative pressure drainage to close the midline epigastric incision. Clinical data of all the patients underwent open gastrectomy were collected. Characteristics of patients and incision complications were analyzed. Results From January 2015 to July 2023, 430 patients underwent subcutaneous suture and 456 patients underwent subcutaneous negative pressure drainage were included. There were not significantly differences between two groups in clinical characteristics. The rates of surgical site infection and non-infection complications were lower in the subcutaneous negative pressure drainage group. Conclusion Subcutaneous negative pressure drainage was safe and efficient. This approach should be recommended for closure of midline incision.

Publisher

Research Square Platform LLC

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3. Terashima M, Iwasaki Y, Mizusawa J, Katayama H, Nakamura K, Katai H, Yoshikawa T, Ito Y, Kaji M, Kimura Y: Randomized phase III trial of gastrectomy with or without neoadjuvant S-1 plus cisplatin for type 4 or large type 3 gastric cancer, the short-term safety and surgical results: Japan Clinical Oncology Group Study (JCOG0501). Gastric Cancer.

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