2026-04-17T21:26:30Zhttps://recercat.cat/oai/request

oai:recercat.cat:20.500.12328/51572025-12-16T06:09:07Zcom_2072_67741col_2072_484352

00925njm 22002777a 4500 dc Badia, Josep M author Rubio-Perez, Ines author Morales, Carlos author Bueno-Lledó, Jose author RODRIGUEZ LORENZO, LAURA author Sancho Insenser, Juan Jose author MARIN-PEÑA, OLIVER author Susana, López author Masia, Jaume author Balibrea, José M. author 2025-10 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 specialtybased 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 Dadia, Josep M.; Rubio-Pérez, Inés; Morales-Pérez, Carlos[et al.]. Closed-Incision Negative Pressure Therapy: Scoping Review and Multidisciplinary Consensus Recommendations of the Spanish Observatory of Infection in Surgery, International Wound Journal, 2025, 22(10), e70750. Disponible en <https://pmc.ncbi.nlm.nih.gov/articles/PMC12501416/>. Fecha de acceso: 15 dic. 2025. DOI: 10.1111/iwj.70750 1742-4801 http://hdl.handle.net/20.500.12328/5157 https://dx.doi.org/10.1111/iwj.70750 Consensus recommendation Negative-pressure wound therapy Seroma/prevention and control Surgical wound infection/epidemiology Wound healing Surgical wound*/complications Wound healing Recomendación consensuada Tratamiento de heridas con presión negativa Seroma/prevención y control Infección de heridas quirúrgicas/epidemiología Cicatrización de heridas Herida quirúrgica*/complicaciones Cicatrización de heridas Recomanació consensuada Tractament de ferides amb pressió negativa Seroma/prevenció i control Infecció de ferides quirúrgiques/epidemiologia Cicatrització de ferides Ferida quirúrgica/complicacions Cicatrització de ferides Closed-Incision Negative Pressure Therapy: Scoping Review and Multidisciplinary Consensus Recommendations of the Spanish Observatory of Infection in Surgery