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

Closed-Incision Negative Pressure Therapy: Scoping Review and Multidisciplinary Consensus Recommendations of the Spanish Observatory of Infection in Surgery Badia, Josep M Rubio-Perez, Ines Morales, Carlos Bueno-Lledó, Jose RODRIGUEZ LORENZO, LAURA Sancho Insenser, Juan Jose MARIN-PEÑA, OLIVER Susana, López Masia, Jaume Balibrea, José M. 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 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 2025-12-16T06:09:07Z 2025-12-16T06:09:07Z 2025-12-16T06:09:07Z 2025-10 info:eu-repo/semantics/article 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 eng International Wound Journal 22;10 https://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. © 2025 The Author(s). International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd. Medicalhelplines.com Inc and John Wiley & Sons Ltd