Effectiveness and Cost-Benefit Evaluation of Closed Incision
Negative Pressure Therapy (ciNPT) in Patients After Major
Revascularization Procedures

J 2026

Effectiveness and Cost-Benefit Evaluation of Closed Incision Negative Pressure Therapy (ciNPT) in Patients After Major Revascularization Procedures

BOBÁK, Róbert; Martin FERKODIČ; Dominik MADUDA; Tomáš NOVOTNÝ; Luboš KUBÍČEK et al.

Základní údaje

Originální název

Effectiveness and Cost-Benefit Evaluation of Closed Incision Negative Pressure Therapy (ciNPT) in Patients After Major Revascularization Procedures

Autoři

BOBÁK, Róbert; Martin FERKODIČ; Dominik MADUDA; Tomáš NOVOTNÝ; Luboš KUBÍČEK; Ernest BIROŠ a Robert STAFFA

Vydání

VASCULAR AND ENDOVASCULAR SURGERY, THOUSAND OAKS, SAGE PUBLICATIONS INC, 2026, 1538-5744

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30212 Surgery

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 0.700 v roce 2024

Označené pro přenos do RIV

Ano

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

closed incision negative pressure therapy; revascularization; wound healing complications; surgical site infection; hospitalization cost

Štítky

14110121, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 2. 3. 2026 08:51, Mgr. Tereza Miškechová

Anotace

V originále

Introduction: Wound healing complications (WHC) of groin incisions are frequently discussed in vascular surgery. Various preventive measures are often applied to reduce their rates, but not all have the desired effect, and all these measures have their respective costs. The main aim of this study is to determine the effectiveness of closed incision negative pressure therapy (ciNPT) in reducing WHCs in high-risk patients after major revascularization procedures compared to the conventional adhesive dressing and to investigate the cost-benefit of its routine use. Material and methods: From April 2023 to October 2024, 30 patients with 60 groin wounds who underwent aortic-bifemoral bypass surgery had their right groin wound treated with ciNPT and left groin wound with a conventional surgical adhesive dressing. The ciNPT system was removed after 7 days postoperatively. Both wounds were examined on the 7(th )and 30(th )postoperative day and any WHCs were marked and graded by the Szilagyi classification. Hospitalization costs and hospital stay periods of all patients were also analyzed. Results: The ciNPT-treated wound showed a statistically significant reduction in WHCs against the conventionally treated contralateral groin (P = 0.025). None of the ciNPT-treated wounds prolonged hospital stay and a significant increase in hospitalization costs (P < 0.001) has been observed in patients who developed WHCs, prolonging hospital stay (P = 0.007). Conclusion: High-risk vascular surgery patients are very likely to benefit from ciNPT and the routine use of this method may also be considered economically, however, additional research must be conducted to evaluate indications better.

Citovat

BOBÁK, Róbert; Martin FERKODIČ; Dominik MADUDA; Tomáš NOVOTNÝ; Luboš KUBÍČEK; Ernest BIROŠ a Robert STAFFA. Effectiveness and Cost-Benefit Evaluation of Closed Incision Negative Pressure Therapy (ciNPT) in Patients After Major Revascularization Procedures. VASCULAR AND ENDOVASCULAR SURGERY. THOUSAND OAKS: SAGE PUBLICATIONS INC, 2026, roč. 60, č. 1, s. 28-35. ISSN 1538-5744. Dostupné z: https://doi.org/10.1177/15385744251375389.

@article{2557740,
   author = {Bobák, Róbert and Ferkodič, Martin and Maduda, Dominik and Novotný, Tomáš and Kubíček, Luboš and Biroš, Ernest and Staffa, Robert},
   article_location = {THOUSAND OAKS},
   article_number = {1},
   doi = {https://doi.org/10.1177/15385744251375389},
   keywords = {closed incision negative pressure therapy; revascularization; wound healing complications; surgical site infection; hospitalization cost},
   language = {eng},
   issn = {1538-5744},
   journal = {VASCULAR AND ENDOVASCULAR SURGERY},
   title = {Effectiveness and Cost-Benefit Evaluation of Closed Incision Negative Pressure Therapy (ciNPT) in Patients After Major Revascularization Procedures},
   url = {https://journals.sagepub.com/doi/10.1177/15385744251375389},
   volume = {60},
   year = {2026}
}

TY  - JOUR
ID  - 2557740
AU  - Bobák, Róbert - Ferkodič, Martin - Maduda, Dominik - Novotný, Tomáš - Kubíček, Luboš - Biroš, Ernest - Staffa, Robert
PY  - 2026
TI  - Effectiveness and Cost-Benefit Evaluation of Closed Incision Negative Pressure Therapy (ciNPT) in Patients After Major Revascularization Procedures
JF  - VASCULAR AND ENDOVASCULAR SURGERY
VL  - 60
IS  - 1
SP  - 28-35
EP  - 28-35
PB  - SAGE PUBLICATIONS INC
SN  - 15385744
KW  - closed incision negative pressure therapy
KW  - revascularization
KW  - wound healing complications
KW  - surgical site infection
KW  - hospitalization cost
UR  - https://journals.sagepub.com/doi/10.1177/15385744251375389
N2  - Introduction: Wound healing complications (WHC) of groin incisions are frequently discussed in vascular surgery. Various preventive measures are often applied to reduce their rates, but not all have the desired effect, and all these measures have their respective costs. The main aim of this study is to determine the effectiveness of closed incision negative pressure therapy (ciNPT) in reducing WHCs in high-risk patients after major revascularization procedures compared to the conventional adhesive dressing and to investigate the cost-benefit of its routine use. Material and methods: From April 2023 to October 2024, 30 patients with 60 groin wounds who underwent aortic-bifemoral bypass surgery had their right groin wound treated with ciNPT and left groin wound with a conventional surgical adhesive dressing. The ciNPT system was removed after 7 days postoperatively. Both wounds were examined on the 7(th )and 30(th )postoperative day and any WHCs were marked and graded by the Szilagyi classification. Hospitalization costs and hospital stay periods of all patients were also analyzed. Results: The ciNPT-treated wound showed a statistically significant reduction in WHCs against the conventionally treated contralateral groin (P = 0.025). None of the ciNPT-treated wounds prolonged hospital stay and a significant increase in hospitalization costs (P < 0.001) has been observed in patients who developed WHCs, prolonging hospital stay (P = 0.007). Conclusion: High-risk vascular surgery patients are very likely to benefit from ciNPT and the routine use of this method may also be considered economically, however, additional research must be conducted to evaluate indications better.
ER  -

BOBÁK, Róbert; Martin FERKODIČ; Dominik MADUDA; Tomáš NOVOTNÝ; Luboš KUBÍČEK; Ernest BIROŠ a Robert STAFFA. Effectiveness and Cost-Benefit Evaluation of Closed Incision Negative Pressure Therapy (ciNPT) in Patients After Major Revascularization Procedures. \textit{VASCULAR AND ENDOVASCULAR SURGERY}. THOUSAND OAKS: SAGE PUBLICATIONS INC, 2026, roč.~60, č.~1, s.~28-35. ISSN~1538-5744. Dostupné z: https://doi.org/10.1177/15385744251375389.

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