EFFICACY OF NEGATIVE PRESSURE WOUND THERAPY IN LAPAROTOMY WOUNDS: PROTOCOL FOR A SYSTEMATIC REVIEW AND META-ANALYSIS

Introduction: A laparotomy is a surgical procedure involving an abdominal incision to access the peritoneal cavity, commonly performed for diagnostic and therapeutic purposes, including trauma management and the treatment of gynecological, pelvic, and abdominal conditions. In this context, negative...

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Main Authors: Melania De Filippo, Marco Abagnale, Anella Di Costanzo, Valeria Visconti, Fabio Gennaro Abagnale, Rita Citarella
Format: Article
Language:English
Published: OPI Napoli 2025-07-01
Series:NSC Nursing
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Online Access:https://www.nscnursing.it/efficacy-of-negative-pressure-wound-therapy-in-laparotomy-wounds-protocol-for-a-systematic-review-and-meta-analysis/
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author Melania De Filippo
Marco Abagnale
Anella Di Costanzo
Valeria Visconti
Fabio Gennaro Abagnale
Rita Citarella
author_facet Melania De Filippo
Marco Abagnale
Anella Di Costanzo
Valeria Visconti
Fabio Gennaro Abagnale
Rita Citarella
author_sort Melania De Filippo
collection DOAJ
description Introduction: A laparotomy is a surgical procedure involving an abdominal incision to access the peritoneal cavity, commonly performed for diagnostic and therapeutic purposes, including trauma management and the treatment of gynecological, pelvic, and abdominal conditions. In this context, negative pressure wound therapy (NPWT) serves as an effective adjunct to wound management by applying subatmospheric pressure to the wound bed, thereby promoting granulation tissue formation and reducing local inflammation. Objective: This systematic review will aim to evaluate the efficacy of NPWT compared to standard wound care in adult patients undergoing laparotomy, with specific attention to key clinical outcomes such as wound healing time, surgical site infection rates, wound dehiscence, and overall complication rates. Materials and methods: The systematic review follows the PRISMA guidelines and uses the PICO framework for search terms. The studies will be identified through important databases (PubMed, Scopus, CINAHL and Web of Science). Methodological quality and risk of bias will be assessed with JBI critical assessment tools. This protocol for a systematic review has been registered on PROSPERO (N. CRD420251058825). Results: The results of the systematic search and selection process will be reported using a PRISMA flowchart. The extracted data will include wound healing time, granulation tissue development, infection rates, and adverse events. The quantitative synthesis will be conducted if the homogeneity of the data allows it. Conclusions: This systematic review will synthesize the available evidence on the efficacy of NPWT in the management of laparotomy wounds. The findings will have implications for clinical practice in surgical wound care and may contribute to the development of standardized wound management protocols.
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spelling doaj-art-1eb4e92e2e204a178169bb880a061ce52025-07-18T15:21:50ZengOPI NapoliNSC Nursing2612-69152025-07-0132194210.32549/OPI-NSC-123EFFICACY OF NEGATIVE PRESSURE WOUND THERAPY IN LAPAROTOMY WOUNDS: PROTOCOL FOR A SYSTEMATIC REVIEW AND META-ANALYSISMelania De Filippo 0Marco Abagnale 1https://orcid.org/0009-0001-5639-6142Anella Di Costanzo 2Valeria Visconti 3https://orcid.org/0009-0003-0259-0067Fabio Gennaro Abagnale4https://orcid.org/0009-0004-8972-7106Rita Citarella 5https://orcid.org/0009-0001-1983-1440Department of Abdominal Oncology, Colorectal Surgical Oncology, Istituto Nazionale Tumori – IRCCS "Fondazione G.Pascale”, Napoli, 80131, Napoli, ItalyDepartment of Critical Care, Unit of Anesthesiology and Intensive Care, M. Scarlato Hospital, Scafati (SA), 84018, Local Healt of Salerno, Salerno, ItalyDepartment of Cardiac Thoracic Vascular Surgery, Cardiac Thoracic Vascular Surgery, Pineta Grande Hospital, Castel Volturno, Caserta, 81030, ItalyDepartment of Medicine, Rheumatology Unit, M. Scarlato Hospital, Scafati (SA), 84018, Local Healt of Salerno, Salerno, ItalyDepartment of Critical Care, Unit of Anesthesiology and Intensive Care, M. Scarlato Hospital, Scafati (SA), 84018, Local Healt of Salerno, Salerno, ItalyDepartment of Surgery and Anaesthesia, "Umberto I" Hospital of Nocera Inferiore", 84014, Salerno, ItalyIntroduction: A laparotomy is a surgical procedure involving an abdominal incision to access the peritoneal cavity, commonly performed for diagnostic and therapeutic purposes, including trauma management and the treatment of gynecological, pelvic, and abdominal conditions. In this context, negative pressure wound therapy (NPWT) serves as an effective adjunct to wound management by applying subatmospheric pressure to the wound bed, thereby promoting granulation tissue formation and reducing local inflammation. Objective: This systematic review will aim to evaluate the efficacy of NPWT compared to standard wound care in adult patients undergoing laparotomy, with specific attention to key clinical outcomes such as wound healing time, surgical site infection rates, wound dehiscence, and overall complication rates. Materials and methods: The systematic review follows the PRISMA guidelines and uses the PICO framework for search terms. The studies will be identified through important databases (PubMed, Scopus, CINAHL and Web of Science). Methodological quality and risk of bias will be assessed with JBI critical assessment tools. This protocol for a systematic review has been registered on PROSPERO (N. CRD420251058825). Results: The results of the systematic search and selection process will be reported using a PRISMA flowchart. The extracted data will include wound healing time, granulation tissue development, infection rates, and adverse events. The quantitative synthesis will be conducted if the homogeneity of the data allows it. Conclusions: This systematic review will synthesize the available evidence on the efficacy of NPWT in the management of laparotomy wounds. The findings will have implications for clinical practice in surgical wound care and may contribute to the development of standardized wound management protocols.https://www.nscnursing.it/efficacy-of-negative-pressure-wound-therapy-in-laparotomy-wounds-protocol-for-a-systematic-review-and-meta-analysis/laparotomynegative pressure wound therapybandageswound healinggranulation tissuesystematic review
spellingShingle Melania De Filippo
Marco Abagnale
Anella Di Costanzo
Valeria Visconti
Fabio Gennaro Abagnale
Rita Citarella
EFFICACY OF NEGATIVE PRESSURE WOUND THERAPY IN LAPAROTOMY WOUNDS: PROTOCOL FOR A SYSTEMATIC REVIEW AND META-ANALYSIS
NSC Nursing
laparotomy
negative pressure wound therapy
bandages
wound healing
granulation tissue
systematic review
title EFFICACY OF NEGATIVE PRESSURE WOUND THERAPY IN LAPAROTOMY WOUNDS: PROTOCOL FOR A SYSTEMATIC REVIEW AND META-ANALYSIS
title_full EFFICACY OF NEGATIVE PRESSURE WOUND THERAPY IN LAPAROTOMY WOUNDS: PROTOCOL FOR A SYSTEMATIC REVIEW AND META-ANALYSIS
title_fullStr EFFICACY OF NEGATIVE PRESSURE WOUND THERAPY IN LAPAROTOMY WOUNDS: PROTOCOL FOR A SYSTEMATIC REVIEW AND META-ANALYSIS
title_full_unstemmed EFFICACY OF NEGATIVE PRESSURE WOUND THERAPY IN LAPAROTOMY WOUNDS: PROTOCOL FOR A SYSTEMATIC REVIEW AND META-ANALYSIS
title_short EFFICACY OF NEGATIVE PRESSURE WOUND THERAPY IN LAPAROTOMY WOUNDS: PROTOCOL FOR A SYSTEMATIC REVIEW AND META-ANALYSIS
title_sort efficacy of negative pressure wound therapy in laparotomy wounds protocol for a systematic review and meta analysis
topic laparotomy
negative pressure wound therapy
bandages
wound healing
granulation tissue
systematic review
url https://www.nscnursing.it/efficacy-of-negative-pressure-wound-therapy-in-laparotomy-wounds-protocol-for-a-systematic-review-and-meta-analysis/
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