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Use of Negative Pressure Wound Therapy in Surgical Site Infection During Pregnancy

A Case Study

Escobar-Vidarte, María Fernanda; Messa, Adriana; Nieto, Albaro Jose; Echavarría, Maria Paula; Carvajal, Javier Andres; Fernández, Paula Andrea

Journal of Wound Ostomy & Continence Nursing: September/October 2019 - Volume 46 - Issue 5 - p 453–456
doi: 10.1097/WON.0000000000000573
Challenges in Practice
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BACKGROUND: Surgical site infections (SSIs) are a known cause of morbidity and mortality; however, evidence related to management of SSIs during pregnancy is sparse.

CASE: A 26-year-old female patient with an adnexal cystic lesion underwent laparotomy at 19 weeks of pregnancy. She experienced a late SSI 10 days after initial surgery, necessitating surgical debridement. She was treated with multiple surgical interventions for wound irrigations and wound closure assisted by a negative pressure wound therapy.

CONCLUSION: Negative pressure wound therapy was used for treatment of an SSI during pregnancy without causing premature delivery or requiring a cesearan section.

María Fernanda Escobar-Vidarte, MD, MSc, Department of Gynecology and Obstetrics, Fundación Clínica Valle Del Lili, Cali, Colombia.

Adriana Messa, MD, Department of Gynecology and Obstetrics, Fundación Clínica Valle Del Lili, Cali, Colombia.

Albaro Jose Nieto, MD, Department of Gynecology and Obstetrics, Fundación Clínica Valle Del Lili, Cali, Colombia.

Maria Paula Echavarría, MD, Department of Gynecology and Obstetrics, Fundación Clínica Valle Del Lili, Cali, Colombia.

Javier Andres Carvajal, MD, Department of Gynecology and Obstetrics, Fundación Clínica Valle Del Lili, Cali, Colombia.

Paula Andrea Fernández, MD, Clinical Investigations Center, Fundación Clinica Valle del Lili, Cali, Colombia.

Correspondence: María Fernanda Escobar-Vidarte, MD, MSc, Department of Gynecology and Obstetrics, Fundación Clínica Valle de Lili, Carrera 98 No. 18-49, Cali, Colombia (mayaev@hotmail.com).

The authors declare no conflicts of interest.

There are no relevant financial or nonfinancial relationships to disclose.

© 2019 by the Wound, Ostomy and Continence Nurses Society.