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Comparison of the Prevena™ IMS with the standard wound management method of sterile plaster in vascular surgery patients.
Comparison of the Prevena™ IMS with the standard wound management method of sterile plaster in vascular surgery patients.
The aim is to demonstrate that the application of the Prevena™ IMS significantly reduces the incidence of postoperative wound infections. The wound infections will be classified according to Szilagyi.
The treatment phase begins following vascular surgery with wound management using either the Prevena™ IMS or a standard wound dressing, depending on the group to which the patient was randomly assigned. It involves a minimum stay of 7 and maximum 10 days in hospital.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Prevena™ IMS | Experimental | The patients in the experimental arm will be treated with the Prevena™ IMS seven days after the surgery |
|
| sterile plaster dressings | Other | The wound will be treated with the conventional wound management method of sterile plaster dressing. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Prevena™ IMS | Device | Prevena™ IMS is intended for the management of the surgical incision environment and surrounding healthy skin in patients with a risk of postoperative complications such as infections. This entails the maintenance of a closed environment around the incision by applying a negative pressure wound therapy system. The corresponding dressing is known under the name Prevena™ Dressing. The layer closest to the skin comprises silver foil, which reduces the microbial colonisation of cells. |
| Measure | Description | Time Frame |
|---|---|---|
| wound infections | The primary objective is the occurrence of inguinal wound infections following surgery. Wound infections will be classified according to Szilagyi. | 7 days after the surgery |
| Measure | Description | Time Frame |
|---|---|---|
| length of hospital stay | up to 10 days | |
| antibiotic therapy | up to 30 days | |
| revision surgery |
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Inclusion Criteria:
vascular surgery via right or left inguinal approach
nicotine abuse (active or according to medical condition)
risk factors:
previous vascular surgery with inguinal approach
signed informed consent form
persons who are legally competent and mentally able to comprehend and follow the instructions of study personnel
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jochen Grommes | University Hospital, Aachen | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Aachen, vascular surgery | Aachen | 52074 | Germany | |||
| Marienhospital Wiiten, vascular surgery |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41159585 | Derived | Correia RM, Nakano LC, Vasconcelos V, Cristino MA, Flumignan RL. Prevention of infection in peripheral arterial reconstruction of the lower limb. Cochrane Database Syst Rev. 2025 Oct 29;10(10):CD015022. doi: 10.1002/14651858.CD015022.pub2. | |
| 40260835 | Derived | Cristino MA, Nakano LC, Vasconcelos V, Correia RM, Flumignan RL. Prevention of infection in aortic or aortoiliac peripheral arterial reconstruction. Cochrane Database Syst Rev. 2025 Apr 22;4(4):CD015192. doi: 10.1002/14651858.CD015192.pub2. |
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| ID | Term |
|---|---|
| D007239 | Infections |
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|
| sterile plaster dressings | Other | standard wound management method of sterile plaster dressings |
|
| up to 30 days |
| necessity of alternative wound dressings | up to 30 days |
| prolongation of ambulant treatment | up to 30 days |
| Witten |
| 58452 |
| Germany |