Prophylactic Application of Closed-Incision Negative Pressure Therapy in a High-Risk Emergency Laparotomy: A Case Report

Surgical site infections (SSIs) and wound dehiscence are common complications following laparotomy, particularly in patients with comorbidities such as diabetes and obesity. Closed-incision negative pressure therapy (ciNPT) is increasingly recognised for its potential to improve surgical site outcomes by reducing infection rates and promoting wound healing. This case report describes the use of ciNPT in a patient with a high-risk surgical incision, highlighting its clinical benefits and practical application. We report the case of a 68-year-old obese female with type 2 diabetes mellitus who underwent emergency laparotomy for perforated diverticulitis. ciNPT with novel foam dressings was used postoperatively. The wound healed without infection or dehiscence. The patient experienced minimal discomfort and was discharged on postoperative day six. The therapy demonstrated effective management of the incision site, reduced postoperative complications, and enhanced patient recovery. Imaging studies further illustrate the wound healing process under ciNPT. This report underscores the value of ciNPT as an adjunctive tool in surgical wound management in high-risk abdominal surgeries to reduce complications and facilitate recovery.