Closed incision negative pressure wound therapy after emergency laparotomy: a systematic review and Meta-analysis of randomized controlled trials
In adult patients undergoing emergency laparotomy with primary abdominal closure, ciNPWT significantly reduces key incision-related complications, particularly superficial SSI and wound dehiscence. Its clinical benefit appears confined to incision-level outcomes, with no effect on systemic or multifactorial postoperative endpoints. These findings support the selective use of ciNPWT in high-risk emergency laparotomy patients and highlight the need for standardized application protocols and longer-term outcome assessment.
Authors
- Abd-Elfattah Kalmoush (ORCID: https://orcid.org/0000-0001-6927-223X)
- Omar H. Salloum (ORCID: https://orcid.org/0000-0002-0626-1928)
- Jamal Ahmad (ORCID: https://orcid.org/0009-0008-3719-4538)
- Mahmoud Diaa Hindawi (ORCID: https://orcid.org/0009-0001-3085-6665)
- Nada S. Jibril
- Mohammad Marrawani (ORCID: https://orcid.org/0009-0003-4392-3008)
- Edward C. T. H. Tan
- Ahmed Hamdy (ORCID: https://orcid.org/0000-0002-3646-9594)
- Hamdi Elbelkasi
- Mariam Elewidi
- Andrew W. Kirkpatrick
- Alaa R. AL-Ihribat
Institutions
- Radboud University Nijmegen (NL)
- Al-Azhar University (EG)
- Zagazig University (EG)
- Tanta University (EG)
- Massachusetts Academy of Math and Science at WPI (US)
- Foothills Medical Centre (CA)
- Radboud University Medical Center (NL)
- Palestine Polytechnic University (PS)
- Menoufia University (EG)
Publication Details
- Journal
- World Journal of Emergency Surgery
- Published
- 2026-02-17
- DOI
- https://doi.org/10.1186/s13017-026-00679-x
- Primary Topic
- Abdominal Surgery and Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00