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- Title
Proof of ineffective and unnecessary prophylactic negative‐pressure wound dressing (NPWD) after caesarean: extended debate to include surgical considerations.
- Abstract
Effect of prophylactic negative pressure wound therapy vs standard wound dressing on surgical-site infection in obese women after cesarean delivery: a randomized clinical trial. Proof of ineffective and unnecessary prophylactic negative-pressure wound dressing (NPWD) after caesarean: extended debate to include surgical considerations I Sir, i The "surgical" issue of caesarean wound infection seems to have become a tussle between opposing teams of biostatisticians.1,2 Tuuli et al. may rightly defend the statistical validity of their much larger and important randomised controlled trial (RCT), showing the best evidence of the ineffectiveness of prophylactic negative-pressure wound dressing (NPWD) at any background incidence of wound infection, contrary to previous claims.1,2 Racial differences cannot be responsible for this contrasting outcomes.1,2 The argument by Hyldig et al1 that the results of the largest RCT of 1624 women2 could have been overturned long way around in the opposite direction, if that RCT was continued to its preplanned size of 2850 women, is not realism if not despair.
- Subjects
NEGATIVE-pressure wound therapy; WOUNDS &; injuries; CESAREAN section
- Publication
BJOG: An International Journal of Obstetrics & Gynaecology, 2022, Vol 129, Issue 3, p509
- ISSN
1470-0328
- Publication type
Article
- DOI
10.1111/1471-0528.16911