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Systematic review shows closed incision negative pressure wound therapy reduces complications in emergency laparotomy, suggesting its selective use in high-risk patients.
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.
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Ahmad et al. (2026) studied this question.
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