Postoperative negative-pressure incision therapy after liver transplant (PONILITRANS study): A randomized controlled trial.

BACKGROUND: Postoperative complications of surgical incisions are frequent in liver transplantation. However, evidence justifying the use of incisional negative pressure wound therapy to improve surgical wound outcomes remains limited. METHODS: Participating patients were randomly assigned to receive incisional negative pressure wound therapy or standard surgical dressing on the closed surgical incision of the liver transplantation. The primary endpoint was surgical site infection incidence 30 days postoperatively. The secondary endpoints included surgical site events (ie, surgical site infection, dehiscence, hematoma, and seroma) and wound quality of life. RESULTS: Between December 2018 and September 2021, 108 patients (54 in the incisional negative pressure wound therapy group and 54 in the control group) were enrolled in this study. The incidence of surgical site infection at 30 days postoperatively was 7.4% in the treatment group and 13% in the control group (P = .34). The rate of surgical site events was similar in the treatment in the and control group (27.8% vs 29.6%, P = .83). In relation to wound quality of life, the mean score was 75.20 ± 7.27 in the incisional negative pressure wound therapy group and 72.82 ± 10.57 in the control group (P = .23). CONCLUSION: The prophylactic use of negative pressure wound therapy on primarily closed incisions did not significantly reduce incisional surgical site infection and surgical site event rates after liver transplantation compared with standard surgical dressings.

Interpersonal variability of the experience of falling in love

This paper presents a study describing different psychological constructs that modulate the intensity and individual variability of amorous passion. The intensity and duration of romantic love -measured using Hatfield’s Passionate Love Scale- are associated with different psychological variables: attachment styles, personality traits, impulsivity, anxiety and attitudes toward the myths of romantic love. 503 College students participated in the study. The research fits into a descriptive, correlational and cross-sectional methodology. The results show that college teens prone to anxious attachment adhere more to the romantic prototype as they obtain significant higher scores on intensity of falling in love and on accepting attitudes of the myths of romantic love. An opposite pattern was observed in people prone to avoidant attachment. The extraversion personality trait relates differently to amorousness in men and women. We also discuss the possible interpretations of the differences between men and women on different variables (AU)

No disponible