Successful treatment of enteroatmospheric fistulas in combination with negative pressure wound therapy: Experience on 3 cases and literature review
International Wound Journal, EarlyView.
Negative pressure wound therapy (NPWT) is a popular and effective adjunct treatment for a great variety of wounds including split-thickness skin graft (STSG). Studies have concluded that NPWT improves STSG uptake. Recent technologic advancements have led to the advent of a new generation of NPWTs. These are the disposable, ultraportable, and mechanically operated NPWTs designed to treat smaller wounds with low to moderate exudates.
Postoperative wound complications, such as surgical site infections and surgical wound dehiscence, are a key concern to clinicians and health care administrators because of their impact on the patient and the health care provider. Such complications are associated with excess morbidity for the patient and increased treatment costs arising from excess hospital stays, especially in the elderly and frail patients undergoing these procedures.
Negative pressure wound therapy (NPWT) proposes an option in the management of refractory nonhealing venous ulcers (RVUs). The primary end point is the time taken for full healing. Secondary end points include the proportion of ulcers healed at 12 weeks, reduction in ulcer size at 12 weeks, and recurrence rates.
CONCLUSIONS: Investigators failed to find ample support for routine use of NPWT as a “bridge to reconstruction.” Serious complications related to the use of NPWT including right ventricular rupture, atrial fibrillation, respiratory arrest, recurrent infection, and a retained sponge were reported in this group of studies. Rigorous evaluative studies that assess the true effectiveness of NPWT as a “bridge to reconstruction” must precede its adoption.
CONCLUSION: Results indicate that the application of dressings in addition to standard prevention in high risk intensive care unit patients is effective in preventing pressure ulcers at the heels and sacrum. PMID: 31628863 [PubMed - as supplied by publisher]
Are certain factors associated with the development of postoperative pressure ulcer after liver resection?Wounds
AbstractUse of open abdomen (OA) progressively acquired increasing importance with the diffusion of the damage control management of critical patients. The purpose of the present study is to identify the state of the art about the use of OA in Italy, focusing on techniques, critical issues and clinical outcomes. A prospective analysis of adult patients enrolled in the IROA, limited to the Italian participating centres was performed. 375 patients were enrolled. Mean age was 64 ± 16 years old, 56% of the patients were male, mean BMI was 26.9 ± 5.2. Main indications for using OA...
Identify whether incisional (or prophylactic) negative-pressure wound therapy (iNPWT) is associated with reduced wound complications.
Publication date: November 2019Source: European Journal of Surgical Oncology, Volume 45, Issue 11Author(s): Adarsh Shah, Renjit Kurian, Edmund Leung
The objective of this retrospective study in a uniform patient population was to compare the anterior and posterior approaches for 1B-THA in terms of: 1) early mortality rates, 2) early complications, 3) and 90-day re-admission rates, hospital stay lengths, and blood loss.Hypothesis1B-THA in patients younger than 80 years who have an ASA score of 1 or 2 is associated with no early mortality and with low early morbidity rates regardless of whether the anterior or posterior approach is used.Material and methodsA single-centre retrospective comparative design was used to assess 90-day mortality and morbidity rates in consecut...