The application of incisional negative pressure wound therapy for perineal wounds: A systematic 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]
Abstract The extravasation of a calcium solution into soft tissue constitutes a medical emergency, and a lack of adequate management can lead to significant functional and cosmetic sequelae. Here, we report on the management of and long-term outcome in two children who experienced calcium infusion leakage. We also describe the emergency procedures used in cases of extravasation and discuss the role of negative pressure wound therapy as an appropriate adjunct to conventional techniques for dealing with serious extravasation-related injuries. PMID: 31630900 [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...
Abstract In our previous study, we proposed an animal model in which pressure ulcer-like dermal lesions can be produced by denervation of the sciatic nerve and application of a pressure load to rat heel skin. In the present study, we divided these animals into non-treated and pressure loading groups, and initiated hindlimb unloading (depressurization) by tail suspension at 1, 3, 5, 7, and 14 days after inflicting lesions (1-14d pressurization groups). Chronological changes in heel lesions were examined morphologically in all treatment groups after 1, 3, 7, 14, 28, and 40 days. Open dermal lesions were formed by 14...
Identify whether incisional (or prophylactic) negative-pressure wound therapy (iNPWT) is associated with reduced wound complications.