Negative pressure therapy for lower limb complex wounds

2010 ◽  
Vol 34 (3) ◽  
pp. 161-166 ◽  
Author(s):  
M. Ali Rafique Mirza ◽  
Nauman Ahmad Gill ◽  
Abdul Hameed
Keyword(s):  
Negative Pressure ◽  
Lower Limb ◽  
Negative Pressure Therapy ◽  
Pressure Therapy ◽  
Complex Wounds

scholarly journals Negative pressure therapy for the treatment of complex wounds

2017 ◽  
Vol 44 (1) ◽  
pp. 81-93 ◽  
Author(s):  
RENAN VICTOR KÜMPEL SCHMIDT LIMA ◽  
PEDRO SOLER COLTRO ◽  
JAYME ADRIANO FARINA JÚNIOR
Keyword(s):  
Negative Pressure ◽  
Mechanisms Of Action ◽  
Tissue Formation ◽  
Negative Pressure Therapy ◽  
Pressure Therapy ◽  
Granulation Tissue Formation ◽  
Venous Ulcers ◽  
Physical Effects ◽  
Diabetic Wounds ◽  
Complex Wounds

ABSTRACT The objective of this study is to evaluate the effectiveness of negative pressure therapy (NPT) in the treatment of complex wounds, with emphasis on its mechanisms of action and main therapeutic indications. We searched the Pubmed / Medline database for articles published from 1997 to 2016, and selected the most relevant ones. The mechanisms of action of NPT involveboth physical effects, such as increased perfusion, control of edema and exudate, reduction of wound dimensions and bacterial clearance, and biological ones, such as the stimulation of granulation tissue formation, microdeformations and reduction of Inflammatory response. The main indications of NPT are complex wounds, such as pressure ulcers, traumatic wounds, operative wound dehiscences, burns, necrotizing wounds, venous ulcers, diabetic wounds, skin grafts, open abdomen, prevention of complications in closed incisions and in the association with instillation of solutions in infected wounds.

scholarly journals Traumatic wound difficult to heal: use of negative pressure therapy: case report

2021 ◽  
Author(s):  
Edgar Salvador Salas Ochoa ◽  
Edilia Naraleth Arce Sanchez ◽  
Karla Itzel Altamirano Moreno ◽  
Edna Arantza Segura Garcia ◽  
Leslie Alejandra Peña Sustaita ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Traumatic Injury ◽  
Bacterial Count ◽  
Prosthetic Material ◽  
Negative Pressure Therapy ◽  
Pressure Therapy ◽  
Skin Loss ◽  
Traumatic Wound ◽  
The Right ◽  
Complex Wounds

The skin is one of the largest organs of the anatomy. It is the barrier between the exterior and the first line of defense against aggression. A wound is a loss of continuity of the soft parts of the organism generating an interruption in the structure of the tissue, as a consequence of this loss of continuity, there is a loss of sterility existing inside and infection can occur. Another consequence of discontinuity are possible lesions in adjacent tissues or organs. Trauma results in complex wounds that are difficult to manage due to large skin loss or avulsion of large areas of tissue. Among the factors that can prevent proper healing can be systemic (malnutrition, chemotherapy, steroids) or local (infection, prosthetic material, bone exposure). Among the therapeutic options for complex wounds is negative pressure therapy which generates wound contraction, stabilization of the environment, reduction of edema, removal of exudate and micro-deformations of the surface, increase of angiogenesis, granulation tissue formation and decreased bacterial count. We described a clinical case of traumatic injury at the level of the right pelvic limb in a 70-years-old woman with diabetes and hypertension, in which surgical washing was performed, debridement and use of negative pressure therapy with adequate evolution in a second level public hospital.  

scholarly journals The use of negative pressure therapy and hyaluronic acid for the management of post-traumatic lower limb injury

2012 ◽  
Vol 10 (5) ◽  
pp. 534-538 ◽  
Author(s):  
Emanuele Cigna ◽  
Michele Maruccia ◽  
Valentina Sorvillo ◽  
Paola Parisi ◽  
Francesca Palumbo ◽  
...  
Keyword(s):  
Hyaluronic Acid ◽  
Negative Pressure ◽  
Lower Limb ◽  
Negative Pressure Therapy ◽  
Lower Limb Injury ◽  
Pressure Therapy ◽  
Limb Injury ◽  
Post Traumatic

Negative pressure therapy – How many dressing changes are enough?

2012 ◽  
Vol 60 (S 01) ◽  
Author(s):  
S Raab ◽  
T Weimann ◽  
W Sienel ◽  
L Lampl ◽  
M Beyer
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Therapy ◽  
Pressure Therapy

Four Cases of Lower Extremity Ulcers Treated with Negative Pressure Therapy

2015 ◽  
Vol 77 (5) ◽  
pp. 456-460
Author(s):  
Maiko SAKAMOTO-TOYA ◽  
Sho MIAKE ◽  
Satoko SHIBATA-KIKUCHI ◽  
Masutaka FURUE
Keyword(s):  
Lower Extremity ◽  
Negative Pressure ◽  
Negative Pressure Therapy ◽  
Pressure Therapy

Negative Pressure Therapy in Wounds Surgical Treatment

2017 ◽  
Vol 68 (11) ◽  
pp. 2687-2690 ◽  
Author(s):  
Bogdan Mihnea Ciuntu ◽  
Stefan Octavian Georgescu ◽  
Ciprian Cirdeiu ◽  
Daniel Timofte ◽  
Doina Azoicai ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Healing Time ◽  
Negative Pressure Therapy ◽  
Simultaneous Application ◽  
Average Hospital ◽  
Pressure Therapy ◽  
Days Of Therapy ◽  
Functional Consequences ◽  
Time Required ◽  
A Prospective Study

The study aims to assess the significance of negative pressure therapy in the treatment of 1 January 2014 - 31 June 2017. The objectives intend to evaluate the healing time required after applying the method and the functional consequences for the patient. A prospective study was conducted on a sample of 31 patients with various tipe of wounds which were monitored their clinical course between September 2014 - February 2017, following negative pressure therapy. There were used vacuum assisted closure devices (VAC � -Hartman) in order to apply negative pressure to the wound, while complying with specified settings in accordance with patients� outcome. Healing was obtained in all cases, to an average hospital stay of 30 days and 12 days of therapy application.The negative result of microbial cultures was obtained after an average of 7.55 days by simultaneous application of negative pressure and antibiotic treatment according to the antibiogram. After basic treatment of the wound, auxiliary methods such as negative pressure contribute to the healing. Evolution was favorable with wound granulation in 95% cases, which allowed surgery under local anesthesia, and defect was covered with skin graft. VAC therapy falls into the last group of treatments by eliminating healing inhibitors. This regenerates the wound in a damp environment and essentially turns an open wound into a closed system.

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