Negative pressure wound therapy with instillation, a cost-effective treatment for abdominal mesh exposure

Hernia ◽  
2017 ◽  
Vol 22 (2) ◽  
pp. 311-318 ◽  
Author(s):  
E. Deleyto ◽  
A. García-Ruano ◽  
J.R. González-López
Keyword(s):  
Effective Treatment ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Cost Effective ◽  
Mesh Exposure ◽  
Wound Therapy ◽  
Cost Effective Treatment

scholarly journals Bronchial fistula closure with negative pressure wound therapy: a feasible and cost-effective treatment

2016 ◽  
Vol 43 (4) ◽  
pp. 292-294 ◽  
Author(s):  
RODRIGO BARBOZA NUNES ◽  
BRUNO FRANCISCO MÜLLER NETO ◽  
FEDERICO ENRIQUE GARCIA CIPRIANO ◽  
PEDRO SOLER COLTRO ◽  
JAYME ADRIANO FARINA JÚNIOR
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Cost Effective ◽  
Surgical Approaches ◽  
Negative Pressure Therapy ◽  
Wound Therapy ◽  
Cost Of Treatment ◽  
Pressure Therapy ◽  
Bronchial Fistula ◽  
Cost Effective Treatment

ABSTRACT Treatment of bronchial fistula (BF) after pulmonary lobectomy is a challenge. Often, patients require long hospital stay, have recurrent empyema and pneumonia, are susceptible to sepsis, often need broad-spectrum antibiotics, as well as various surgical approaches. With the advent and growing evidence of the benefits of negative pressure therapy (NPT), its use in some patients with BF has been reported with encouraging results concerning its feasibility and cost-effectiveness. The aim of this study was to demonstrate the application of NPT as a resource for BF treatment and comparatively analyze the overall cost of treatment.

scholarly journals Efficacy Of Gauze-based Negative Pressure Wound Therapy After Split-thickness Skin Graft In The Care Of Large Wounds

2018 ◽  
Vol 08 (02) ◽  
pp. 82-86
Author(s):  
Irfan Ilahi ◽  
M. Uzair Ilyas Tahir Kheli ◽  
Ehtesham- ulHaq
Keyword(s):  
Skin Graft ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Cost Effective ◽  
Military Hospital ◽  
Split Thickness Skin Graft ◽  
Wound Therapy ◽  
Thickness Skin ◽  
User Friendly ◽  
Over The Top

Background: Negative-pressure wound therapy (NPWT) or vacuum dressings involve the application of a controlled negative pressure on the wound. Traditionally, STSGs were fixed with bolster technique, where sutures are used to fix pressure dressings over the top of recently placed grafts. Taking it a step further in our study we applied an effective and user friendly filler material (surgical roll gauze) on very large defects. The objective of this study was to assess the clinical efficacy of gauze-based negative pressure wound therapy as an adjunctive therapy to STSG, over complex and very large wounds. Material & Methods: This descriptive study was conducted at Army Burn Center, Combined Military Hospital Kharian and PNS Shifa Hospital Karachi from January 2016 to June 2017. Gauze based VAC system used. Negative pressure was applied at -80 mm Hg. Evaluation was carried out to assess the performance of gauze-based NPWT. Results: Total of 63 patients, 42 males and 21 females, with mean age of 32 years SD+15 were included in the study. The wound size included in the study ranged from 12x10 cm to 88x66 cm. Mean duration of NPWT dressings was 15 days and 313 dressings were employed in total with satisfactory healing achieved in 3 to 4 VAC dressings in most of the cases. Mean duration of hospital stay was 23.92 days at which point graft uptake percentage was in the range of 90% (n=7) to 100% (n=20). Only 3.2% (n=2) cases required partial re-grafting for complete coverage of residual wounds. Conclusion: Gauze-based Negative-pressure wound therapy over split thickness skin graft is a cost-effective addition to the care and management of large and complex wounds

Fluorescence imaging guided dressing change frequency during negative pressure wound therapy: a case series

2019 ◽  
Vol 28 (Sup9) ◽  
pp. S28-S37 ◽  
Author(s):  
Rose Raizman
Keyword(s):  
Real Time ◽  
Fluorescence Imaging ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Case Series ◽  
Cost Effective ◽  
Wound Therapy ◽  
Imaging Device ◽  
Treatment Regimens ◽  
Selection Of

Objective: Knowledge of wound bioburden can guide selection of therapies, for example, the use of negative pressure wound therapy (NPWT) devices with instillation in a heavily contaminated wound. Wound and periwound bacteria can be visualised in real-time using a novel, non-contact, handheld fluorescence imaging device that emits a safe violet light. This device was used to monitor bacterial burden in patients undergoing NPWT. Methods: Diverse wounds undergoing NPWT were imaged for bacterial (red or cyan) fluorescence as part of routine wound assessments. Results: We assessed 11 wounds undergoing NPWT. Bacterial fluorescence was detected under sealed, optically-transparent (routine) adhesive before dressing changes, on foam dressings, within the wound bed, and on periwound tissues. Bacterial visualisation in real-time helped to guide: (1) bioburden-based, personalised treatment regimens, (2) clinician selection of NPWT, with or without instillation of wound cleansers, and (3) the extent and location of wound cleaning during dressing changes. The ability to visualise bacteria before removal of dressings led to expedited dressing changes when heavy bioburden was detected and postponement of dressing changes for 24 hours when red fluorescence was not observed, avoiding unnecessary disturbance of the wound bed. Conclusion: Fluorescence imaging of bacteria prompted and helped guide the timing of dressing changes, the extent of wound cleaning, and selection of the appropriate and most cost-effective NPWT (standard versus instillation). These results highlight the capability of bacterial fluorescence imaging to provide invaluable real-time information on a wound's bioburden, contributing to clinician treatment decisions in cases where bacterial contamination could impede wound healing.

Use of domestic negative pressure wound therapy in traumatic wounds for a cost-effective wound closure

2017 ◽  
Vol 13 (2) ◽  
pp. 64 ◽  
Author(s):  
KomlaS Amouzou ◽  
TiemokoM Haidara ◽  
ElodieJ. L. Malonga-Loukoula ◽  
Mounia Diouri ◽  
Mohamed Ezzoubi
Keyword(s):  
Negative Pressure ◽  
Wound Closure ◽  
Negative Pressure Wound Therapy ◽  
Cost Effective ◽  
Wound Therapy

scholarly journals Surgical treatment of carotid artery stent infection: a case report

2021 ◽  
Vol 49 (2) ◽  
pp. 030006052098708
Author(s):  
Xiwen Liu ◽  
Yue Zhao ◽  
Fucheng Zhao ◽  
Suli Guo ◽  
Daju Sun
Keyword(s):  
Surgical Treatment ◽  
Carotid Artery ◽  
Effective Treatment ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Graft Infection ◽  
External Carotid ◽  
Wound Therapy ◽  
Autologous Vein ◽  
Autologous Vein Graft

The most effective treatment for graft infection is still debated, and the success rate of current treatments is low. We herein report the results of surgical treatment and follow-up of a case of infection acquired during carotid stenting with the aim of exploring the most effective treatments for graft infection. We retrospectively analyzed a patient who was admitted in September 2019. This patient underwent debridement, autologous saphenous vein replacement of the common carotid to internal carotid artery, external carotid artery suturing, and continuous negative-pressure wound therapy for carotid stent infection. Ten days after carotid artery revascularization, the growth of granulation tissue in the incision was good, and we decided to suture the neck incision. Five days after removing the stitches, grade A healing was noted. Furthermore, the carotid artery and autologous vein grafts were unobstructed as shown by carotid artery computed tomography angiography reexamination. The patient was monitored for 8 months with no new neurological symptoms and good healing of the incision. Effective treatment of vascular graft infection includes debridement and removal of the infected graft, autologous vein graft revascularization, and negative-pressure wound therapy combined with antibiotic therapy.

scholarly journals Effective Treatment Using Negative Pressure Wound Therapy for Necrotizing Fasciitis of Scalp Originating from Odontogenic Infection

2020 ◽  
Vol 16 (1) ◽  
pp. 68-72
Author(s):  
Dongseok Kim ◽  
Junhyung Kim ◽  
Jaehoon Choi ◽  
Sangho Oh ◽  
Youngmin Shin ◽  
...  
Keyword(s):  
Necrotizing Fasciitis ◽  
Effective Treatment ◽  
Negative Pressure ◽  
Primary Closure ◽  
Negative Pressure Wound Therapy ◽  
Fluid Collection ◽  
Odontogenic Infection ◽  
High Morbidity ◽  
Wound Therapy ◽  
Split Thickness Skin Grafting

Necrotizing fasciitis is an uncommon but life-threatening infectious disease. In this report, we describe the cases of two patients who presented with an extremely rare necrotizing fasciitis of the scalp, originating from an odontogenic infection, and who were treated successfully with negative pressure wound therapy (NPWT). Both patients had diabetes mellitus and were admitted to the emergency department. Facial computed tomography revealed multifocal fluid collection, soft tissue swelling, and thickening from the perioral region to the scalp. Extensive incision, drainage, and debridement were performed. Taking into account the pain the patients were suffering and their general condition, NPWT was then applied instead of a povidone iodine-soaked dressing. With appropriate antibiotics, serial surgical debridement, and NPWT, the infection was controlled within a month from the first session of NPWT. For wound closure, one patient underwent primary closure and split thickness skin grafting with bone decortication, and the other patient underwent only primary closure. Although necrotizing fasciitis is associated with high morbidity and mortality, both patients’ general conditions improved, and their surgical wounds healed successfully. NPWT can be a safe, effective treatment for necrotizing fasciitis of the head and neck, and it can reduce both patients’ pain and physicians’ effort.

scholarly journals Single-Use Negative Pressure Wound Therapy for Chronic Wounds

2021 ◽  
Vol 1 (10) ◽  
Author(s):  
Sara D. Khangura ◽  
Carolyn Spry
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Chronic Wounds ◽  
Length Of Hospital Stay ◽  
Clinical Effectiveness ◽  
Cost Effective ◽  
Wound Therapy ◽  
Single Use ◽  
Evidence Review ◽  
The Impact

Limited clinical effectiveness data suggest that single-use negative pressure wound therapy may reduce the frequency of dressing changes when compared with standard wound therapy (evidence from 1 single-arm study). No clinical evidence was identified describing the impact of single-use negative pressure wound therapy on functionality, pain, mortality, length of hospital stay, quality of life, and safety. It is unknown whether single-use or disposable negative pressure wound therapy is cost-effective for the management of chronic wounds (no eligible studies found). One guideline provides recommendations relevant to single-use negative pressure wound therapy with chronic wounds; however, there is no clear link to a robust evidence review reported by the guideline developers.

Role of Closed Incision Negative Pressure Wound Therapy in Skin Grafting

2021 ◽  
Vol 7 (04) ◽  
pp. 01-04
Author(s):  
Ravi Chittoria
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Donor Site ◽  
Skin Grafting ◽  
Cost Effective ◽  
Wound Therapy ◽  
Effective Manner ◽  
Graft Donor ◽  
Substantial Morbidity

Surgical site infection (SSI) results in substantial morbidity and costs. Various guidelines are there to reduce the incidence of SSI. Recently application of negative pressure to a surgically closed wound has also emerged as a way of preventing this complication. The commercially available devises for this are usually too costly and preclude its uses in developing countries. In this article we share our experience of using NPWT in cost effective manner in case of skin graft donor site.

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