scholarly journals Case Study: Acute Lumbar Paraspinal Compartment Syndrome in an Austere Military Environment

2020 ◽  
Author(s):  
Pete Allen ◽  
Jackson Pugh ◽  
Alexander Blau
Keyword(s):  
Compartment Syndrome ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Limited Resources ◽  
Paraspinal Muscles ◽  
Medical Department ◽  
Wound Therapy ◽  
Lower Back ◽  
Lumbar Paraspinal Muscles

ABSTRACT The incidence of compartment syndrome of the lumbar paraspinal muscles is exceedingly rare. Approximately 24 hours following a high-intensity kettlebell swing workout, a 33-year-old Sailor presented to the medical department on board a forward deployed Wasp-class amphibious assault ship with increasing discomfort in his middle and lower back, and evidence of rhabdomyolysis. Discomfort quickly turned to unrelenting pain coupled with dorsal paresthesias and rigidity in the paraspinal muscles. He was taken emergently to the operating room, where his paraspinal muscles were released via fasciotomy. As a result of limited resources aboard the deployed ship, a negative pressure wound dressing was fashioned using the supplies available aboard the ship. Following 3 days of the negative pressure wound therapy, muscle bulging decreased substantially, and the skin was closed. After 4 weeks of physical therapy, he returned to full duty.

Management of a complex hind foot war injury with negative pressure wound therapy: A case study

The Foot ◽  
2009 ◽  
Vol 19 (3) ◽  
pp. 177-180 ◽  
Author(s):  
T.J. Bonner ◽  
A. Mountain ◽  
K. Allison ◽  
I. Sargent ◽  
S. Adedapo
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Wound Therapy ◽  
Hind Foot

Autologous fat grafting combined with negative pressure wound therapy in severe diabetic foot ulcer: a case study

2021 ◽  
Vol 30 (Sup4) ◽  
pp. S38-S40
Author(s):  
Zheng Biyao ◽  
Xu Gang ◽  
Jiang Hai ◽  
Duan Chenwang ◽  
Liu Xuan
Keyword(s):  
Negative Pressure ◽  
Diabetic Foot ◽  
Negative Pressure Wound Therapy ◽  
Foot Ulcer ◽  
Fat Grafting ◽  
Autologous Fat Grafting ◽  
Wound Therapy ◽  
Autologous Fat ◽  
Split Thickness Skin Grafting

Objective: Hard-to-heal wounds are a surgical challenge, and diabetic foot ulcers (DFUs) are one of the most common and severe varieties. Previous studies have shown that autologous fat grafting (AFG) and negative pressure wound therapy (NPWT) have the potential to promote wound healing. This case study describes how these two methods together helped in the healing of a serious DFU. Case history: A 65-year-old female patient had a severe DFU on her right foot, with a 30-year history of disease and renal failure. By the time symptoms were evident, regular dressing changes and antibiotic treatment were inadequate. She received surgical debridement, AFG and NPWT. Finally, as the granulation tissue covered the full wound bed, the wound was closed by split-thickness skin grafting. One month later, the DFU was fully healed with no recurrences. Conclusion: The application of AFG or components of adipose tissue to treat hard-to-heal wounds has been researched at both the molecular level and in clinic. In this case, we have proved the curative effect of jointly using AFG and NPWT.

scholarly journals Use of negative pressure wound therapy in a chronic leg wound with coexisting rheumatoid arthritis: a case study

2018 ◽  
Vol 46 (6) ◽  
pp. 2495-2499
Author(s):  
Dariusz Bazaliński ◽  
Paweł Więch ◽  
Beata Barańska ◽  
Monika Binkowska-Bury
Keyword(s):  
Rheumatoid Arthritis ◽  
Wound Healing ◽  
Steroid Therapy ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Bacterial Count ◽  
Wound Therapy ◽  
Chronic Ulceration

We present a case of a 69-year-old woman with rheumatoid arthritis. The patient’s condition was managed with steroid therapy for more than 12 years. She had a coexisting infected chronic ulceration in the left leg, which was treated with negative pressure wound therapy for 52 days. Use of this therapy within the wound reduced exudate and the bacterial count, which dramatically accelerated the process of wound healing.

scholarly journals Fasciotomy closure using negative pressure wound therapy in lower leg compartment syndrome

2017 ◽  
Vol 117 (12) ◽  
pp. 710-714 ◽  
Author(s):  
M. Krticka ◽  
D. Ira ◽  
A. Bilik ◽  
P. Rotschein ◽  
J. Svancara
Keyword(s):  
Compartment Syndrome ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Lower Leg ◽  
Wound Therapy

scholarly journals Successful Treatment of Necrotizing Fasciitis after Rectal Surgery with the Application of a Negative-pressure Wound Therapy: A Case Study

2015 ◽  
Vol 82 (6) ◽  
pp. 290-294 ◽  
Author(s):  
Yoshiaki Mizuguchi ◽  
Satoshi Matsumoto ◽  
Hayato Kan ◽  
Michihiro Koizumi ◽  
Shou Kuriyama ◽  
...  
Keyword(s):  
Necrotizing Fasciitis ◽  
Successful Treatment ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Rectal Surgery ◽  
Wound Therapy

scholarly journals Useful technique using negative pressure wound therapy on postoperative lower leg open wounds with compartment syndrome

Injury Extra ◽  
2014 ◽  
Vol 45 (9) ◽  
pp. 83-87 ◽  
Author(s):  
Yukichi Zenke ◽  
Koichi Inokuchi ◽  
Hiroyuki Okada ◽  
Kazunori Ooae ◽  
Kentaro Matsui ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Lower Leg ◽  
Wound Therapy

Application of irrigation and negative pressure wound therapy (INPWT) to treat diabetic foot gangrene: a case report

WCET Journal ◽  
2019 ◽  
Vol 39 (3) ◽  
pp. 20-25
Author(s):  
Ai-hua Chen ◽  
Huiling Liu ◽  
Chunmei Zhang ◽  
Ping Zou
Keyword(s):  
Blood Pressure ◽  
Case Report ◽  
Blood Sugar ◽  
Negative Pressure ◽  
Diabetic Foot ◽  
Negative Pressure Wound Therapy ◽  
Treatment Process ◽  
Wound Therapy ◽  
Spread Of Infection

This case study summarises the treatment of a patient with diabetic foot gangrene. By undergoing irrigation and negative pressure wound therapy (INPWT) with moist dressing, foot amputation was avoided. The treatment process included: the comprehensive assessment of systemic and local condition; choosing suitable debridement such as sharp surgical debridement; preventing the spread of infection; applying INPWT to reduce endotoxin absorption; and active treatments of primary disease such as controlling blood sugar and blood pressure, and improving microcirculation and nutrition. After 2 months of vigorous INPWT, the patient’s wound bed improved. After the application of a moist dressing, the wound closed and healed successfully at 3 months.

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