scholarly journals “Low Cost” Negative Pressure Wound Therapy for Acute and Chronic Wounds: A Case Series

2021 ◽  
pp. 236-243
Author(s):  
Nazim Sifi ◽  
Ryad Bouguenna ◽  
Lamia Kaci
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Chronic Wounds ◽  
Low Cost ◽  
Case Series ◽  
Length Of Hospital Stay ◽  
Wound Therapy ◽  
Care Protocol ◽  
Rapid Formation ◽  
The Cost

Negative pressure wound therapy (NPWT) is an alternative to standard treatment of acute wounds (such as traumatic or postoperative wounds) but also in that of chronic wounds (such as ulcers or stage 3 and 4 pressure ulcers). With cellular, extracellular effects and bacterial clearance, it leads to the rapid formation of healthy budding granulation tissue, which provides wound bed for directed healing or secondary coverage by skin graft or flap. However, the exorbitant cost of VAC (vacuum-assisted closure) devices for our limited resources health facilities and their unavailability led us to opt for a “low cost” solution using wall suction and disposable materials readily available in all surgical departments. We present the technique used in our department and its results through a series of 3 cases with both acute and chronic lesions evolving in septic environment and where NPWT enabled us to ensure a genuine care protocol until healing while reducing the cost of therapy, the number of dressings and the length of hospital stay.

scholarly journals “Low Cost" Negative Pressure Wound Therapy for Acute and Chronic Wounds Healing - About 3 Cases

2021 ◽  
Author(s):  
Nazim SIFI ◽  
Ryad BOUGUENNA ◽  
Lamia KACI
Keyword(s):  
Nasogastric Tube ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Chronic Wounds ◽  
Low Cost ◽  
Length Of Hospital Stay ◽  
Wound Therapy ◽  
Suction System ◽  
Wall Suction ◽  
Adhesive Film

Abstract Background: Negative pressure wound therapy (NPWT) is an alternative to standard treatment of acute wounds (such as traumatic or post-operative wounds) but also in that of chronic wounds (such as ulcers or stage 3 and 4 pressure ulcers). However, the exorbitant cost of VAC (vaccum assisted closure) devices for our limited resources health facilities, and their unavailability led us to opt for a "low cost" solution using wall suction and disposable materials readily available in all surgical departments. Materials and methods: After surgical debridement in 3 patients with both acute and chronic lesions evolving in septic environment, we replaced polyurethane foam by that from surgical scrub brushes, the tubing and its suction port by nasogastric tube, the hydrocolloid for the protection of wound edges by tulle gras (vaseline gauze), the adhesive film ensuring sealing by an incise drape, and the therapy unit by wall suction and exudates collection bottle. We cut up the foam to make it correspond to the wound, in size and depth, and then, using straight forceps, we create a tunnel in it, large enough to allow the introduction of the nasogastric tube. We then carefully place the foam in the wound. After that, we proceed to application of incise drape to cover foam dressing and connect the end of the probe to wall suction system via suction bottle. Therapy is initiated by setting vacuum gauge to a continuously delivered negative pressure of -125 mmHg.Results: The size of all wounds reduced considerably and rapidly with the installation of budding granulation tissue which appeared as early as the first dressing change enabling subsequently the best possible conditions for directed healing or coverage procedures (skin graft or flaps). The healing was obtained for all our patients.Conclusions: In this "low cost" NPWT, the negative pressure produced by wall vacuum promotes effective management of acute and chronic wounds, including complex ones, by rapidly "producing" good quality granulation leading to healing, while reducing the cost of therapy, the number of dressings and the length of hospital stay.Trial registration: Retrospectively registered

scholarly journals A A simple and low-cost technique of creating a Negative Pressure Wound Therapy (NPWT) machine on the example of a severe phlegmon of lower limb in lower socio-economic area.

2018 ◽  
Vol 5 (1) ◽  
pp. 12-14
Author(s):  
Marcin Kiszka ◽  
Filip Kazubski ◽  
Magdalena Maj ◽  
Tomasz Banasiewicz
Keyword(s):  
Negative Pressure ◽  
Wound Closure ◽  
Negative Pressure Wound Therapy ◽  
Low Cost ◽  
Hiv Positive ◽  
Wound Therapy ◽  
Economic Area ◽  
Stay Time ◽  
Post Traumatic ◽  
The Cost

The Negative Pressure Wound Therapy (NPWT) is an approved method of healing lower extremity ulcers of various origin, accelerating the wound closure process, thus decreasing the hospital-stay time and lowering the cost of the treatment. Although it is scarcely needed in developing countries such as Kenya, there is a lack of official supplier of the NPWT equipment. We present an improvised method of constructing a reliable and effective NPWT dressing form widely available tools in a case of treating a post-traumatic phlegmon in a HIV-positive patient.

scholarly journals Conference Proceedings of the Third International Vivano Conference held from 19th – 21st March 2014 in Nuremberg, Germany

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Vivano Conference
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Chronic Wounds ◽  
Cost Benefit ◽  
Wound Therapy ◽  
Fourth Degree ◽  
Surgical Interventions ◽  
The Third ◽  
Cost Benefit Ratio ◽  
The Cost

During a two-day conference international speakers presented their experiences with negative pressure wound therapy in chronic wounds but also in cases of third- and fourth-degree burns, in complex surgical interventions of the abdominal region, in open fractures as well as in thoracic and cardiac surgery. The this year’s conference focused on questions whether negative pressure wound therapy (NPWT) resulted in wound healing more often and more quickly than standard wound therapy, for which indications can NPWT be used and how should the cost-benefit ratio be evaluated.

Loxoscelism and Negative Pressure Wound Therapy (Vacuum-Assisted Closure): A Clinical Case Series

2009 ◽  
Vol 75 (11) ◽  
pp. 1128-1131
Author(s):  
S. Lindsey Wong ◽  
Andrew J. Defranzo ◽  
Michael J. Morykwas ◽  
Louis C. Argenta
Keyword(s):  
Negative Pressure ◽  
Retrospective Review ◽  
Clinical Case ◽  
Negative Pressure Wound Therapy ◽  
Chronic Wounds ◽  
Case Series ◽  
Vacuum Assisted Closure ◽  
Wound Therapy ◽  
Significant Challenge ◽  
Life Threatening

Brown recluse spider (Loxosceles sp) bites continue to be a significant challenge to manage clinically. Sequelae from these lesions range from chronic necrotic ulcers that persist for months to an acute life-threatening course of sepsis. Negative pressure wound therapy using vacuum-assisted closure (VAC) has been described for use in both acute and chronic wounds. We present a novel application for the use of this therapy in a retrospective review of eight clinical cases treated with the VAC.

scholarly journals Timer switch to convert suction apparatus for negative pressure wound therapy application

2014 ◽  
Vol 47 (03) ◽  
pp. 412-417
Author(s):  
Surath Amarnath ◽  
Mettu Rami Reddy ◽  
Chayam Hanumantha Rao ◽  
Harsha Vardan Surath
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Healing Rate ◽  
Chronic Wounds ◽  
Open Fractures ◽  
Wound Therapy ◽  
Electronic Timer ◽  
The Cost ◽  
Dressing Materials ◽  
Wound Healing Rate

ABSTRACT Background: Negative pressure wound therapy (NPWT) is an established modality in the treatment of chronic wounds, open fractures, and post-operative wound problems. This method has not been widely used due to the high cost of equipment and consumables. This study demonstrates an indigenously developed apparatus which gives comparable results at a fraction of the cost. Readily available materials are used for the air-tight dressing. Materials and Methods: Equipment consists of suction apparatus with adjustable pressure valve set to a pressure 125-150 mmHg. An electronic timer switch with a sequential working time of 5 min and a standby time of 3 min provides the required intermittent negative pressure. Readily available materials such as polyvinyl alcohol sponge, suction drains and steridrapes were used to provide an air tight wound cover. Results: A total of 90 cases underwent 262 NPWT applications from 2009 to 2014. This series, comprised of 30 open fractures, 21 post-operative and 39 chronic wounds. The wound healing rate in our study was comparable to other published studies using NPWT. Conclusion: The addition of electronic timer switch will convert a suction apparatus into NPWT machine, and the results are equally effective compared to more expensive counter parts. The use of indigenous dressing materials reduces the cost significantly.

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.

The effects and use of negative pressure wound therapy – a set of case reports

2020 ◽  
Vol 99 (4) ◽  
pp. 183-188
Keyword(s):  
Wound Healing ◽  
High Risk ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Chronic Wounds ◽  
Wide Spectrum ◽  
Case Reports ◽  
Modern Medicine ◽  
Wound Therapy ◽  
Basic Set

Modern medicine offers a wide spectrum of wound healing resources for acute or chronic wounds. Negative pressure wound therapy (NPWT) is a very effective method, allowing complicated defects and wounds to heal. The basic set is usually provided with various special accessories to facilitate the use and support safe application of NPWT to high-risk tissue. Selected case reports are presented herein to document the special use and combinations of materials in negative pressure wound therapy.

659 Non-Burn Etiologies Treated with Autologous Skin Cell Suspension: A Case Series Demonstrating the Efficacy in Complex Wounds

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S195-S195
Author(s):  
Nicole M Kopari ◽  
Yazen Qumsiyeh
Keyword(s):  
Soft Tissue ◽  
Cell Suspension ◽  
Negative Pressure ◽  
Wound Closure ◽  
Negative Pressure Wound Therapy ◽  
Case Series ◽  
Dermal Substitute ◽  
Wound Therapy ◽  
Skin Cell ◽  
Complex Wounds

Abstract Introduction Complex wounds (CW) resulting from necrotizing soft tissue infections (NSTIs) and soft tissue traumatic injuries create unique challenges. Radical debridement is often the first step in management but can result in disfigurement with impaired function and compromised cosmesis. The standard of care at our institution for full-thickness burn injuries of similar complexity is widely meshed autografting with application of autologous skin cell suspension (ASCS). Our study is a case series reviewing outcomes using ASCS for CW from non-burn etiology. Methods A retrospective chart review from March 2019 through July 2020 was performed to evaluate the effectiveness of ASCS and widely meshed autografting in CW. Patients presenting with CW underwent serial excisions of devitalized tissue by acute care and burn surgeons. Dermal substitute utilization for wound preparation was at the discretion of the surgeon. Definitive wound closure was achieved using ASCS in combination with a widely meshed autograft. The wounds were covered with a non-adherent, non-absorbent, small pore primary dressing along with bismuth-impregnated, petroleum-based gauze or negative pressure wound therapy dependent on wound bed contour. Further padding with gauze was applied along with compressive dressing. Results In total, 8 patients with CW were included in this review. The mean age was 58 years (range 27-85) with an equal number of males and females. Wound etiology included NSTI (n=5), degloving injury (n=2), and traumatic amputation (n=1). The average wound size measured 1,300cm2 (range 300-3,000). 50% of the patients were treated with a dermal substitute and negative pressure wound therapy prior to ASCS and autograft placement. 7 of 8 patients received split-thickness skin grafting in the ratio of 3:1 with one patient grafted at a 2:1 expansion. 7 of the 8 patients had >90% wound closure within 8-10 days of ASCS and autograft application. One patient had significant graft failure after removing surgical dressings and autograft in the early post-operative period secondary to dementia. One patient expired during the follow-up period secondary to medical comorbidities. The 6 remaining patients had durable wound closure and acceptable cosmetic outcome. All patients were discharged within 10 days of ASCS application with 4 patients discharging home and 4 patients discharging to an acute inpatient rehabilitation. Conclusions This study is the first case series to review ASCS in combination with widely meshed skin grafts in the management of CW from a non-burn etiology. Durable, timely wound closure and an acceptable cosmetic outcome was achieved in these often-challenging CW.

High bacterial load in negative pressure wound therapy (NPWT) foams used in the treatment of chronic wounds

2013 ◽  
Vol 21 (5) ◽  
pp. 677-681 ◽  
Author(s):  
Erlangga Yusuf ◽  
Xavier Jordan ◽  
Martin Clauss ◽  
Olivier Borens ◽  
Mark Mäder ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Chronic Wounds ◽  
Bacterial Load ◽  
Wound Therapy ◽  
High Bacterial Load
Sign in / Sign up

Export Citation Format

Share Document