scholarly journals Negative pressure therapy (vacuum) for wound bed preparation among diabetic patients: case series

2009 ◽  
Vol 127 (3) ◽  
pp. 166-170 ◽  
Author(s):  
Marcus Castro Ferreira ◽  
Viviane Fernandes de Carvalho ◽  
Fábio Kamamoto ◽  
Paulo Tuma Junior ◽  
André Oliveira Paggiaro
Keyword(s):  
Negative Pressure ◽  
Case Series ◽  
Lower Limbs ◽  
Vacuum System ◽  
Diabetic Patients ◽  
Negative Pressure Therapy ◽  
Pressure Therapy ◽  
Duration Of Hospitalization ◽  
Wound Bed Preparation ◽  
To Receive

CONTEXT: Complications from diabetes mellitus affecting the lower limbs occur in 40 to 70% of such patients. Neuropathy is the main cause of ulceration and may be associated with vascular impairment. The wound evolves with necrosis and infection, and if not properly treated, amputation may be the end result. Surgical treatment is preferred in complex wounds without spontaneous healing. After debridement of the necrotic tissue, the wound bed needs to be prepared to receive a transplant of either a graft or a flap. Dressings can be used to prepare the wound bed, but this usually leads to longer duration of hospitalization. Negative pressure using a vacuum system has been proposed for speeding up the treatment. This paper had the objective of analyzing the effects of this therapy on wound bed preparation among diabetic patients. CASE SERIES: Eighty-four diabetic patients with wounds in their lower limbs were studied. A commercially available vacuum system was used for all patients after adequate debridement of necrotic tissues. For 65 patients, skin grafts completed the treatment and for the other 19, skin flaps were used. Wound bed preparation was achieved over an average time of 7.51 days for 65 patients and 10 days for 12 patients, and in only one case was not achieved. CONCLUSIONS: This experience suggests that negative pressure therapy may have an important role in wound bed preparation and as part of the treatment for wounds in the lower limbs of diabetic patients.

scholarly journals Complications associated with the negative pressure therapy in the treatment of the diabetic foot ulcers: Retrospective case series

2017 ◽  
Vol 28 (2) ◽  
pp. e27-e31
Author(s):  
Sara García Oreja ◽  
Javier Navarro González-Moncayo ◽  
Irene Sanz Corbalán ◽  
Esther García Morales ◽  
Francisco Javier Álvaro Afonso ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Diabetic Foot ◽  
Case Series ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Negative Pressure Therapy ◽  
Retrospective Case ◽  
Pressure Therapy ◽  
Retrospective Case Series

Acute complex traumas of the lower limbs: a modern reconstructive approach with negative pressure therapy

2007 ◽  
Vol 15 (4) ◽  
pp. 589-594 ◽  
Author(s):  
Daniele Bollero ◽  
Riccardo Carnino ◽  
Daniela Risso ◽  
Ezio N. Gangemi ◽  
Maurizio Stella
Keyword(s):  
Negative Pressure ◽  
Lower Limbs ◽  
Negative Pressure Therapy ◽  
Pressure Therapy

scholarly journals Open-pore film drainage (OFD): a new multipurpose tool for endoscopic negative pressure therapy (ENPT)

2018 ◽  
Vol 06 (07) ◽  
pp. E865-E871 ◽  
Author(s):  
Gunnar Loske ◽  
Tobias Schorsch ◽  
Frank Rucktaeschel ◽  
Wolfgang Schulze ◽  
Burkhard Riefel ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Treatment Options ◽  
Large Diameter ◽  
Case Series ◽  
Bildgebende Verfahren ◽  
Negative Pressure Therapy ◽  
Pressure Therapy ◽  
Endoscopic Techniques ◽  
Film Drainage ◽  
Gastric Reflux

Abstract Background and study aims Endoscopic negative pressure therapy (ENPT) has been developed to treat gastrointestinal leakages. Up to now, ENPT has usually been performed with open-pore polyurethane foam drains (OPD). A big disadvantage of the OPDs is their large diameter. We have developed a new, small-bore open-pore film drainage (OFD). Herein we report our first experience in a case series of 16 patients. Patients and methods OFD is constructed with a drainage tube and a very thin double-layered open-pore drainage film (Suprasorb CNP, Drainage Film, Lohmann & Rauscher International, Germany). The distal end of the tube is wrapped with only one layer of film. OFD is placed into the gastrointestinal leakage site with common endoscopic techniques. The tube is connected to an electronic vacuum device and continuous negative pressure of –125 mmHg applied. Results From 2013 to 2016, 16 patients were treated with the new OFD device. In 10 patients, transmural intestinal defects (4 esophageal, 4 rectum/colon, 1 duodenal, 1 pancreatic cyst) were closed with ENPT in median time of 12 days (range 3 – 34 days). Five of the 10 patients were treated solely with OFD devices. In five patients ENPT started with ODP and changed to OFD when the cavity was shrunken to a channel with a small opening. In four patients postoperative gastric reflux was eliminated for 5 to 16 days. Conclusions Small-bore OFD opens up promising new treatment options within ENPT. OFD can be used in endoscopic closure management of intestinal leakages in the upper and lower gastrointestinal tract. Gastric reflux can be eliminated in an active manner. OFD can be inserted nasally. OFD may be an adequate substitute for OPD, especially when placement of the larger OPD is difficult.Meeting presentations: The authorsʼ experience was first reported in an oral presentation at the 46th Kongress der Deutschen Gesellschaft für Endoskopie und Bildgebende Verfahren in Mannheim (DGE-BV), 17. – 19.03.2016.

NEGATIVE PRESSURE THERAPY WITH IRRIGATION FOR DIGITS AND HANDS: PRESSURE MEASUREMENT AND CLINICAL APPLICATION

Hand Surgery ◽  
2012 ◽  
Vol 17 (01) ◽  
pp. 71-75 ◽  
Author(s):  
Yuki Matsushita ◽  
Masao Fujiwara ◽  
Takeshi Nagata ◽  
Tatsuya Noda ◽  
Hidekazu Fukamizu
Keyword(s):  
Negative Pressure ◽  
Peripheral Circulation ◽  
External Pressure ◽  
Negative Pressure Therapy ◽  
Pressure Therapy ◽  
Peripheral Portion ◽  
Skin Perfusion Pressure ◽  
Wound Bed Preparation ◽  
Measured Pressure

We recently developed continuous negative pressure therapy with irrigation (NPI) and successfully applied it to an infected digit with a narrow wound. With this technique, however, the dressing circumferentially wraps the digit or hand, and the pressure that the digit or hand receives and the influence on peripheral circulation are unclear. In this report, we evaluated the external pressure that a digit and hand received during NPI in vitro. Under circumferential NPI dressing, the skin perfusion pressure (SPP) of the peripheral portion was measured. Pressure was maintained at 1.3 mm Hg, and suction pressure ranged from -50 to -200 mm Hg. The pressure that a digit or hand receives during NPI is much lower than that at which tissue may be damaged (40–50 mm Hg). The SPP of the peripheral portion was much higher than 40 mm Hg, which is the pressure at which wound healing may be predicted. In clinical cases, NPI has been useful for wound bed preparation.

scholarly journals Combined Endoscopic Negative Pressure and Surgical Treatment of Anastomotic Insufficiencies following Oncological Gastrectomy – Recent Results

2020 ◽  
Author(s):  
Doerte Wichmann ◽  
Dietmar Stüker ◽  
Karolin Thiel ◽  
Jessica Lange ◽  
Ulrike Schempf ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Case Series ◽  
Anastomotic Dehiscence ◽  
Time Interval ◽  
Leakage Detection ◽  
Negative Pressure Therapy ◽  
Pressure Therapy ◽  
Related Data ◽  
First Line Therapy ◽  
Limited Surgery

Abstract Background and study aims: Management of esophago-jejunal anastomotic leakages (EJAL) following gastrectomy is challenging. Endoscopic negative pressure therapy (ENPT) is an emerging effective tool for treatment of gastrointestinal and anastomotic leaks. We have been using ENPT as first line therapy for EJAL after oncological gastric resections since 2018. The aim of the study was to present our results with this strategy in a case series. Methods: Nine consecutive patients were treated with ENPT for EJAL after oncological gastrectomy between 01.2018 and 12.2019. A retrospective analysis of patients’ and treatment-related data was performed. Results: Time to leakage detection was 6.00 ± 2.49 days after surgery. After 14.78 ± 9.66 days of ENPT, 6.25 ± 3.65 endoscopies and 38.11 ± 16.46 days of hospitalization, endoscopic treatment with ENPT combined with surgical debridement and drainage for sepsis control was effective in eight of nine patients. In one patient with a complete anastomotic dehiscence, treatment was changed to a stent-based therapy combined with surgery. Conclusions: ENPT is a new and promising option in the complication management of patients with anastomotic insufficiencies following oncological gastrectomy. It can be recommended in combination with limited surgery to preserve the anastomosis and provide sepsis control. The time interval to diagnosis and the size of the insufficiency are important for the success of ENPT in patients with EJAL.

Large abdominal hernia repair with closed incision negative pressure therapy: a case series

2021 ◽  
Vol 30 (3) ◽  
pp. 192-196
Author(s):  
Edward Wang ◽  
Leigh Archer ◽  
Amanda Foster ◽  
Mohammed Ballal
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Negative Pressure ◽  
Case Series ◽  
Incisional Hernia Repair ◽  
Abdominal Hernia ◽  
Wound Complications ◽  
Control Group ◽  
Negative Pressure Therapy ◽  
Pressure Therapy

Objective: A major challenge of large abdominal incisional hernia repair is the high rates of wound complications. Closed incision negative pressure therapy (CINPT) can offer many treatment advantages in the management of these wounds and has been shown to reduce complications for other postoperative incisions. This study assesses the wound outcomes for hernia repair patients receiving CINPT. Method: A six-year retrospective case series of patients who had undergone large abdominal incisional hernia repair wounds treated with CINPT was conducted. Outcomes for patients treated with CINPT were compared with patients who had not received CINPT acting as a control. Results: A total of 23 patients were treated with CINPT after hernia repair and compared with 12 patients in the control group. A statistically significant decreased rate of return to theatre (odds ratio: 0.12) was found in this study. Non-significant reductions in wound infection, seroma and wound dehiscence were also seen. No adverse events with CINPT therapy were reported. Conclusions: CINPT, when used after large abdominal incisional hernia repair, may help in the prevention of wound complications.

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