scholarly journals Vacuum assisted wound healing: can it prove to be cost- effective?

2018 ◽  
Vol 5 (4) ◽  
pp. 1358 ◽  
Author(s):  
Saurabhi M. Samant ◽  
Bhakti Sarang
Keyword(s):  
Wound Healing ◽  
Negative Pressure ◽  
Cost Benefit Analysis ◽  
Low Cost ◽  
Cost Effective ◽  
P Value ◽  
Vacuum Assisted Closure ◽  
Promising Alternative ◽  
Pressure Therapy ◽  
Randomised Study

Background: In search for a faster and effective method Negative pressure wound therapy (NPWT) also known as Vacuum assisted wound closure (VAC) has emerged to be a promising technology over the years. This study was carried out to determine the clinical efficacy and cost effectiveness of Vacuum assisted closure (VAC) therapy compared to conventional wound therapy.Methods: A prospective randomised study using VAC was performed on cases with chronic non healing wounds using a low cost negative pressure therapy unit. The negative pressure used in the vacuum assisted closure of the wounds was provided by the wall mounted centralised suction apparatus which provided a constant average pressure of 125 mm of Hg (range being 110-200 mm Hg).Results: The rate of wound healing which was exhibited by reduction in size of the wound by more than 1 cm at the end of the first 5 days was higher in the cases (82%) as compared to the control (18%) group. By end of 15 days size reduction of >3 cm was seen almost 85% of the patients treated with NPWT. The total cost incurred in the first group undergoing VAC for a period of 15 days per patient was Rs.750 ($11.16) as against the second group undergoing conventional wound dressing which was Rs.700 ($10.41) for the same period per patient. The cost- benefit analysis of the two groups statistically revealed a p value of <0.05 under 95% confidence limits, thus proving vacuum assisted closure, though slightly expensive than the conventional dressing, to be a better and cost effective modality, taking into consideration the faster wound healing rates.Conclusions: In this study NPWT appeared to exhibit better wound healing and is thus a promising alternative to the conventional management and has a potential to be replicable across many hospitals with financial constraints in the low and middle income countries.

scholarly journals Cost Effectiveness of Vacuum-Assisted Closure and Its Modifications: A Review

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Akhlak Hussain ◽  
Kuldip Singh ◽  
Mohinder Singh
Keyword(s):  
Cost Effectiveness ◽  
Negative Pressure ◽  
Cost Effective ◽  
General Category ◽  
Vacuum Assisted Closure ◽  
Pressure Therapy ◽  
Vac Therapy ◽  
Secondary Wound Healing ◽  
The Cost ◽  
Vacuum Assisted Closure Therapy

Negative topical pressure, the general category to which the trademarked VAC therapy belongs, is not a new concept in wound therapy. It is also called subatmospheric pressure therapy, vacuum sealing, vacuum-assisted closure therapy, vacuum pack therapy, and sealing aspirative therapy. The VAC therapy system is trademarked by Kinetic Concepts, Inc., or KCI. It was first reported in 1997. The aim of the procedure is to use negative pressure to create suction, which drains the wound of exudate (i.e., fluid, cells, and cellular waste that has escaped from blood vessels and seeped into tissue) and influences the shape and growth of the surface tissues in a way that helps healing. Negative-pressure therapy for the closure of wounds accelerates secondary wound healing. High cost is still a hindrance in its use in developing nations. Many modifications were tried, but their efficacy is yet to be proved. In reality, this method is quite cost effective. It is only the lack of understanding and adequate setup which makes this method hard to use. The main objective of this paper is to focus on the cost effectiveness of VAC and its modifications. We want to emphasize the importance of homemade NPT and the use of simple suction devices.

scholarly journals Low Cost Negative Pressure Wound Healing Device System

2017 ◽  
Vol 14 (2) ◽  
pp. 56-60
Author(s):  
Tian-Swee Tan ◽  
Kee-Gang Ng ◽  
Kasim Johari ◽  
Kah-Meng Leong ◽  
Zaharil Arman ◽  
...  
Keyword(s):  
Wound Healing ◽  
Negative Pressure ◽  
Low Cost

scholarly journals An autonomous economical and efficient ureteroscopic irrigation system

2020 ◽  
Author(s):  
Tengteng Wang ◽  
Xiude Chen ◽  
Qinghua Xia ◽  
Qi Zhang ◽  
Xunbo Jin
Keyword(s):  
Negative Pressure ◽  
Raw Materials ◽  
Irrigation System ◽  
Low Cost ◽  
Cost Effective ◽  
Effective Control ◽  
Flexible Ureteroscopy ◽  
Invasive Technique ◽  
Treatment Practice ◽  
Extension Tube

Abstract Background In recent years, the minimally invasive technique for treating nephrolithiasis has been developed rapidly. Particularly, the flexible ureteroscopy has been extensively applied. For flexible ureteroscopy lithotripsy, the perfusion equipment is necessary to ensure a clear intraoperative field of view. This study was aimed to prepare a set of economical and efficient ureteroscopic irrigation system by some commonly used devices in clinical diagnosis and treatment practice. Methods In this study, according to requirements of the endoscopic surgery, the infusion apparatus, infusion apparatus extension tube, three-way plug valve, Luer one-way valve, ordinary syringe, and negative pressure spring were used to assemble the irrigation system with different functions. Results The autonomous perfusion device realized the real-time conversion of manual injection, continuous perfusion or negative pressure suction. The entire equipment has many advantages, including easily accessible raw materials, low cost, simple assembly process, easy operation, strong controllability, effective control ability for the intrarenal pressure, and high safety. Conclusions The commonly used medical devices were applied to assemble the autonomous ureteroscopic irrigation system, which is flexible, simple and cost-effective and thus can be applied in flexible ureteroscopic surgery.

scholarly journals Negative Pressure Therapy in the Regeneration of the Sciatic Nerve Using Vacuum – Assisted Closure in a Rabbit Model

2018 ◽  
Vol 24 ◽  
pp. 1027-1033 ◽  
Author(s):  
Jian-Ping Wu ◽  
Zhen-Huan Jiang ◽  
Xiao-Jun Feng ◽  
Jian-Nong Jiang ◽  
Mao-Hua Cheng
Keyword(s):  
Sciatic Nerve ◽  
Negative Pressure ◽  
Rabbit Model ◽  
Negative Pressure Therapy ◽  
Vacuum Assisted Closure ◽  
Pressure Therapy

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.

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