scholarly journals Successful treatment of postoperative, radiation-associated wound dehiscence around tracheostomy with negative pressure wound therapy.

2018 ◽  
Vol 5 (2) ◽  
pp. 14-16
Author(s):  
Ewa Migacz ◽  
Dominik Walczak ◽  
Adam Maciejewski ◽  
Wojciech Kukwa
Keyword(s):  
Negative Pressure ◽  
Total Laryngectomy ◽  
Negative Pressure Wound Therapy ◽  
Wound Dehiscence ◽  
Wound Therapy ◽  
Present Case Report ◽  
Postoperative Wound ◽  
Second Procedure ◽  
Technical Solutions ◽  
Pressure Dressing

We present case report of 62-year-old man who underwent total laryngectomy, bilateral neck dissection and radiotherapy due to laryngeal cancer. After 11 months he was reoperated because of a local recurrence. The second procedure was complicated with postoperative wound dehiscence in tracheostomy site which was successfully treated with negative pressure wound therapy. We indicate the difficulties and point technical solutions for negative pressure dressing around the airway.

scholarly journals The role of perineal application of prophylactic negative-pressure wound therapy for prevention of wound-related complications after abdomino-perineal resection: a systematic review

2020 ◽  
Vol 36 (1) ◽  
pp. 19-26
Author(s):  
Jeremy Meyer ◽  
Elin Roos ◽  
Ziad Abbassi ◽  
Christian Toso ◽  
Frédéric Ris ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Lower Incidence ◽  
Negative Pressure Wound Therapy ◽  
Web Of Science ◽  
Wound Dehiscence ◽  
Site Infection ◽  
Wound Therapy ◽  
Perineal Resection ◽  
Perineal Wounds

Abstract Background Closed perineal wounds often fail to heal by primary intention after abdomino-perineal resection (APR) and are often complicated by surgical site infection (SSI) and/or wound dehiscence. Recent evidence showed encouraging results of prophylactic negative-pressure wound therapy (pNPWT) for prevention of wound-related complications in surgery. Our objective was to gather and discuss the early existing literature regarding the use of pNPWT to prevent wound-related complications on perineal wounds after APR. Methods Medline, Embase, and Web of Science were searched for original publications and congress abstracts reporting the use of pNPWT after APR on closed perineal wounds. Results Seven publications were included for analysis. Two publications reported significantly lower incidence of SSI in pNPWT patients than in controls with a risk reduction of about 25–30%. Two other publications described similar incidences of SSI between the two groups of patients but described SSI in pNPWT patients to be less severe. One study reported significantly lower incidence of wound dehiscence in pNPWT patients than in controls. Conclusion The largest non-randomized studies investigating the effect of pNPWT on the prevention of wound-related complications after APR showed encouraging results in terms of reduction of SSI and wound dehiscence that deserve further investigation and confirmation.

scholarly journals Effectiveness of nutritional intervention during Negative Pressure Wound Therapy for postoperative wound disruption.

2017 ◽  
Vol 51 (2) ◽  
pp. 137-144
Author(s):  
Kei Yamamoto ◽  
Kazuyoshi Yamamoto ◽  
Sakae Maeda ◽  
Mamoru Uemura ◽  
Masakazu Miyake ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Nutritional Intervention ◽  
Wound Therapy ◽  
Postoperative Wound

Abdominal Cavity Eventration Treated by Means of the „Open Abdomen” Technique Using the Negative Pressure Therapy System – Case Report and Literature Review

2015 ◽  
Vol 87 (11) ◽  
Author(s):  
Piotr W. Trzeciak ◽  
Joanna Porzeżyńska ◽  
Karolina Ptasińska ◽  
Dominik A. Walczak
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Surgical Complication ◽  
Abdominal Cavity ◽  
Wound Dehiscence ◽  
Serous Fluid ◽  
Wound Therapy ◽  
Pressure Therapy ◽  
Acute Respiratory Insufficiency ◽  
Surgical Suture

AbstractWound dehiscence is a surgical complication in which the wound ruptures along the surgical suture with abdominal cavity bowel displacement. It is observed in 0.2-6% of operated patients. The extensive wound is a gateway for infection. Moreover, increased secretion of serous fluid induces a hygienic problem and may lead to secondary skin infections or bedsores. The negative pressure wound therapy (NPWT) system is an innovative therapeutic method. It perfectly executes the TIME strategy, receiving more and more recognition.The study presented a case of a 62-year old male patient after several consecutive wound dehiscence episodes who was primarily treated for rectal cancer by means of low anterior resection of the rectum. Due to acute respiratory insufficiency after several operations, wound necrosis with dehiscence was observed. Considering the high risk of perioperative death we abandoned surgical treatment and introduced conservative management using negative pressure wound therapy until the patient’s health improved. Literature regarding the above-mentioned issue was also reviewed.

Managing Wound Dehiscence With Mechanical Negative Pressure Wound Therapy: A Case Report

2021 ◽  
Vol 33 (12) ◽  
pp. E75-E78
Author(s):  
Robert Klein
Keyword(s):  
Negative Pressure ◽  
Diabetic Foot ◽  
Negative Pressure Wound Therapy ◽  
Wound Care ◽  
Single Case ◽  
Wound Dehiscence ◽  
Metatarsal Head ◽  
Outpatient Setting ◽  
Wound Therapy ◽  
Surgical Wounds

Mechanical negative pressure wound therapy (mNPWT) is commonly used in the management of a variety of wounds, including diabetic foot ulcerations, surgical wounds, venous ulcerations, and wound dehiscence. This mechanically powered, disposable modality can be used to manage wounds in the outpatient setting and has been shown to be an effective wound care option when transitioning patients from the inpatient to outpatient setting and continuing NPWT for wound care. Mechanical NPWT helps promote wound healing by decreasing edema and via removal of tissue debris and exudate. Traditional NPWT is bulky, is often noisy, and requires a power source. A mechanically powered, disposable, easily applied, off-the-shelf mNPWT device is available for patients with small- to medium-sized wounds with mild to moderate exudate. The disposable mNPWT device provides −125 mm Hg pressure, is silent and small, can be worn under clothes, and allows the patient to be fully ambulatory, thus, more mobile. The mNPWT device tubing can be cut to fit to enable safer ambulation than the powered system and to enable the patient to work and enjoy social activities without a medical device showing. This single case study of a patient with chronic diabetic foot ulcerations of the medial first metatarsal head and dorsal proximal interphalangeal joints of the second and third toes of the left foot, which had not been successfully treated with conservative care and had been present for more than 1 year.

Postoperative wound management with negative pressure wound therapy in knee and hip surgery: a randomised control trial

2018 ◽  
Vol 27 (8) ◽  
pp. 520-525 ◽  
Author(s):  
Sandro Giannini ◽  
Antonio Mazzotti ◽  
Deianira Luciani ◽  
Giada Lullini ◽  
Giuseppe Tedesco ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Hip Surgery ◽  
Wound Management ◽  
Randomised Control Trial ◽  
Wound Therapy ◽  
Postoperative Wound
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