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.

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.

Post-traumatic necrotising fasciitis of the breast: a case study with literature review

2019 ◽  
Vol 28 (11) ◽  
pp. 775-778 ◽  
Author(s):  
Ashish Gupta ◽  
Amit Gupta ◽  
Bina Ravi ◽  
Mukund Mundra ◽  
Harindra Sandhu ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Literature Review ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Necrotising Fasciitis ◽  
Wound Therapy ◽  
Healthy Female ◽  
Post Traumatic

Necrotising fasciitis is a rare infection of the skin and underlying soft tissue. It primarily involves the extremities and rarely the breast. Primary necrotising fasciitis of the breast in a non-lactating, healthy female is rarer still. The authors present the case report of a patient presenting with primary necrotising fasciitis of the breast after sustaining a penetrating injury. The patient was managed successfully with serial debridement and negative pressure wound therapy (NPWT). To our knowledge only 19 such cases have been reported in the indexed literature so far. This is also the eighth case globally of primary necrotising fasciitis of the breast in a non-lactating female without any associated immunosuppression, which is the basis of reporting this case.

Osteoradionecrosis and microvascular free flap failure managed with negative pressure wound therapy: A case report

2021 ◽  
pp. 1-6
Author(s):  
Michael J. Gigliotti ◽  
Neel Patel ◽  
Caroline McLaughlin ◽  
Alexis Rothermel ◽  
Cathy Henry ◽  
...  
Keyword(s):  
Case Report ◽  
Free Flap ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Wound Therapy ◽  
Flap Failure ◽  
Microvascular Free Flap

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
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