scholarly journals Advantages of Negative Pressure Therapy in Local Diabetic Foot Treatment

2019 ◽  
Vol 70 (4) ◽  
pp. 1307-1310
Author(s):  
Monica Marilena Tantu ◽  
George Mihail Man ◽  
Alina Paunescu ◽  
Cristina Florentina Plesa ◽  
Camelia Nicolae ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Negative Pressure ◽  
Diabetic Foot ◽  
Public Health Problem ◽  
Functional Results ◽  
Negative Pressure Therapy ◽  
Pressure Therapy ◽  
Flap Viability ◽  
The Right

Diabetic foot is a current public health problem and a late consequence of diabetes. Morbidity and mortality are significant, seriously affecting the patient�s quality of life. Treatment of the diabetic foot is a long-lasting, highly resource-consumption process. Using negative pressure therapy leads to shorter hospitalization periods, better functional outcomes, significantly contributes to decreasing the number of amputations and improving patient�s quality of life. 49 year-old patient is hospitalized with necrotizing at right foot and shank, neglected type II diabetes. It is performed amputation of atypical necessity, right leg, transtarsal, open stump. After successive debridements, negative pressure therapy is installed for a period of 24 days. This favors the formation of the granular bed, the remission of the infection, allowing grafting. The graft is partially integrated and plantar reconstruction is performed with sural reversal flap. The local and functional results are satisfactory, with the flap viability and the possibility of moving with support on the right leg, preventing the amputation of the shank. Negative pressure therapy has a multitude of advantages, it is preferable to conventional therapies, and it can have higher costs, but accelerates healing and improves the quality of life of the patient.

851 Hidradenitis Suppurativa: Our Institutional Experience over the Last 6 Months with Improved Definitive Management and Quality of Life

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S263-S263
Author(s):  
Alan Pang ◽  
Justin Van Hoorebeke ◽  
Nicole M Kopari
Keyword(s):  
Quality Of Life ◽  
Negative Pressure ◽  
Hidradenitis Suppurativa ◽  
Negative Pressure Therapy ◽  
Novel Therapy ◽  
Pressure Therapy ◽  
Novel Treatment ◽  
Split Thickness Skin Grafting ◽  
Definitive Management

Abstract Introduction Hidradenitis suppurativa (HS) has prevalence of 0.05–4.1% and is more common in women, with an onset typically occurring after puberty. HS is often under-recognized, mismanaged, and is associated with comorbidities and decreased quality of life. Currently, management is tailored to the phase of the disease; medically treating the inflammatory phase and surgically managing the fibrotic phase. The tissue-sparing surgery can be disfiguring and may not protect against recurrence. The aim of this case series is to highlight a novel therapy as a treatment option for chronic, recalcitrant HS. Methods Four HS patients underwent a novel treatment in the burn unit at our institution. Patients underwent excision of wounds, dermal regenerative template (DRT) placement, and were dressed with a silver-impregnated negative pressure therapy wound vac. On hospital day 5 the wound vac was changed and on day 10 the patient returned to the operating room for removal of the silastic layer of the DRT with formal split thickness skin grafting (STSG) over the neodermis and replacement of the silver-impregnated negative pressure therapy wound vac. On hospital day 15, the VAC was taken down, the graft site was transitioned to daily xeroform and bacitracin dressing, and the patients were discharged home. Results Four patients with ages ranging from 27–60 years with an average disease duration of six-years underwent the novel treatment at our institution. Two patients had HS more prominent on the buttock with the other two patients presenting with axilla involvement. One patient had limited range of motion to the shoulders secondary to chronic contractures. All patients had failed multiple local incision and drainage procedures as well as complex medical therapies including but not limited to chronic antibiotic suppression and immunotherapies. Each patient underwent two operative procedures with three patients requiring one additional bedside wound vac change. All patients were discharged home within fifteen days from the initial procedure with acceptable wound coverage. Conclusions Four patients with HS underwent a novel therapy; tolerated the procedures well, had excellent adherence, and were satisfied with the results. This provides evidence for the validity of this therapy utilizing the above described staged operative approach resulting in definitive management and acceptable cosmetic results. Applicability of Research to Practice By utilizing this novel approach and the multidisciplinary burn team, patients who suffer from long-standing HS may have improved quality of life.

Negative Pressure Therapy in the Surgical Treatment of Diabetic Foot

2017 ◽  
Vol 68 (7) ◽  
pp. 1648-1651
Author(s):  
Bogdan Mihnea Ciuntu ◽  
Ciprian Vasiluta ◽  
Robert Negru ◽  
Roxana Hultoana ◽  
Roxana Ciuntu ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Negative Pressure ◽  
Diabetic Foot ◽  
Bacterial Load ◽  
Abdominal Wall Defects ◽  
Negative Pressure Therapy ◽  
Simultaneous Application ◽  
Average Hospital ◽  
Pressure Therapy ◽  
Days Of Therapy

The study aims to assess the significance of negative pressure therapy in the treatment of diabetic foot.The objectives intend to evaluate the healing time required after applying the method and the functional consequences for the patient. A prospective study was conducted on a sample of 37 patients with diabetic foot were monitored their clinical course between September 2014 - April 2017, following negative pressure therapy. There were used vacuum assisted closure devices (VAC � -Hartman) in order to apply negative pressure to the wound, while complying with specified settings (negative pressure, time of use of a kit) in accordance with patients� outcome.There were monitored changes in wound size (planimetric and volumetric measurement), their bacterial load and duration of treatment. Healing was obtained in all cases, to an average hospital stay of 27.3 days and 8 days of therapy application.The negative result of microbial cultures was obtained after an average of 6.45 days by simultaneous application of negative pressure and antibiotic treatment according to the antibiogram. Skin grafts were necessary to close the defect in 4 cases. After basic treatment of the wound, auxiliary methods such as negative pressure contribute to the healing.In patients with diabetic foot who were required surgical intervention, the use of negative pressure therapy yielded a significant benefit in the preservation of the affected limb, after minimal excision.The results we obtained throughout our experience recommend use of NPTW technique as indication for abdominal wall surgery in closing abdominal wall defects, compartment syndrome and surgical site infection after prosthetic mesh.

scholarly journals Nurse Approach in the Treatment of Piabetic Foot Ulcers with the Management of Negative Pressure Therapy

2021 ◽  
pp. 1-4
Author(s):  
Astasio Picado Álvaro ◽  
Keyword(s):  
Negative Pressure ◽  
Diabetic Foot ◽  
Bacterial Load ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Negative Pressure Therapy ◽  
Novel Therapy ◽  
Pressure Therapy ◽  
Advanced Therapy ◽  
Global Increase

The global increase of Diabetes Mellitus represents serious complications for those who suffer from it, the most frequent complications are diabetic foot ulcers and amputations derived from them. Currently, negative pressure therapy (NPT) is used as an advanced therapy for the treatment of this type of ulcers. This novel therapy promises numerous advantages for the nursing approach to patients with diabetic foot ulcers. Therefore, the objective of this narrative review is to prove the effectiveness of the negative pressure therapy as a treatment for diabetic foot ulcers. The search of the articles was carried out in several scientific databases with the help of a searching chain, which combined the keywords and boolean operators. 16 studies were selected, which indicated that NPT as a treatment for diabetic foot ulcers provides benefits such as promoting the formation of granulation tissue, healing and closing of the ulcer in a shorter time, as well as reducing ulcer depth and area and even decreases the bacterial load, the rate of amputations and reulcerations. Hence, NPT is an effective therapy that should be applied to clinical practice

Negative pressure therapy in diabetic foot wounds – Authors' reply

The Lancet ◽  
2006 ◽  
Vol 367 (9512) ◽  
pp. 726-727 ◽  
Author(s):  
David G Armstrong ◽  
Lawrence A Lavery
Keyword(s):  
Negative Pressure ◽  
Diabetic Foot ◽  
Negative Pressure Therapy ◽  
Pressure Therapy

Negative pressure therapy in diabetic foot wounds

The Lancet ◽  
2006 ◽  
Vol 367 (9512) ◽  
pp. 725-726 ◽  
Author(s):  
Marc Maegele ◽  
Sven Gregor ◽  
Frank Peinemann ◽  
Stefan Sauerland
Keyword(s):  
Negative Pressure ◽  
Diabetic Foot ◽  
Negative Pressure Therapy ◽  
Pressure Therapy

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

scholarly journals Quality of life and handgrip strength of HIV patients diagnosed with neurotoxoplasmosis

2019 ◽  
Vol 21 ◽  
Author(s):  
Luiz Fernando Gouvêa-e-Silva ◽  
Cíntia Naira Souza de Lima ◽  
Kerolen Tayla Lima Fernandes ◽  
Silvania Yukiko Lins Takanashi ◽  
Marília Brasil Xavier
Keyword(s):  
Quality Of Life ◽  
Handgrip Strength ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Major Public Health Problem ◽  
Cross Sectional ◽  
Left Hand ◽  
Aids Epidemic ◽  
The Right

Abstract HIV / AIDS epidemic continues to be a major public health problem, and when there is poor adherence to treatment, patients become susceptible to other infections such as toxoplasmosis. The aim of this study was to evaluate the handgrip strength and quality of life of HIV infected patients diagnosed with neurotoxoplasmosis. A cross-sectional study was conducted with 40 HIV-infected patients, with and without diagnosis of neuroxoplasmosis.Sociodemographic and clinical profile information was collected, and handgrip strength and quality of life were evaluated. Almost all patients of both groups used antiretroviral therapy. In the handgrip strength evaluation, no statistical difference was observed for the right and left hand between groups with and without neurotoxoplasmosis (p> 0.05). However, the classifica-1 Federal University of Pará. Gradution of inadequate handgrip strength in the neurotoxoplasmosis group was significantly higher.ate Program in Tropical Diseases. In the quality of life domain, it was observed that financial concern had lower scores in the Belém, PA. Brazil. group with neurotoxoplasmosis (p = 0.0379). It was observed that neurotoxoplasmosis showedno association with epidemiological, clinical, handgrip strength and quality of life variables.2 State University of Pará. Center However, patients with neurotoxoplasmosis showed a trend towards lower muscle strength.

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