scholarly journals A new low-cost negative-pressure wound therapy versus a commercially available therapy device widely used to treat complex traumatic injuries: a prospective, randomized, non-inferiority trial

Clinics ◽  
2017 ◽  
Vol 72 (12) ◽  
pp. 737-742 ◽  
Author(s):  
F Kamamoto ◽  
AL Lima ◽  
MR Rezende ◽  
R Mattar-Junior ◽  
MC Leonhardt ◽  
...  
2018 ◽  
Vol 5 (1) ◽  
pp. 12-14
Author(s):  
Marcin Kiszka ◽  
Filip Kazubski ◽  
Magdalena Maj ◽  
Tomasz Banasiewicz

The Negative Pressure Wound Therapy (NPWT) is an approved method of healing lower extremity ulcers of various origin, accelerating the wound closure process, thus decreasing the hospital-stay time and lowering the cost of the treatment. Although it is scarcely needed in developing countries such as Kenya, there is a lack of official supplier of the NPWT equipment. We present an improvised method of constructing a reliable and effective NPWT dressing form widely available tools in a case of treating a post-traumatic phlegmon in a HIV-positive patient.


Author(s):  
M. Kalayarasan ◽  
S. Mohanraj ◽  
T. Dineshmurugan ◽  
R. Sruthi ◽  
A. Naveen

2015 ◽  
Vol 3 (6) ◽  
pp. e418 ◽  
Author(s):  
Benoit Chaput ◽  
Ignacio Garrido ◽  
Harold Eburdery ◽  
Jean Louis Grolleau ◽  
Jean Pierre Chavoin

2021 ◽  
Vol 10 (2) ◽  
pp. 149-155
Author(s):  
Stefanie M. Shiels ◽  
Nicole M. Sgromolo ◽  
Joseph C. Wenke

Aims High-energy injuries can result in multiple complications, the most prevalent being infection. Vancomycin powder has been used with increasing frequency in orthopaedic trauma given its success in reducing infection following spine surgery. Additionally, large, traumatic injuries require wound coverage and management by dressings such as negative pressure wound therapy (NPWT). NPWT has been shown to decrease the ability of antibiotic cement beads to reduce infection, but its effect on antibiotic powder is not known. The goal of this study was to determine if NPWT reduces the efficacy of topically applied antibiotic powder. Methods Complex musculoskeletal wounds were created in goats and inoculated with a strain of Staphylococcus aureus modified to emit light. Six hours after contaminating the wounds, imaging, irrigation, and debridement and treatment application were performed. Animals received either vancomycin powder with a wound pouch dressing or vancomycin powder with NPWT. Results There were no differences in eradication of bacteria when vancomycin powder was used in combination with NPWT (4.5% of baseline) compared to vancomycin powder with a wound pouch dressing (1.7% of baseline) (p = 0.986), even though approximately 50% of the vancomycin was recovered in the NPWT exudate canister. Conclusion The antimicrobial efficacy of the vancomycin powder was not diminished by the application of NPWT. These topical and locally applied therapies are potentially effective tools that can provide quick, simple treatments to prevent infection while providing coverage. By reducing the occurrence of infection, the recovery is shortened, leading to an overall improvement in quality of life. Cite this article: Bone Joint Res 2021;10(2):149–155.


Author(s):  
Haroon Rashid Zargar ◽  
Mir Mohsin ◽  
Peerzada Umar Farooq Baba ◽  
Adil Hafeez Wani ◽  
Shabir Iqbal ◽  
...  

Background: Management of complicated wounds is a reconstructive challenge. A reconstructive surgeon has to be ready to face new challenges every day. Negative pressure wound therapy has revolutionized the management of complex wounds. We are presenting our experience with this wound care modality in the past 11 years.Methods: It was a prospective study conducted from January 2006 to December 2016 on patients having wounds of varied etiologies, who consented to participate in this study. Custom made low cost NPWT was used till definitive wound closure.Results: A total of 568 patients consented to participate in the study during these 11 years. No major complications were seen. Most of these were males (60.73%) in their 3rd and 4th decade. Trauma was the leading cause of wounds in 38.14%, followed by diabetic foot wounds in 21.5%. Ankle and foot was the most common site of wounds (30.92%) followed by leg (24.01%). A total of 322 small, 218 medium and 97 large size dressings were used. Most of the patients improved with the NPWT.  No major complications were seen.Conclusions: NPWT is safe, effective and has proved to be revolutionary in managing difficult wounds. With the use of customized low cost NPWT the benefit can be extended to underprivileged population in under developed nations too.


2017 ◽  
Vol 4 (1) ◽  
pp. 12
Author(s):  
Dominik Andrzej Walczak ◽  
Michał Wojtyniak ◽  
Piotr Wojciech Trzeciak ◽  
Dariusz Pawełczak ◽  
Zbigniew Pasieka

Surgical site infection (SSI) makes patient care more expensive by prolonging antibiotic usage and hospital stay. Negative pressure wound therapy (NPWT) has been recently reported as a preventive strategy to avoid SSI. We present a simple and low-cost vacuum dressing that may improve surgical wound healing and prevent high-risk wounds from complications.


2021 ◽  
Author(s):  
Nazim SIFI ◽  
Ryad BOUGUENNA ◽  
Lamia KACI

Abstract Background: Negative pressure wound therapy (NPWT) is an alternative to standard treatment of acute wounds (such as traumatic or post-operative wounds) but also in that of chronic wounds (such as ulcers or stage 3 and 4 pressure ulcers). However, the exorbitant cost of VAC (vaccum assisted closure) devices for our limited resources health facilities, and their unavailability led us to opt for a "low cost" solution using wall suction and disposable materials readily available in all surgical departments. Materials and methods: After surgical debridement in 3 patients with both acute and chronic lesions evolving in septic environment, we replaced polyurethane foam by that from surgical scrub brushes, the tubing and its suction port by nasogastric tube, the hydrocolloid for the protection of wound edges by tulle gras (vaseline gauze), the adhesive film ensuring sealing by an incise drape, and the therapy unit by wall suction and exudates collection bottle. We cut up the foam to make it correspond to the wound, in size and depth, and then, using straight forceps, we create a tunnel in it, large enough to allow the introduction of the nasogastric tube. We then carefully place the foam in the wound. After that, we proceed to application of incise drape to cover foam dressing and connect the end of the probe to wall suction system via suction bottle. Therapy is initiated by setting vacuum gauge to a continuously delivered negative pressure of -125 mmHg.Results: The size of all wounds reduced considerably and rapidly with the installation of budding granulation tissue which appeared as early as the first dressing change enabling subsequently the best possible conditions for directed healing or coverage procedures (skin graft or flaps). The healing was obtained for all our patients.Conclusions: In this "low cost" NPWT, the negative pressure produced by wall vacuum promotes effective management of acute and chronic wounds, including complex ones, by rapidly "producing" good quality granulation leading to healing, while reducing the cost of therapy, the number of dressings and the length of hospital stay.Trial registration: Retrospectively registered


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