The use of artificial dermal scaffolding combined with negative pressure wound therapy of chronic wound in the lower extremities with a combination of artificial dermal scaffolding and postoperative negative pressure wound therapy

Author(s):  
Yuta Terabe ◽  
Tomoya Satou ◽  
Shigeru Ichioka
2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Diaa Othman

This is a paper reviewing the National Health Service (NHS) agenda in relation to the use of Negative Pressure Wound Therapy (NPWT) in chronic wound management and assesses the evidence behind it, its cost effectiveness and the outcome it has on patients’ satisfaction and life style. Multiple studies over the last 10 years looking at clinical efficacy of NPWT with its cost effectiveness and the implementation of this service in the UK were reviewed. NPWT has showed a reasonable body of evidence to support its usage in chronic wounds with potential positive outcomes on finance and patients’ satisfaction. However, the NHS system shows significant variations in the availability and implementation of this useful tool, depending on care providers and resources availabilities. The paper concluded that the NPWT can be a useful source of cutting down costs of chronic wound managements and saving money by its effect on expediting wound healing, which can address a part of the financial crises facing the NHS, however, has to be considered according to specific case needs. There should also be a national standard for the availability and indication of this tool to assure equal opportunities for different patients in different areas in the country.


2019 ◽  
Vol 141 (5-6) ◽  
pp. 146-149

Two cases which involved a massive avulsion injury of the lower extremities are presented. In both cases the treatment consisted of sequential debridement during the initial period after which negative pressure wound therapy was applied for a period of three to four weeks in order to enable the formation of a solid layer of granulation tissue and a clinically clean wound. Subsequently, INTEGRA® DRTwas fixed to the wound bed with negative pressure wound therapy. During the next three weeks INTEGRA® DRT „integrated“ which enabled split-thickness skin grafting with 0.2 mm thick grafts. In both cases the final outcome was functionally and cosmetically satisfying with near normal contours of the lower extremity restored. Negative pressure wound therapy for a period of three to four weeks enables control of the colonisation of the wound bed and a formation of a solid layer of granulation tissue. The application of INTEGRA® DRT enables formation of the neodermis which provides elasticity and better contours of the reconstructed tissue. A downside of this type of treatment is the price as well as the duration of therapy of about eight weeks.


2015 ◽  
Vol 23 (4) ◽  
pp. 506-517 ◽  
Author(s):  
Susan M. Rhee ◽  
M. Frances Valle ◽  
Lisa M. Wilson ◽  
Gerald Lazarus ◽  
Jonathan M. Zenilman ◽  
...  

2015 ◽  
Vol 1 (2) ◽  
pp. 10
Author(s):  
Chindy Maria Orizani

ABSTRAKFournier's gangrene merupakan fasciitis nekrotikans yang progresif pada daerah penis, skrotum, dan perineum dan memiliki potensi fatal dengan angka mortalitas tinggi dan termasuk dalam kasus kegawatdaruratan bedah dan urologi. Negative Pressure Wound Care merupakan perawatan luka pada pasien dengan Fournier’s Gangrene sebelum dilakukan debridemen dan digunakan sebagai metode untuk menurunkan nyeri dan meningkatkan kenyamanan klien. Tujuan dari studi ini adalah untuk melakukan analisis intervensi perawatan luka pada Fournier’s gangrene dengan menggunakan Negative Pressure Wound Care berdasar teori Comfort. Pencarian literatur yang relevan, dilakukan dengan mengakses database PubMed, ScienceDirect, dan SAGEPub dibatasi dari Januari 2006 sampai dengan Oktober 2015. Keywords yang digunakan adalah “Fournier’s gangrene”, “negative pressure wound therapy”, “Vacuum-assisted closure”, “chronic wound therapy”. Negative pressure wound therapy sangat efektif untuk mengontrol drainage luka setelah debridemen, mempermudah granulasi luka dan menurunkan penggunaan kasa/dressing luka dan proses perawatan dapat menimbulkan rasa nyaman bagi klien dibandingkan perawatan lain. Negative pressure wound therapy merupakan aplikasi tindakan keperawatan yang berdasarkan teori comfort yaitu meningkatkan kenyamanan klien dengan menurunkan tingkat nyeri yang dirasakan klien sehingga meningkatkan kualitas hidup klien. Kata kunci: Fournier’s gangrene, negative pressure wound therapy, penyembuhan luka ABSTRACTFournier's gangrene is a progressive necrotizing fasciitis in the area of the penis, scrotum, and perineum and potentially fatal disease with a high mortality rate and included in the case of emergency surgery and urology. Negative Pressure Wound Care is a wound care in patients with Fournier's Gangrene before debridement and used as a method to reduce pain and increase the comfort of the client. The aim of this study was to analyzed the wound care interventions on Fournier gangrene using Negative Pressure Wound Care on the Comfort theory. Search methods relevant literature, performed by accessing the databases PubMed, ScienceDirect, and SAGEPub restricted from January 2006 to October 2015. Keywords used were "Fournier's gangrene", "negative pressure wound therapy", "Vacuum-assisted closure", "chronic wound therapy ". Negative pressure wound therapy is very effective for controlling wound drainage after debridement, wound granulation simplify and reduce the use of gauze / dressing wounds and the treatment process may cause a sense of comfort for the client than other treatments. Negative pressure wound therapy is the application of nursing actions based on the comfort theory which can improve client comfort by lowering the level of pain felt by clients thus improving quality of life for clients. Keywords: Fournier’s gangrene, negative pressure wound therapy, wound healing DOWNLOAD FULL TEXT PDF >>


2019 ◽  
Vol 6 (2) ◽  
pp. 7-8
Author(s):  
Adam Bobkiewicz ◽  
Adam Studniarek ◽  
Łukasz Krokowicz ◽  
Michał Drews ◽  
Tomasz Banasiewicz

An increased number of patients developing difficult-to-heal wounds results in billions spending for chronic wound care management. Introduction of TIME conception has been a breakthrough idea for wound healing based on phase-adapted wound therapy that interacts and influence each other and included: T – tissue management, I - infection control, M - moisture balance, E - edge of the wound. Negative pressure wound therapy (NPWT) revolutionized the management of wound healing. Moreover, recently NPWT with instillation (iNPWT) has gained the popularity of optimizing wound healing. In the context of acceleration of wound healing, iNPWT meets the criteria of the TIME conception. All individual components of TIME strategy are found in iNPWT providing “all in one” conception. Such management is easy to apply, monitor and it is well- tolerated by patients. Based on the current studies, iNPWT is found to be an important alternative for other methods of wound healing. It is believed that iNPWT will evolve and gain popularity as an innovative treatment for TIME conception.


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