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Negative Pressure Wound Therapy Journal
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Online) 2392-0297
Published by Medigent Foundation Homepage  [1 journal]
  • Negative Pressure Wound Therapy for Necrotizing Fasciitis and Compartment
           Syndrome of the Upper Extremity — a case report

    • Authors: Attila Enyedi, Gábor Mudriczki, Tamás Bazsó, Ferenc Győry, Zsolt Susán, László Damjanovich, Zsolt Szentkereszty
      Pages: 5 - 8
      Abstract: Background: Necrotizing fasciitis (NF) is a lifethreatening
      infection of the subcutaneous tissues that spreads
      along the underlying fascia. Despite the early and aggressive
      surgical fasciotomy and necrectomy, its mortality rate is still
      high. In NF the negative pressure wound therapy (NPWT)
      shows good effects on wound healing and on the primary closure
      of the concomitant extended tissue defects.
      Case report: A 32-year-old male patient was admitted with
      a four-day history of fever (39.1C), pain, swelling, erythema
      of the right elbow and the upper arm. On admission, extensive
      erythema and swelling were seen on the right forearm, arm,
      and the pectoral region with superficial skin bullae. Based on
      the clinical symptoms and laboratory tests immediate surgery
      was indicated. Extended fasciotomy and necrosectomy were
      performed on the full extremity and pectoral region. Negative
      pressure wound therapy was started immediately afterward
      with -120 mmHg concomitantly with antibiotic therapy.
      Results: After five cycles of NPWT the patient recovered
      without needing any plastic surgical intervention. The functional
      and aesthetic results were excellent.
      Conclusion: In the case of extended NF of the upper extremity
      the aggressive surgery and NPWT are relatively safe and
      effective.
      PubDate: 2019-04-04
      Issue No: Vol. 6, No. 1 (2019)
       
  • From fistula to disability. Severe infection due to anal fistula treated
           with NPWT — case report

    • Authors: Mateusz Szyntor, Radosław Wojciechowski, Magdalena Surudo
      Pages: 9 - 13
      Abstract: Negative pressure wound therapy (NPWT) is increasingly used to facilitate wound healing. There are various types of wounds - primarily closed or open, clean or infected, superficial or deep-penetrating, open abdomen, enteroatmospheric fistulae, burns etc. and almost each of these might be healed with the help of NPWT. It seems to be the most beneficial in hard-to-heal wounds. Using sub-atmospheric pressure, we can significantly accelerate the separating of necrotized tissues, stop inflammation,promote granulation, and drain the difficult wounds effectively. Typically, an optimum pressure range of –80 to –125 mmHg is administered. Few contraindications for the use of NPWT are challenged by new reports showing benefits in situations where NPWT was previously forbidden, (i.e. malignancy or bleeding in the wound), increasing the quality of life and avoiding wound infections. There is a growing body of data for new methods of treating anal fistula in the literature, but there is no data for elective treatment with NPWT. Attempts to develop NPWT protocols are problematic due to the diversity of cases and the frequent need for a personalized therapeutic approach. This paper presents a 56-year-old male patient suffering from severe, purulent inflammation of groin, inguinal, anal and left gluteal sites; septic, malnourished, depressed, in worsening general status for 3 years. Computed tomography and colonoscopy did not reveal pathology except for purulent inflammation. At the beginning, the patient was treated symptomatically with antibiotics, colostomy and surgical excision facilitated with NPWT. Anal fistulae were found after a large excision. A medium-thick skin transplantation was performed and well accepted in over 90%. This was a 103-day-long treatment with numerous complications. Finally, the wound healed completely and the patient was restored to his full physical and mental abilities. NPWT used in this case allowed for inflammation control, extensive wound healing and closing the anal fistula with no recurrence.
      PubDate: 2019-04-04
      Issue No: Vol. 6, No. 1 (2019)
       
  • The role of negative pressure wound therapy in the treatment of pilonidal
           disease

    • Authors: Jan Chmielecki, Josephine Ferenc, Tomasz Banasiewicz
      Pages: 14 - 17
      Abstract: Pilonidal disease is a particularly difficult disorder
      to treat. Guidelines and recommendations for the treatment of
      pilonidal disease neglect the use of negative pressure wound
      therapy (NPWT), but studies strongly support the role of NPWT
      in preventing surgical site infection in high-risk patients.
      During a webinar on the pilonidal disease, we asked 51
      participants to complete a questionnaire about the treatment
      of pilonidal disease. They answered questions about treatment
      practices for patients with a pilonidal disease, and the use of
      NPWT.
      The study showed that a relatively large number of surgeons
      use NPWT to treat patients with the pilonidal disease. The
      majority of them are satisfied with maintaining the tightness
      and effectiveness of a vacuum dressing and would use the
      single-use NPWT systems if they were more easily available and
      affordable. It seems that the NPWT in the pilonidal disease is
      increasingly used and this method is gaining popularity among
      practitioners.
      PubDate: 2019-04-04
      Issue No: Vol. 6, No. 1 (2019)
       
 
 
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