Sacral and Ischial Pressure Ulcer Management With Negative-Pressure Wound Therapy With Instillation and Dwell

被引:17
作者
Arowojolu, Omotayo A. [1 ]
Wirth, Garrett A. [2 ]
机构
[1] Univ Calif Irvine, Med Ctr, Dept Plast Surg, Irvine, CA USA
[2] Wirth Plast Surg, 1401 Avocado Ave,Suite 810, Newport Beach, CA 92660 USA
关键词
VACUUM-ASSISTED CLOSURE; COMPLEX WOUNDS; BRADEN SCALE; SCIENCE; SYSTEM; SALINE; RISK;
D O I
10.1097/PRS.0000000000007613
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: The addition of topical fluid instillation, a programmable "dwell" time and a novel foam-wound interface to the established wound healing benefits of negative-pressure wound therapy (NPWT) works synergistically to benefit patients with complex wounds. This engineering breakthrough for wound care has been termed NPWT with instillation and dwell (NPWTi-d), and the new foam dressings are reticulated open cell foam dressings specifically designed for use with NPWTi-d. This combined technology has shown promise in chronic, complex wounds and has potential for the management of sacral and ischial pressure wounds. Methods: A qualitative comprehensive review was performed analyzing articles from PubMed and Medline that reported on the use of NPWTi-d in sacral or ischial pressure ulcers. Case series and case reports were predominant, and results of cases specific to sacral and ischial pressure wounds were extracted from larger studies and summarized for presentation. Results: Compared with conventional NPWT alone, NPWTi-d has been shown to help irrigate the wound, remove fibrinous debris, and promote granulation tissue formation. This is associated with a decreased number of operative debridements and decreased hospital length of stay. Conclusions: This technology is rapidly demonstrating expanded utilization in hospitalized patients with chronic sacral and ischial pressure ulcers. When used correctly, NPWTi-d serves as an effective "bridge to defined endpoint": whether that is a flap reconstruction, skin grafting, or discharge home with a stable chronic wound and simplified wound care.
引用
收藏
页码:61S / 67S
页数:7
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