The role of Renasys-GO (TM) in the treatment of diabetic lower limb ulcers: a case series

被引:7
作者
Chan, Shu-Yi Claire [1 ]
Wong, Keng Lin [1 ]
Lim, Jia Xin Jane [1 ]
Tay, Yi Ling Elaine [1 ]
Nather, Aziz [1 ]
机构
[1] Natl Univ Hlth Syst, Univ Orthopaed & Hand Reconstruct Microsurg Clust, Dept Orthopaed Surg, Singapore, Singapore
关键词
diabetic lower limb wounds; negative pressure wound therapy; wound healing;
D O I
10.3402/dfa.v5.24718
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction: This case series aims to study the effectiveness of Renasys-GO (TM) negative pressure wound therapy system in the healing of diabetic lower limb ulcers. Materials and methods: An electronic vacuum pump (Renasys-GO (TM), Smith & Nephew GmbH) was used to apply negative pressure wound therapy on wounds, with pressure settings determined according to clinical indication. Changes in wound dimension, infection status and duration of treatment were recorded over the course of Renasys-GO (TM) therapy in 10 patients with diabetic lower limb ulcers. Results: Healing was achieved in all wounds, three by secondary closure and seven by split-thickness skin grafting. Eight wounds showed a reduction in wound size. The average duration of treatment with RenasysGO (TM) therapy was 15.9 days, and all wounds showed sufficient granulation and were cleared of bacterial infection at the end of therapy. Conclusions: Renasys-GO (TM) therapy may be beneficial in the treatment of diabetic lower limb ulcers and wounds. In this study, which included wounds presenting as post-surgery ray amputation, metatarsal excision wounds, post-debridement abscesses and ulcers, the Renasys-GO (TM) therapy prepared all wounds for closure via split-thickness skin grafting or secondary healing by promoting granulation tissue and reducing bacterial infection in approximately 2 weeks.
引用
收藏
页数:6
相关论文
共 15 条
[1]  
Armstrong David G, 2002, Ostomy Wound Manage, V48, P64
[2]   Evidence-based recommendations for negative pressure wound therapy: Treatment variables (pressure levels, wound filler and contact layer) - Steps towards an international consensus [J].
Birke-Sorensen, H. ;
Malmsjo, M. ;
Rome, P. ;
Hudson, D. ;
Krug, E. ;
Berg, L. ;
Bruhin, A. ;
Caravaggi, C. ;
Chariker, M. ;
Depoorter, M. ;
Dowsett, C. ;
Dunn, R. ;
Duteille, F. ;
Ferreira, F. ;
Francos Martinez, J. M. ;
Grudzien, G. ;
Ichioka, S. ;
Ingemansson, R. ;
Jeffery, S. ;
Lee, C. ;
Vig, S. ;
Runkel, N. ;
Martin, R. ;
Smith, J. .
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2011, 64 :S1-S16
[3]   Comparison of negative pressure wound therapy using vacuum-assisted closure with advanced moist wound therapy in the treatment of diabetic foot ulcers: A multicenter randomized controlled trial [J].
Blume, Peter A. ;
Walters, Jodi ;
Payne, Wyatt ;
Ayala, Jose ;
Lantis, John .
DIABETES CARE, 2008, 31 (04) :631-636
[4]   Experience with the vacuum assisted closure negative pressure technique in the treatment of non-healing diabetic and dysvascular wounds [J].
Clare, MP ;
Fitzgibbons, TC ;
McMullen, ST ;
Stice, RC ;
Hayes, DF ;
Henkel, L .
FOOT & ANKLE INTERNATIONAL, 2002, 23 (10) :896-901
[5]   A prospective randomized evaluation of negative-pressure wound dressings for diabetic foot wounds [J].
Eginton, MT ;
Brown, KR ;
Seabrook, GR ;
Towne, JB ;
Cambria, RA .
ANNALS OF VASCULAR SURGERY, 2003, 17 (06) :645-649
[6]  
European Wound Management Association (EWMA), 2007, POS DOC TOP NEG PRES
[7]  
Khalik S, 2012, SUNDAY TIMES, P1
[8]   Vacuum-assisted closure: A new method for wound control and treatment: Animal studies and basic foundation [J].
Morykwas, MJ ;
Argenta, LC ;
SheltonBrown, EI ;
McGuirt, W .
ANNALS OF PLASTIC SURGERY, 1997, 38 (06) :553-562
[9]  
Nather A, 2010, ANN ACAD MED SINGAP, V39, P353
[10]  
*NICE, 2013, NEG PRESS WOUND THER