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negative pressure wound therapy,wound dressing

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https://www.readbyqxmd.com/read/30102238/inpatient-and-outpatient-wound-treatment-recommendations-assessing-use-of-negative-pressure-wound-therapy-systems-or-oxidized-regenerated-cellulose-orc-collagen-silver-orc-dressings
#1
Andrew Applewhite, Saeed A Chowdhry, Michael Desvigne, Allen Gabriel, Rosemary Hill, Mary Anne Obst, Dawn Shepherd, Marcus Speyrer, Terry Treadwell, Lindsey Waddell
The increase in wound prevalence means more patients with wounds are being transferred through care settings than ever before. Although the goals of therapy may be the same in both settings, wound care therapies and dressings differ in availability and appropriateness for each setting. Negative pressure wound therapy (NPWT) modalities and oxidized regenerated cellulose (ORC)/collagen (C)/silver-ORC dressings are available in both inpatient and outpatient care settings, but (to-date) lack comprehensive information regarding best practices in transitioning use of these therapies between various care settings...
August 2018: Wounds: a Compendium of Clinical Research and Practice
https://www.readbyqxmd.com/read/30086252/postoperative-wound-management-with-negative-pressure-wound-therapy-in-knee-and-hip-surgery-a-randomised-control-trial
#2
Sandro Giannini, Antonio Mazzotti, Deianira Luciani, Giada Lullini, Giuseppe Tedesco, Isabella Andreoli, Matteo Cadossi, Cesare Faldini
OBJECTIVE: To compare the effectiveness in wound healing of negative pressure wound therapy (NPWT) versus a standard dressing in patients who underwent hip or knee revision surgery. METHOD: Participating patients scheduled for hip and knee prosthetic revision were randomised into two groups: one receiving standard povidone-iodine gauze and patch wound dressing (control group) and the other NPWT over the sutured wound area (NPWT group). Patients were evaluated by means of ASEPSIS score, occurrence of blisters, visual analogue scale (VAS) and dressing changes seven days after surgery...
August 2, 2018: Journal of Wound Care
https://www.readbyqxmd.com/read/30086045/a-novel-inexpensive-technique-to-seal-negative-pressure-wound-therapy-on-external-fixation-devices
#3
Caputo Glenda Giorgia, Marchetti Alberto, Governa Maurizio, Dalla Pozza Edoardo
Negative pressure wound therapy, a tool widely applied to treat lower limb traumas, is useful in reconstructive procedures. However, obtaining an air-tight vacuum seal when using a negative pressure dressing around an external fixation device can be complicated and time-consuming. The plastic drape seldom adheres to screws, pins, or wires and, as such, the vacuum-seal is jeopardized.In surgical departments, colostomy paste is widely used, readily available, and applied where pins and wires make contact with the plastic drape...
July 30, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/30066454/prophylactic-incisional-negative-pressure-wound-therapy-reduces-the-risk-of-surgical-site-infection-after-caesarean-section-in-obese-women-a-pragmatic-randomised-clinical-trial
#4
Nana Hyldig, Christina Anne Vinter, Marie Kruse, Ole Mogensen, Camilla Bille, Jens Ahm Sorensen, Ronald Francis Lamont, Chunsen Wu, Lene Nyhoj Heidemann, Mette Holm Ibsen, Jacob Brink Laursen, Per Glud Ovesen, Christina Rorbye, Mette Tanvig, Jan Stener Joergensen
OBJECTIVE: To evaluate the reduction of surgical site infections by prophylactic incisional Negative Pressure Wound Therapy compared with standard postoperative dressings in obese women giving birth by caesarean section. DESIGN: Randomised multicentre controlled trial. SETTING: Five hospitals in Denmark. POPULATION: Obese women (pre-pregnancy BMI ≥30kg/m2 ) undergoing elective or emergency caesarean section. METHOD: The participants were randomly assigned to incisional Negative Pressure Wound Therapy or a standard dressing after caesarean section and analysed by intention-to-treat...
August 1, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29995726/prophylactic-negative-pressure-wound-therapy-and-wound-complication-after-cesarean-delivery-in-women-with-class-ii-or-iii-obesity-a-randomized-controlled-trial
#5
Kristina A Wihbey, Ellen M Joyce, Zachary T Spalding, Hayley J Jones, Todd A MacKenzie, Rebecca H Evans, June L Fung, Marlene B Goldman, Elisabeth Erekson
OBJECTIVE: To compare the occurrence of superficial surgical site infections in obese women using prophylactic negative pressure therapy with standard dressings after cesarean delivery. METHODS: We conducted a randomized controlled, nonblinded, two-center study of prophylactic negative pressure therapy compared with standard surgical dressings placed at the time of primary closure at cesarean delivery in obese women with body mass indexes (BMI) of 35 or higher (ie, class II and III obesity)...
August 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29979449/the-appropriate-management-algorithm-for-diabetic-foot-a-single-center-retrospective-study-over-12-years
#6
Jung Woo Chang, Woong Heo, Matthew Seung Suk Choi, Jang Hyun Lee
BACKGROUND: Diabetic foot management is a challenge for reconstructive surgeons because it combines dramatically decreased circulation and chronic infection. The goal of managing this condition is to maximize viable tissue; however, unsatisfactory results, such as extremity amputation, are unavoidable in some cases. For appropriate management, thorough understanding of diabetic foot and the phased approach to its management is needed. The purpose of this study is to introduce an optimal algorithm for diabetic foot management by analyzing cases >12 years...
July 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29970335/closed-incision-negative-pressure-therapy-reduces-surgical-site-infections-in-vascular-surgery-a-prospective-randomised-trial-aims-trial
#7
Alexander Gombert, Michael Babilon, Mohammad E Barbati, Andras Keszei, Klaus T von Trotha, Houman Jalaie, Johannes Kalder, Drosos Kotelis, Andreas Greiner, Stephan Langer, Michael J Jacobs, Jochen Grommes
BACKGROUND: Surgical site infections of the groin remain a crucial problem in vascular surgery, prompting great interest in preventative techniques, such as closed incision negative pressure therapy (ciNPT). This prospective randomised study aimed to assess the potential benefits of ciNPT application after groin incisions for vascular surgery. METHOD: The study included 204 patients who underwent vascular surgery for peripheral artery disease (PAD) at two sites between July 2015 and May 2017...
June 30, 2018: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29969521/negative-pressure-wound-therapy-for-open-traumatic-wounds
#8
REVIEW
Zipporah Iheozor-Ejiofor, Katy Newton, Jo C Dumville, Matthew L Costa, Gill Norman, Julie Bruce
BACKGROUND: Traumatic wounds (wounds caused by injury) range from abrasions and minor skin incisions or tears, to wounds with extensive tissue damage or loss as well as damage to bone and internal organs. Two key types of traumatic wounds considered in this review are those that damage soft tissue only and those that involve a broken bone, that is, open fractures. In some cases these wounds are left open and negative pressure wound therapy (NPWT) is used as a treatment. This medical device involves the application of a wound dressing through which negative pressure is applied and tissue fluid drawn away from the area...
July 3, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29951633/pilot-feasibility-randomized-clinical-trial-of-negative-pressure-wound-therapy-versus-usual-care-in-patients-with-surgical-wounds-healing-by-secondary-intention
#9
C Arundel, C Fairhurst, B Corbacho-Martin, H Buckley, E Clarke, N Cullum, S Dixon, J Dumville, A Firth, E Henderson, K Lamb, E McGinnis, A Oswald, P Saramago Goncalves, M O Soares, N Stubbs, I Chetter
Background: Surgical wounds healing by secondary intention (SWHSI) are increasingly being treated with negative-pressure wound therapy (NPWT) despite a lack of high-quality research evidence regarding its clinical and cost-effectiveness. This pilot feasibility RCT aimed to assess the methods for and feasibility of conducting a future definitive RCT of NPWT for the treatment of SWHSI. Methods: Eligible consenting adult patients receiving care at the study sites (2 acute and 1 community) and with a SWHSI appropriate for NPWT or wound dressing treatment were randomized 1 : 1 centrally to receive NPWT or usual care (no NPWT)...
June 2018: BJS open
https://www.readbyqxmd.com/read/29951266/new-trends-in-the-orthopaedic-management-of-diabetic-foot
#10
Önder I Kılıçoğlu, Mehmet Demirel, Şamil Aktaş
Although there are various types of therapeutic footwear currently used to treat diabetic foot ulcers (DFUs), recent literature has enforced the concept that total-contact casts are the benchmark.Besides conventional clinical tests and imaging modalities, advanced MRI techniques and high-sensitivity nuclear medicine modalities present several advantages for the investigation of diabetic foot problems.The currently accepted principles of DFU care are rigorous debridement followed by modern wound dressings to provide a moist wound environment...
May 2018: EFORT open reviews
https://www.readbyqxmd.com/read/29941030/participation-in-a-trial-in-the-emergency-situation-a-qualitative-study-of-patient-experience-in-the-uk-wollf-trial
#11
Elizabeth Tutton, Juul Achten, Sarah E Lamb, Keith Willett, Matthew L Costa
BACKGROUND: Patients can struggle to make sense of trials in emergency situations. This study examines patient experience of participating in the United Kingdom, Wound management of Open Lower Limb Fractures (UK WOLLF) study, a trial of standard wound management versus Negative Pressure Wound Therapy (NPWT). METHODS: The aim of the study was to understand the patient's lived experience of taking part in a trial of wound dressings. Interviews drawing on Phenomenology were undertaken with a purposive sample of 20 patients, on average 12 days into their hospital stay from July 2012-July 2013...
June 25, 2018: Trials
https://www.readbyqxmd.com/read/29937665/efficacious-use-of-a-calgigraf-ag-foam-dressing-in-complete-healing-of-a-difficult-to-heal-long-standing-ulcer-of-osteoradionecrosis
#12
Nyer Firdoose, Umer Hasoon
A number of dressings containing silver have been recently introduced into the wound care market as increased resistance to antibiotics has become a problem in treating infected wounds. A 54-year-old male, with adenoid cystic carcinoma treated by segmental resection and reconstruction of mandible using reconstruction plate with concomitant radiotherapy, resulted in a deep extraoral nonhealing necrotic, exuding, malodorous, and painful wound. Erythema, eczema, and trophic changes were surrounding the skin. Previous treatment was removal of exposed reconstruction plate and primary closure...
January 2018: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/29925680/negative-pressure-treatment-for-improvement-of-surgical-wounds-after-circumferential-thigh-lift
#13
Filippo Boriani, Andrea Margara, Donatella Granchi, Nicola Baldini
BACKGROUND: The circumferential thigh lift (CTL) with vertical scar is a more extensive and effective procedure compared to the traditional lift, but the scar is not aequally concealed. Negative pressure treatment (NPT) is considered to have a beneficial effect on the physiological process of wound healing and early scar formation. A comparison study was therefore carried out in order to evaluate the effect of NPT on scar quality. METHODS: All postobese patients consecutively treated for thigh laxity in the period January 2012 to April 2013 were recruited in a prospective cohort study...
June 18, 2018: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/29920637/negative-pressure-wound-dressing-reduces-surgical-site-infections-in-infants-after-closed-abdominal-procedures-a-preliminary-report
#14
Christoph Zoeller, Emi Yoshizawa, Mohammad V Sethi, Benno M Ure, Joachim F Kuebler
INTRODUCTION:  Negative pressure wound therapy (NPWT) is a novel tool to reduce surgical site infections (SSIs). Although SSIs are a common source of morbidity in infants undergoing laparotomy, the cost of the available NPWT devices has restricted its use to adult high-risk patients. We developed a low-cost method of NPWT in infants and analyzed its impact on the incidence of SSIs in infant patients. PATIENTS AND METHODS:  A consecutive series of infants (age ≤ 12 months) who underwent a clean-contaminated, contaminated, or dirty abdominal procedure via laparotomy from 08/2015 to 12/2016 were included...
June 19, 2018: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29906322/dressings-and-topical-agents-for-treating-venous-leg-ulcers
#15
REVIEW
Gill Norman, Maggie J Westby, Amber D Rithalia, Nikki Stubbs, Marta O Soares, Jo C Dumville
BACKGROUND: Venous leg ulcers are open skin wounds on the lower leg which can be slow to heal, and are both painful and costly. The point prevalence of open venous leg ulcers in the UK is about 3 cases per 10,000 people, and many people experience recurrent episodes of prolonged ulceration. First-line treatment for venous leg ulcers is compression therapy, but a wide range of dressings and topical treatments are also used. This diversity of treatments makes evidence-based decision-making challenging, and a clear and current overview of all the evidence is required...
June 15, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29896626/effect-of-negative-pressure-wound-therapy-vs-standard-wound-management-on-12-month-disability-among-adults-with-severe-open-fracture-of-the-lower-limb-the-wollf-randomized-clinical-trial
#16
RANDOMIZED CONTROLLED TRIAL
Matthew L Costa, Juul Achten, Julie Bruce, Elizabeth Tutton, Stavros Petrou, Sarah E Lamb, Nick R Parsons
Importance: Open fractures of the lower limb occur when a broken bone penetrates the skin. There can be major complications from these fractures, which can be life-changing. Objectives: To assess the disability, rate of deep infection, and quality of life in patients with severe open fracture of the lower limb treated with negative pressure wound therapy (NPWT) vs standard wound management after the first surgical debridement of the wound. Design, Setting, and Participants: Multicenter randomized trial performed in the UK Major Trauma Network, recruiting 460 patients aged 16 years or older with a severe open fracture of the lower limb from July 2012 through December 2015...
June 12, 2018: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29890536/comparison-of-negative-pressure-wound-therapy-and-silver-coated-foam-dressings-in-open-wound-treatment-in-dogs-a-prospective-controlled-clinical-trial
#17
Mirja C Nolff, Rebecca Albert, Sven Reese, Andrea Meyer-Lindenberg
OBJECTIVES:  To evaluate negative pressure wound therapy (NPWT) for treatment of complicated wounds in dogs. STUDY TYPE:  Prospective randomized clinical study MATERIALS AND METHODS:  Dogs ( n  = 26) undergoing open-wound treatment were randomly assigned to one of two groups: Group A ( n  = 13) NPWT; Group B ( n  = 13) silver-coated foam dressing. Pairs of patients were matched based on wound conformation, localization, and underlying cause and compared in terms of duration of previous treatment, development of wound size (wound planimetry), time to closure, bacterial bio-burden and complications...
July 2018: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
https://www.readbyqxmd.com/read/29883293/negative-pressure-wound-therapy-in-reconstructing-extensive-leg-and-foot-soft-tissue-loss-in-a-child-a-case-study
#18
Iulia Tevanov, Dan Mircea Enescu, Madalina Carp, Andrei Dusca, Alin Ladaru, Alexandru Ulici
Open fractures of the leg with large loss of tissue require extensive reconstructive methods that can injure the donor area. The use of negative pressure wound therapy (NPWT) may minimise the impact of these reconstructive methods because of its capacity to create granulation tissue that will form a wound bed for the skin graft, thus reducing the volume of soft tissue defect and saving the donor region. This case study describes the effectiveness of NPWT in the treatment and reconstruction of an open fracture of the leg, with massive loss of soft tissue, associated with elastic intramedullary nailing in a 10-year-old female patient, who was a victim of a car accident...
June 1, 2018: Journal of Wound Care
https://www.readbyqxmd.com/read/29880575/standard-wound-management-versus-negative-pressure-wound-therapy-in-the-treatment-of-adult-patients-having-surgical-incisions-for-major-trauma-to-the-lower-limb-a-two-arm-parallel-group-superiority-randomised-controlled-trial-protocol-for-wound-healing-in-surgery
#19
Juul Achten, Karan Vadher, Julie Bruce, Jagdeep Nanchahal, Louise Spoors, James P Masters, Susan Dutton, Jason Madan, Matthew L Costa
INTRODUCTION: Patients with closed high-energy injuries associated with major trauma have surprisingly high rates of surgical site infection in incisions created during fracture fixation. One factor that may reduce the risk of surgical site infection is the type of dressing applied over the closed surgical incision. In this multicentre randomised clinical trial, negative-pressure wound therapy will be compared with standard dressings with outcomes of deep infection, quality of life, pain and disability...
June 7, 2018: BMJ Open
https://www.readbyqxmd.com/read/29862301/negative-pressure-wound-therapy-in-a-pseudomonas-aeruginosa-infection-model
#20
Guoqi Wang, Zhirui Li, Tongtong Li, Song Wang, Lihai Zhang, Licheng Zhang, Peifu Tang
Background: Negative-pressure wound therapy (NPWT) is an effective strategy for the management of contaminated wounds, including those infected by Pseudomonas aeruginosa . We hypothesized that NPWT would reduce virulence factors as well as biofilm components and inhibit virulence-regulated gene expression in a model of P. aeruginosa wound infection. Methods: Wounds were created in anesthetized rabbits and P. aeruginosa was inoculated to the wound surface for 24 h...
2018: BioMed Research International
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