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https://www.readbyqxmd.com/read/29649067/outpatient-negative-pressure-wound-therapy-following-surgical-debridement-results-and-complications
#1
Eran Tamir, Aharon S Finestone, Itay Wiser, Yoram Anekstein, Gabriel Agar
OBJECTIVE: To present results and complications in a case series of outpatients with diabetic and neuropathic foot ulcers with exposed bone following surgical debridement treated with negative-pressure wound therapy (NPWT). METHODS: Retrospective data were obtained from digital medical records from the Maccabi Health Services High Risk Foot Clinic in Tel Aviv, Israel, between 2009 and 2014. Medical records examined were those of clinic outpatients with exposed bone following partial foot amputation or selective bone debridement (University of Texas grade III-A) treated with NPWT...
April 11, 2018: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/29600578/successful-treatment-of-enteroatmospheric-fistulas-in-combination-with-negative-pressure-wound-therapy-experience-on-3-cases-and-literature-review
#2
Ulrich Wirth, Bernhard W Renz, Dorian Andrade, Tobias S Schiergens, Helmut Arbogast, Joachim Andrassy, Jens Werner
Enteroatmospheric fistulas (EAF) are rare but challenging and morbid complications of abdominal surgery and require time- as well as resource-consuming management. Furthermore, they severely affect patients' quality of life. Several treatment modalities for EAF management are described in the literature. We describe 3 consecutive cases of EAF treatment by employing negative pressure wound therapy (NPWT) along with either a special silicone fistula adapter or a Silo-Vac-like system in another case to isolate the fistula from the remaining abdominal wound...
March 30, 2018: International Wound Journal
https://www.readbyqxmd.com/read/29593823/negative-pressure-wound-therapy-npwt-treatment-of-total-supra-aortic-debranching-graft-infection
#3
Raffaello Bellosta, Luca Luzzani, Francesca Bontempi, Monica Vescovi, Antonio Sarcina
No abstract text is available yet for this article.
March 2018: Archives of Medical Science: AMS
https://www.readbyqxmd.com/read/29584605/evaluating-the-impact-of-a-patient-centered-remote-monitoring-program-on-adherence-to-negative-pressure-wound-therapy
#4
Leah Griffin, Laura Leyva Casillas
A remote therapy monitoring (RTM) system has been developed for use with a negative pressure wound therapy (NPWT) unit for patients in the home care setting. In conjunction with RTM, a network of trained professionals call patients when their NPWT usage is low and provide education to assist with therapy adherence. OBJECTIVE: The objective of this evaluation is to examine the relationship between the RTM system and patient adherence. MATERIALS AND METHODS: One hundred ninety-eight home care patients receiving NPWT with RTM between December 2016 and April 2017 were included...
March 2018: Wounds: a Compendium of Clinical Research and Practice
https://www.readbyqxmd.com/read/29562626/pressure-distribution-during-negative-pressure-wound-therapy-of-experimental-abdominal-compartment-syndrome-in-a-porcine-model
#5
Adrienn Csiszkó, Klaudia Balog, Zoltán Attila Godó, Gyula Juhász, Katalin Pető, Ádám Deák, Mariann Berhés, Norbert Németh, Zsolt Bodnár, Zsolt Szentkereszty
(1) Introduction: Negative pressure wound therapy (NPWT) is a frequently applied open abdomen (OA) treatment. There are only a few experimental data supporting this method and describing the optimal settings and pressure distribution in the abdominal cavity during this procedure. The aim of our study was to evaluate pressure values at different points in the abdominal cavity during NPWT in experimental abdominal compartment syndrome (ACS) animal model; (2) Methods: In this study (permission Nr. 13/2014/UDCAW), 27 Hungahib pigs (15...
March 17, 2018: Sensors
https://www.readbyqxmd.com/read/29555530/negative-pressure-wound-therapy-versus-conventional-wound-dressings-in-treatment-of-open-fractures-a-systematic-review-and-meta-analysis
#6
REVIEW
Xi Liu, Hui Zhang, Shiqiang Cen, Fuguo Huang
BACKGROUND: Though several systematic reviews concerned have been published, controversy still exists. The current systematic review was designed to clarify the detailed advantages and disadvantages of the negative pressure wound therapy (NPWT) in treatment of open fractures in comparison with the conventional wound dressings. METHODS: A systematic search was performed in Pubmed, Cochrane Library, Embase, and Google Scholar for the published relevant clinical studies...
March 16, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29544509/local-control-of-polymicrobial-infections-via-a-dual-antibiotic-delivery-system
#7
David J Tennent, Stefanie M Shiels, Jessica A Jennings, Warren O Haggard, Joseph C Wenke
BACKGROUND: Contaminated traumatic open orthopedic wounds are frequently complicated by polymicrobial contamination and infection. In high-risk wounds, the standard of care comprises debridement and irrigation combined with antibiotics which can be applied directly or combined with systemic antibiotics. Recently, bioabsorbable chitosan sponges have been shown to be an effective single-agent delivery device for local antibiotics with and without negative pressure wound therapy (NPWT). Severely contaminated orthopedic wounds, however, are often complicated by polymicrobial infections, necessitating multiple antibiotic agents...
March 15, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29515700/use-of-negative-pressure-wound-therapy-for-lower-limb-bypass-incisions
#8
Kah Wei Tan, Zhiwen Joseph Lo, Qiantai Hong, Sriram Narayanan, Glenn Wei Leong Tan, Sadhana Chandrasekar
Objective : The use of negative pressure wound therapy (NPWT) for post-surgical cardiothoracic, orthopedic, plastic, and obstetric and gynecologic procedures has been described. However, there are no data regarding its use for lower limb bypass incisions. We aimed to investigate the outcomes of NPWT in preventing surgical site infection (SSI) in patients with lower limb arterial bypass incisions. Materials and Methods : We retrospectively used data of 42 patients who underwent lower limb arterial bypass with reversed great saphenous vein between March 2014 and June 2016 and compared conventional wound therapy and NPWT with regard to preventing SSI...
December 25, 2017: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/29509555/team-approach-complex-dermal-wound-healing-utilizing-negative-pressure-wound-therapy-npwt-in-orthopaedic-trauma
#9
Tyson Green, Steven Kavros, Steve Springer, David Drez, Matthew McCabe, Jared Gremillion
No abstract text is available yet for this article.
March 6, 2018: JBJS Reviews
https://www.readbyqxmd.com/read/29509094/using-negative-pressure-wound-therapy-to-prevent-surgical-site-infection
#10
Steven Jeffery, David Leaper, David Armstrong, John Lantis
It is estimated that, at the very least, 5% of patients who undergo surgery develop a surgical site infection (SSI). There has been much interest in the use of negative pressure wound therapy (NPWT) as a prophylactic treatment to reduce the risk of SSI. Evidence suggests it can accelerate healing times, reduce both the length of hospital stay and the frequency of dressing changes, and improve patients' quality of life. The efficacy of traditional and portable NPWT systems is similar. However, the latter has an advantage in that it increases patient mobility and does not hinder individuals from carrying out activities of daily living...
March 1, 2018: Journal of Wound Care
https://www.readbyqxmd.com/read/29509089/the-avelle-npwt-system
#11
Franck Duteille, Emma Sharp, Connie Traynor
No abstract text is available yet for this article.
March 1, 2018: Journal of Wound Care
https://www.readbyqxmd.com/read/29509088/proposed-treatment-pathway-for-the-management-of-incisions
#12
(no author information available yet)
Assessment of patients and their surgical risk is at the discretion of the clinician. There may be patients who present with two or less risk factors, such as a lower BMI, but are still suitable for NPWT incision management.
March 1, 2018: Journal of Wound Care
https://www.readbyqxmd.com/read/29509087/avelle-npwt-system-frequently-asked-questions
#13
Emma Sharp
No abstract text is available yet for this article.
March 1, 2018: Journal of Wound Care
https://www.readbyqxmd.com/read/29481332/cost-minimization-analysis-of-negative-pressure-wound-therapy-in-long-term-care-facilities
#14
Ayoade Adeyemi, Curtis Waycaster
OBJECTIVE: This study aims to conduct a cost-minimization analysis comparing wound treatment costs between single-use negative pressure wound therapy (sNPWT) and traditional negative pressure wound therapy (tNPWT). MATERIALS AND METHODS: Assuming comparable outcomes, cost data obtained from the ECRI Institute were compared between the 2 NPWT options using data extracted from an electronic wound management program between August 2010 and March 2016. RESULTS: Use of sNPWT versus tNPWT resulted in daily and total treatment duration cost savings of $55 and $1586, respectively...
February 2018: Wounds: a Compendium of Clinical Research and Practice
https://www.readbyqxmd.com/read/29468490/negative-pressure-wound-therapy-reduces-the-motility-of-pseudomonas-aeruginosa-and-enhances-wound-healing-in-a-rabbit-ear-biofilm-infection-model
#15
Wang Guoqi, Li Zhirui, Wang Song, Li Tongtong, Zhang Lihai, Zhang Licheng, Tang Peifu
Pseudomonas aeruginosa motility, virulence factors and biofilms are known to be detrimental to wound healing. The efficacy of negative pressure wound therapy (NPWT) against P. aeruginosa has been little studied, either in vitro or in vivo. The present study evaluated the effect of negative pressure (NP) on P. aeruginosa motility in vitro, and the effect of NPWT on virulence factors and biofilms in vivo. P. aeruginosa motility was quantified under different levels of NP (atmospheric pressure, - 75, - 125, - 200 mmHg) using an in vitro model...
February 21, 2018: Antonie Van Leeuwenhoek
https://www.readbyqxmd.com/read/29464174/suture-technique-to-prevent-air-leakage-during-negative-pressure-wound-therapy-in-fournier-gangrene
#16
Feng-Shu Chang, Chieh Chou, Chuan-Yu Hu, Shu-Hung Huang
Background: The use of negative-pressure wound therapy (NPWT) for Fournier gangrene management is well documented; however, it is difficult to fixate GranuFoam dressings and maintain an airtight seal over the perineum area. We developed a simple method to facilitate GranuFoam fixation and improve airtight sealing. Methods: The Fournier's gangrene severity index (FGSI) score less than 9 was collected in from January 2015 to October 2016. All 13 patients underwent fasciotomy, and NPWT was applied directly on fasciotomy wounds after the debridement of infected tissue...
January 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29464150/incisional-negative-pressure-wound-therapy-for-prevention-of-wound-healing-complications-following-reduction-mammaplasty
#17
Robert D Galiano, Donald Hudson, Joseph Shin, René van der Hulst, Volkan Tanaydin, Risal Djohan, Franck Duteille, John Cockwill, Sarah Megginson, Elizabeth Huddleston
Background: It has been proposed that negative pressure wound therapy (NPWT) applied prophylactically to a closed incision may decrease the incidence of wound complications. Patients undergoing reduction mammaplasty are at risk of wound complications such as delayed healing, infection, and dehiscence, and the bilateral nature of the surgery allows for a within-patient randomized study to evaluate incisional NPWT's effect in reducing healing complications. Methods: In this multicenter trial, 200 patients undergoing bilateral reduction mammaplasty were treated with PICO Single-Use NPWT System or standard wound-care dressings randomized to right or left breast for up to 14 days to enable within-patient comparison...
January 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29442143/randomized-controlled-study-comparing-disposable-negative-pressure-wound-therapy-with-standard-care-in-bilateral-breast-reduction-mammoplasty-evaluating-surgical-site-complications-and-scar-quality
#18
V Tanaydin, J Beugels, A Andriessen, J H Sawor, R R W J van der Hulst
BACKGROUND: Negative pressure wound therapy (NPWT) for postsurgical incision treatment has demonstrated benefits. A prospective randomized study was developed including 32 patients who underwent bilateral breast reduction mammoplasty. Patients served as their own control and received NPWT to one breast and fixation strips to the other breast. METHODS: The primary outcome was the number of wound healing complications within 21 days when comparing NPWT treatment with fixation strips...
February 13, 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29419368/a-histological-analysis-of-chronic-wounds-treated-with-negative-pressure-wound-therapy-to-aid-healing-a-case-series
#19
Jorge E Almeida, Rodolfo Suárez, Elaine Gibson
OBJECTIVE: Our aim was to examine histopathological changes in three chronic wounds, and to assess whether the application of negative pressure wound therapy (NPWT) changes the wound bed environment. METHOD: - Results: We recruited three patients were recruited who had a non-healing wounds in excess of eight weeks. Histopathological changes in the wound bed supported the evidence that NPWT changes the wound bed environment by reducing inflammatory damage and facilitating wound bed perfusion with angiogenesis...
February 1, 2018: Journal of Wound Care
https://www.readbyqxmd.com/read/29406300/a-retrospective-cost-minimization-analysis-of-disposable-and-traditional-negative-pressure-wound-therapy-medicare-paid-claims
#20
Gary Delhougne, Christopher Hogan, Kim Tarka, Sunitha Nair
Traditional negative pressure wound therapy (NPWT) systems are considered durable. The pump is designed for use by numerous patients over a period of several years. Recently developed smaller, disposable devices are designed for single-patient use. A retrospective analysis of 2012-2014 national Medicare claims data was used to examine payments associated with the use of traditional and disposable NPWT systems. Data extracted included NPWT episodes from the Limited Data Set Standard Analytic Files including the 5% sample for traditional NPWT and 100% sample for disposable NPWT...
January 2018: Ostomy/wound Management
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